ENDOVASCULAR RETROGRADE SUCTION DECOMPRESSION AS AN ADJUNCT TO SURGICAL TREATMENT OF OPHTHALMIC ANEURYSMS : ANALYSIS OF RISKS AND CLINICAL OUTCOMES
Endovascular retrograde suction decompression with balloon occlusion of the internal carotid artery is a useful adjunct in the surgical treatment of ophthalmic aneurysms. This technique helps establish proximal control, facilitates intraoperative angiography, and may aid dissection by evacuating blo...
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| Veröffentlicht in: | Neurosurgery 2009-03, Vol.64 (3), p.ons107-ons112 |
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| creator | FULKERSON, Daniel H HORNER, Terry G OGILVY, Christopher S SAUVAGEAU, Eric SPETZLER, Robert F SAMSON, Duke S PAYNER, Troy D LEIPZIG, Thomas J SCOTT, John A DENARDO, Andrew J REDELMAN, Kathleen GOODMAN, Julius M LAWTON, Michael T SOLOMON, Robert A |
| description | Endovascular retrograde suction decompression with balloon occlusion of the internal carotid artery is a useful adjunct in the surgical treatment of ophthalmic aneurysms. This technique helps establish proximal control, facilitates intraoperative angiography, and may aid dissection by evacuating blood and softening the aneurysm. Although the technical aspects of this procedure have been described, the published data on its safety are scant. This study analyzed 2 groups of patients who underwent craniotomies for treatment of ophthalmic aneurysms, comparing a group who received suction decompression with a group who did not.
A retrospective analysis of prospectively collected data on 118 craniotomies for ophthalmic aneurysms performed from 1990 to 2005 is presented. A group of 63 patients treated with endovascular suction decompression during surgery is compared with 55 patients who did not undergo this technique.
In our overall analysis of ophthalmic aneurysms, the clinical outcome was statistically related to aneurysm size (P = 0.046). The endovascular suction decompression group in this study had overall larger aneurysms (P < 0.0001) compared with the other group. There was no statistical difference between the 2 groups in rates of complications, stroke, new visual deficit, or death. The clinical outcomes were statistically similar at discharge and at 1 year.
Endovascular balloon occlusion and suction decompression did not increase the complication rate in a large cohort of craniotomy patients with ophthalmic aneurysms. This technique may be used to augment surgical capabilities without significantly increasing the operative risk. |
| doi_str_mv | 10.1227/01.NEU.0000330391.20750.71 |
| format | Article |
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A retrospective analysis of prospectively collected data on 118 craniotomies for ophthalmic aneurysms performed from 1990 to 2005 is presented. A group of 63 patients treated with endovascular suction decompression during surgery is compared with 55 patients who did not undergo this technique.
In our overall analysis of ophthalmic aneurysms, the clinical outcome was statistically related to aneurysm size (P = 0.046). The endovascular suction decompression group in this study had overall larger aneurysms (P < 0.0001) compared with the other group. There was no statistical difference between the 2 groups in rates of complications, stroke, new visual deficit, or death. The clinical outcomes were statistically similar at discharge and at 1 year.
Endovascular balloon occlusion and suction decompression did not increase the complication rate in a large cohort of craniotomy patients with ophthalmic aneurysms. This technique may be used to augment surgical capabilities without significantly increasing the operative risk.</description><identifier>ISSN: 0148-396X</identifier><identifier>ISSN: 2332-4252</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/01.NEU.0000330391.20750.71</identifier><identifier>PMID: 19240558</identifier><identifier>CODEN: NRSRDY</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Balloon Occlusion ; Biological and medical sciences ; Craniotomy ; Female ; Humans ; Intracranial Aneurysm - pathology ; Intracranial Aneurysm - surgery ; Intracranial Aneurysm - therapy ; Male ; Medical sciences ; Middle Aged ; Neurosurgery ; Neurosurgical Procedures - adverse effects ; Neurosurgical Procedures - methods ; Ophthalmic Artery - pathology ; Ophthalmic Artery - surgery ; Postoperative Complications - epidemiology ; Prospective Studies ; Retrospective Studies ; Risk Assessment ; Suction ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Neurosurgery, 2009-03, Vol.64 (3), p.ons107-ons112</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c290t-b6f9645522cf9c52953b48d67f9f5f912f952a3cfd15994bae135b3a669217e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21212337$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19240558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FULKERSON, Daniel H</creatorcontrib><creatorcontrib>HORNER, Terry G</creatorcontrib><creatorcontrib>OGILVY, Christopher S</creatorcontrib><creatorcontrib>SAUVAGEAU, Eric</creatorcontrib><creatorcontrib>SPETZLER, Robert F</creatorcontrib><creatorcontrib>SAMSON, Duke S</creatorcontrib><creatorcontrib>PAYNER, Troy D</creatorcontrib><creatorcontrib>LEIPZIG, Thomas J</creatorcontrib><creatorcontrib>SCOTT, John A</creatorcontrib><creatorcontrib>DENARDO, Andrew J</creatorcontrib><creatorcontrib>REDELMAN, Kathleen</creatorcontrib><creatorcontrib>GOODMAN, Julius M</creatorcontrib><creatorcontrib>LAWTON, Michael T</creatorcontrib><creatorcontrib>SOLOMON, Robert A</creatorcontrib><title>ENDOVASCULAR RETROGRADE SUCTION DECOMPRESSION AS AN ADJUNCT TO SURGICAL TREATMENT OF OPHTHALMIC ANEURYSMS : ANALYSIS OF RISKS AND CLINICAL OUTCOMES</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Endovascular retrograde suction decompression with balloon occlusion of the internal carotid artery is a useful adjunct in the surgical treatment of ophthalmic aneurysms. This technique helps establish proximal control, facilitates intraoperative angiography, and may aid dissection by evacuating blood and softening the aneurysm. Although the technical aspects of this procedure have been described, the published data on its safety are scant. This study analyzed 2 groups of patients who underwent craniotomies for treatment of ophthalmic aneurysms, comparing a group who received suction decompression with a group who did not.
