Endovascular retrograde suction decompression as an adjunct to surgical treatment of ophthalmic aneurysms: analysis of risks and clinical outcomes.

摘要: OBJECTIVE: Endovascular retrograde suction decompression with balloon occlusion of the internal carotid artery is a useful adjunct in surgical treatment ophthalmic aneurysms. This technique helps establish proximal control, facilitates intraoperative angiography, and may aid dissection by evacuating blood softening aneurysm. Although technical aspects this procedure have been described, published data on its safety are scant. study analyzed 2 groups patients who underwent craniotomies for aneurysms, comparing group received did not. METHODS: A retrospective analysis prospectively collected 118 aneurysms performed from 1990 to 2005 presented. 63 treated endovascular during surgery compared 55 not undergo technique. RESULTS: In our overall clinical outcome was statistically related aneurysm size (P = 0.046). The had larger < 0.0001) other group. There no statistical difference between rates complications, stroke, new visual deficit, or death. outcomes were similar at discharge 1 year. CONCLUSION: increase complication rate large cohort craniotomy be used augment capabilities without significantly increasing operative risk.