Results of surgical treatment of 35 giant aneurysms
Słoniewski, P.; Stempniewicz, M.; Imieliński, B.
Neurologia i Neurochirurgia Polska Suppl 1: 20-24
1992
ISSN/ISBN: 0028-3843 PMID: 1407298 Document Number: 398092
Results of surgical treatment of 35 giant aneurysms. Over the last 4 years (1988-1991) 35 large aneurysms were operated on in the Department of Neurosurgery Medical Academy in Gdańsk. This material is divided in two groups: to group I belong these aneurysms of diameter 2 to 2.5 cm and to group II those above the diameter of 2.5 cm. Surgery in group I was always performed by means of direct attack, while in group II sometimes STA-MTA by-pass, combined with carotid ligation was applied. The by-pass procedure is particularly advocated in the aneurysms of the infraclinoid portion of ICA and those originating from the junction of the ophthalmic and ICA (carotid-ophthalmic). With the progress of operative technique and routine application of temporary clipping of the vessels adjacent to and supplying the aneurysm, the number of by-pass operations has been limited to those of the infraclinoid portion of ICA only. Only in 1 case the result was unfavourable, in 2 cases it was fair and in 2 other cases it was excellent.