A retrospective analysis of prospectively collected data on 118 craniotomies for ophthalmic aneurysms performed from 1990 to 2005 is presented. A group of 63 patients treated with endovascular suction decompression during surgery is compared with 55 patients who did not undergo this technique.
In our overall analysis of ophthalmic aneurysms, the clinical outcome was statistically related to aneurysm size (P = 0.046). The endovascular suction decompression group in this study had overall larger aneurysms (P < 0.0001) compared with the other group. There was no statistical difference between the 2 groups in rates of complications, stroke, new visual deficit, or death. The clinical outcomes were statistically similar at discharge and at 1 year.
Endovascular balloon occlusion and suction decompression did not increase the complication rate in a large cohort of craniotomy patients with ophthalmic aneurysms. This technique may be used to augment surgical capabilities without significantly increasing the operative risk.</description><subject>Balloon Occlusion</subject><subject>Biological and medical sciences</subject><subject>Craniotomy</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Aneurysm - pathology</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Intracranial Aneurysm - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Neurosurgical Procedures - methods</subject><subject>Ophthalmic Artery - pathology</subject><subject>Ophthalmic Artery - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Suction</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0148-396X</issn><issn>2332-4252</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkd9q2zAUxsXYWLN2rzDEYLuzqz-WHfXO2Grj1rGKJI_1StiOBRlJ01nNxZ6jL1wlDasO6BzB73wf4gPgO0YxJiS7RDhuRBujcChFlOOYoIyhOMMfwAwzkkQJStBHMEM4mUeUp7_PwBfv_yCE0ySbfwZnmJMEMTafgRfRlPJXrou2zhVUwih5o_JSQN0WppINLEUhl_dKaH145Rrm4S5v26Yw0MiAqZuqyGtolMjNUjQGymso7xdmkdfLqgi4aNWDXmp4Fea8ftCVPiCq0ncHsRIWddUcJWRrgpfQF-CT6zZ-_Hrq56C9FqZYRLU8ekUD4eg56lPH04QxQgbHB0Y4o30yX6WZ4445jonjjHR0cCvMOE_6bsSU9bRLU05wNhJ6Dn6-6T5Nu7_70T_b7doP42bTPY67vbcBTCkhPIBXb-Aw7byfRmefpvW2m_5ZjOwhEouwDf-075HYYyQ2w2H528ll32_H1fvqKYMA_DgBnR-6jZu6x2Ht_3MEh6I0o69d44iB</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>FULKERSON, Daniel H</creator><creator>HORNER, Terry G</creator><creator>OGILVY, Christopher S</creator><creator>SAUVAGEAU, Eric</creator><creator>SPETZLER, Robert F</creator><creator>SAMSON, Duke S</creator><creator>PAYNER, Troy D</creator><creator>LEIPZIG, Thomas J</creator><creator>SCOTT, John A</creator><creator>DENARDO, Andrew J</creator><creator>REDELMAN, Kathleen</creator><creator>GOODMAN, Julius M</creator><creator>LAWTON, Michael T</creator><creator>SOLOMON, Robert A</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>ENDOVASCULAR RETROGRADE SUCTION DECOMPRESSION AS AN ADJUNCT TO SURGICAL TREATMENT OF OPHTHALMIC ANEURYSMS : ANALYSIS OF RISKS AND CLINICAL OUTCOMES</title><author>FULKERSON, Daniel H ; HORNER, Terry G ; OGILVY, Christopher S ; SAUVAGEAU, Eric ; SPETZLER, Robert F ; SAMSON, Duke S ; PAYNER, Troy D ; LEIPZIG, Thomas J ; SCOTT, John A ; DENARDO, Andrew J ; REDELMAN, Kathleen ; GOODMAN, Julius M ; LAWTON, Michael T ; SOLOMON, Robert A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290t-b6f9645522cf9c52953b48d67f9f5f912f952a3cfd15994bae135b3a669217e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Balloon Occlusion</topic><topic>Biological and medical sciences</topic><topic>Craniotomy</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Aneurysm - pathology</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Intracranial Aneurysm - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Neurosurgical Procedures - methods</topic><topic>Ophthalmic Artery - pathology</topic><topic>Ophthalmic Artery - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Suction</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FULKERSON, Daniel H</creatorcontrib><creatorcontrib>HORNER, Terry G</creatorcontrib><creatorcontrib>OGILVY, Christopher