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| Name | Microsurgical clipping of a giant VBJ aneurysm under hypothermic circulatory arrest |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 12-07-2018 15:44:28 |
| Video Discription | Ulas Cikla, M.D., Kutluay Uluc, M.D., Mustafa K. Baskaya, M.D. Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin Giant posterior circulation aneurysms pose a significant challenge to neurovascular surgeons. Among various treatment methods that have been applied individually or in combination, clipping under hypothermic circulatory arrest (HCA) is rarely used. We present a 62-year-old man who initially underwent coil occlusion of the right vertebral artery (VA) for a 2.5 cm giant vertebrobasilar junction (VBJ) aneurysm. His neurological condition had declined gradually and the aneurysm grew to 4 cm in size. The patient underwent clip reconstruction of giant VBJ aneurysm under HCA. His post-operative course was prolonged due to his preexisting neurological deficits. His preoperative Modified Rankin Score was 5, and improved postoperatively to 3 at 3 and 6 months, and to 2 at 1 year. |
| Category | Education |
| Tags | Intracranial Aneurysm (Disease Or Medical Condition) | Clipping (Medical Treatment) | Deep Hypothermic Circulatory Arrest | vertebral artery | basilar artery | JNS | AANS | Journal of Neurosurgery | Neurosurgical Focus |
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