• Acta Neurochir. Suppl. · Jan 2016

    Clipping Surgery for Paraclinoid Carotid Aneurysm.

    • Tetsuyoshi Horiuchi, Yasunaga Yamamoto, Yota Suzuki, Masayoshi Kobayashi, Shunsuke Ichinose, and Kazuhiro Hongo.
    • Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan. tetuyosi@shinshu-u.ac.jp.
    • Acta Neurochir. Suppl. 2016 Jan 1; 123: 27-32.

    BackgroundParaclinoid carotid aneurysm is widely treated with coil embolization. However, all paraclinoid carotid aneurysms cannot be obliterated by the endovascular approach.MethodsOur direct surgical procedure was presented. The clinical data of surgically treated paraclinoid carotid aneurysms were retrospectively reviewed.ResultsOne hundred ninety paraclinoid carotid aneurysms in 181 patients were directly obliterated at the Shinshu University Hospital and its affiliated hospitals between 1991 and 2013.ConclusionsDirect surgical repair of the paraclinoid carotid aneurysm is still useful, even in the era of endovascular treatment.

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