S</creatorcontrib><creatorcontrib>SAUVAGEAU, Eric</creatorcontrib><creatorcontrib>SPETZLER, Robert F</creatorcontrib><creatorcontrib>SAMSON, Duke S</creatorcontrib><creatorcontrib>PAYNER, Troy D</creatorcontrib><creatorcontrib>LEIPZIG, Thomas J</creatorcontrib><creatorcontrib>SCOTT, John A</creatorcontrib><creatorcontrib>DENARDO, Andrew J</creatorcontrib><creatorcontrib>REDELMAN, Kathleen</creatorcontrib><creatorcontrib>GOODMAN, Julius M</creatorcontrib><creatorcontrib>LAWTON, Michael T</creatorcontrib><creatorcontrib>SOLOMON, Robert A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FULKERSON, Daniel H</au><au>HORNER, Terry G</au><au>OGILVY, Christopher S</au><au>SAUVAGEAU, Eric</au><au>SPETZLER, Robert F</au><au>SAMSON, Duke S</au><au>PAYNER, Troy D</au><au>LEIPZIG, Thomas J</au><au>SCOTT, John A</au><au>DENARDO, Andrew J</au><au>REDELMAN, Kathleen</au><au>GOODMAN, Julius M</au><au>LAWTON, Michael T</au><au>SOLOMON, Robert A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ENDOVASCULAR RETROGRADE SUCTION DECOMPRESSION AS AN ADJUNCT TO SURGICAL TREATMENT OF OPHTHALMIC ANEURYSMS : ANALYSIS OF RISKS AND CLINICAL OUTCOMES</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>64</volume><issue>3</issue><spage>ons107</spage><epage>ons112</epage><pages>ons107-ons112</pages><issn>0148-396X</issn><issn>2332-4252</issn><eissn>1524-4040</eissn><coden>NRSRDY</coden><abstract>Endovascular retrograde suction decompression with balloon occlusion of the internal carotid artery is a useful adjunct in the surgical treatment of ophthalmic aneurysms. This technique helps establish proximal control, facilitates intraoperative angiography, and may aid dissection by evacuating blood and softening the aneurysm. Although the technical aspects of this procedure have been described, the published data on its safety are scant. This study analyzed 2 groups of patients who underwent craniotomies for treatment of ophthalmic aneurysms, comparing a group who received suction decompression with a group who did not.
A retrospective analysis of prospectively collected data on 118 craniotomies for ophthalmic aneurysms performed from 1990 to 2005 is presented. A group of 63 patients treated with endovascular suction decompression during surgery is compared with 55 patients who did not undergo this technique.
In our overall analysis of ophthalmic aneurysms, the clinical outcome was statistically related to aneurysm size (P = 0.046). The endovascular suction decompression group in this study had overall larger aneurysms (P < 0.0001) compared with the other group. There was no statistical difference between the 2 groups in rates of complications, stroke, new visual deficit, or death. The clinical outcomes were statistically similar at discharge and at 1 year.
Endovascular balloon occlusion and suction decompression did not increase the complication rate in a large cohort of craniotomy patients with ophthalmic aneurysms. This technique may be used to augment surgical capabilities without significantly increasing the operative risk.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19240558</pmid><doi>10.1227/01.NEU.0000330391.20750.71</doi></addata></record> |
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| ispartof | Neurosurgery, 2009-03, Vol.64 (3), p.ons107-ons112 |
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| subjects | Balloon Occlusion Biological and medical sciences Craniotomy Female Humans Intracranial Aneurysm - pathology Intracranial Aneurysm - surgery Intracranial Aneurysm - therapy Male Medical sciences Middle Aged Neurosurgery Neurosurgical Procedures - adverse effects Neurosurgical Procedures - methods Ophthalmic Artery - pathology Ophthalmic Artery - surgery Postoperative Complications - epidemiology Prospective Studies Retrospective Studies Risk Assessment Suction Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | ENDOVASCULAR RETROGRADE SUCTION DECOMPRESSION AS AN ADJUNCT TO SURGICAL TREATMENT OF OPHTHALMIC ANEURYSMS : ANALYSIS OF RISKS AND CLINICAL OUTCOMES |
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