Contralateral approach to bilateral and ophthalmic aneurysms

J. Vajda, J. Juhasz, E. Pasztor, I. Nyáry

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

In a previous survey, we found a high incidence of fatal rupture of an unclipped aneurysm in patients with multiple aneurysms. To deal with this problem, we introduced a more vigorous technique that accesses aneurysms previously considered unapproachable during one operating session. Attempts were made to clip middle cerebral and ophthalmic aneurysms contralateral to the operative exposure. We have successfully clipped contralateral aneurysms of the posterior communicating artery when bilateral aneurysms were present. We have also used this contralateral approach successfully with single ophthalmic and proximal carotid aneurysms that pointed medially. We review the cases of 39 patients with 43 intracranial aneurysms operated from the contralateral side and present the surgical technique in relation to the angiographic findings.

Original languageEnglish
Pages (from-to)662-668
Number of pages7
JournalNeurosurgery
Volume22
Issue number4
Publication statusPublished - 1988

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Aneurysm
Intracranial Aneurysm
Surgical Instruments
Rupture
Incidence

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Contralateral approach to bilateral and ophthalmic aneurysms. / Vajda, J.; Juhasz, J.; Pasztor, E.; Nyáry, I.

In: Neurosurgery, Vol. 22, No. 4, 1988, p. 662-668.

Research output: Contribution to journalArticle

Vajda, J, Juhasz, J, Pasztor, E & Nyáry, I 1988, 'Contralateral approach to bilateral and ophthalmic aneurysms', Neurosurgery, vol. 22, no. 4, pp. 662-668.
Vajda, J. ; Juhasz, J. ; Pasztor, E. ; Nyáry, I. / Contralateral approach to bilateral and ophthalmic aneurysms. In: Neurosurgery. 1988 ; Vol. 22, No. 4. pp. 662-668.
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