Vertebrobasilar occlusion therapy of giant aneurysms

Significance of angiographic morphology of the posterior communicating arteries

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  • 1 Departments of Diagnostic Radiology and Clinical Neurological Sciences, University Hospital London, Ontario, Canada
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✓ The clinical and angiographic records were reviewed for 71 patients with giant aneurysms of the posterior circulation, who underwent therapeutic occlusion of the basilar artery or both vertebral arteries. This treatment is used when the aneurysm neck cannot be surgically clipped, and occlusion of the parent artery is performed to initiate thrombosis within the lumen. In these cases, collateral blood flow to the brain stem is supplied mainly by the posterior communicating arteries. Consequently, their angiographic morphology (patency, size, and number) is demonstrated as a preoperative indicator of whether the patient will be able to tolerate vertebrobasilar occlusion. Vertebral angiograms with carotid artery compression (the Allcock test) will often be needed to provide this information.

The data relating posterior communicating artery morphology to clinical outcome in 71 cases of attempted vertebrobasilar occlusion are presented. The use and accuracy of carotid artery compression studies are also discussed. It is essential for the radiologist to supply the neurosurgeon with this valuable information in every case of giant posterior circulation aneurysm.

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  • 1.

    Drake CG: Advances in the neurosurgical treatment of aneurysms, arteriovenous malformations, and hematomas of the vertebral circulation, in Thompson RA, & Green JR (eds): Stroke. Advances in Neurology, Vol 16. New York: Raven Press, 1977, pp 211225 Drake CG: Advances in the neurosurgical treatment of aneurysms, arteriovenous malformations, and hematomas of the vertebral circulation, in Thompson RA, Green JR (eds): Stroke. Advances in Neurology, Vol 16. New York: Raven Press, 1977, pp 211–225

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  • 2.

    Drake CG: Aneurysms of the posterior circulation, in Symon L (ed): Neurosurgery. Operative Surgery, ed 3. London: Butterworths, 1979, pp 263291 Drake CG: Aneurysms of the posterior circulation, in Symon L (ed): Neurosurgery. Operative Surgery, ed 3. London: Butterworths, 1979, pp 263–291

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    • Export Citation
  • 3.

    Drake CG: Ligation of the vertebral (unilateral or bilateral) or basilar artery in the treatment of large intracranial aneurysms. J Neurosurg 43:255274, 1975 Drake CG: Ligation of the vertebral (unilateral or bilateral) or basilar artery in the treatment of large intracranial aneurysms. J Neurosurg 43:255–274, 1975

    • Search Google Scholar
    • Export Citation
  • 4.

    Drake CG: On the surgical treatment of intracranial aneurysms. Ann R Coll Phys Surg Can 11:186195, 1978 Drake CG: On the surgical treatment of intracranial aneurysms. Ann R Coll Phys Surg Can 11:186–195, 1978

    • Search Google Scholar
    • Export Citation
  • 5.

    Drake CG: The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26:96144, 1979 Drake CG: The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26:96–144, 1979

    • Search Google Scholar
    • Export Citation
  • 6.

    Drake CG: Treatment of aneurysms of the posterior cranial fossa. Prog Neurol Surg 9:122194, 1978 Drake CG: Treatment of aneurysms of the posterior cranial fossa. Prog Neurol Surg 9:122–194, 1978

    • Search Google Scholar
    • Export Citation
  • 7.

    Duvoisin RC, & Yahr MD: Posterior fossa aneurysms. Neurology 15:231241, 1965 Duvoisin RC, Yahr MD: Posterior fossa aneurysms. Neurology 15:231–241, 1965

    • Search Google Scholar
    • Export Citation
  • 8.

    Morley TP, & Barr HWK: Giant intracranial aneurysms: diagnosis, course, and management. Clin Neurosurg 16:7394, 1969 Morley TP, Barr HWK: Giant intracranial aneurysms: diagnosis, course, and management. Clin Neurosurg 16:73–94, 1969

    • Search Google Scholar
    • Export Citation
  • 9.

    Mount LA, & Taveras JM: Ligation of basilar artery in treatment of an aneurysm at the basilar-artery bifurcation. J Neurosurg 19:167170, 1962 Mount LA, Taveras JM: Ligation of basilar artery in treatment of an aneurysm at the basilar-artery bifurcation. J Neurosurg 19:167–170, 1962

    • Search Google Scholar
    • Export Citation
  • 10.

    Sarwar M, , Batnitzky S, & Schechter MM: Tumorous aneurysms. Neuroradiology 12:7997, 1976 Sarwar M, Batnitzky S, Schechter MM: Tumorous aneurysms. Neuroradiology 12:79–97, 1976

    • Search Google Scholar
    • Export Citation

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