Suction decompression of aneurysms

Technical note

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✓ A technique utilizing suction decompression of large aneurysms to allow safer application of a clip is described. Large aneurysms are punctured with a No. 21 scalp vein needle attached to the operating room suction device. This procedure causes relaxation of the aneurysm itself and allows safer application of the clip. The technique has been used in six cases of giant aneurysms.

Article Information

Address reprint requests to: Eugene S. Flamm, M.D., Department of Neurosurgery, New York University Medical Center, 550–560 First Avenue, New York, New York 10016.

© AANS, except where prohibited by US copyright law.

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Figures

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    Left: A large aneurysm obscuring the neck and parent vessels. Center: Decompression of the aneurysm by suction allows good visualization of the neck and adjacent vessels. Right: The ancurysm is clipped with suction still in place. The clip can be adjusted while the aneurysm remains decompressed.

References

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