PDF(Pubmed)
Abstract：
UNASSIGNED: Giant internal carotid artery (ICA) aneurysms are usually treated through flow diversion, coiling, or a combination of both. However, certain cases that fail the endovascular treatment pose a technical challenge.
UNASSIGNED: A 68-year-old male presented with gradual visual changes affecting his right eye and was found to have a giant unruptured right paraophthalmic aneurysm. The aneurysm showed growth, and the patient\'s symptoms worsened despite coiling and flow diversion. Due to the location of this aneurysm and persistent compression of the optic chiasm by the coil mass, his right ICA was sacrificed, and an expanded endoscopic endonasal approach was successfully used to clip the residual aneurysm, remove the coil mass, and thus, decompress the optic chiasm. The patient\'s visual symptoms improved after that, and post clipping imaging demonstrated adequate occlusion of his right paraophthalmic aneurysm.
UNASSIGNED: Recognizing the option of an endoscopic endonasal approach for clipping giant internal carotid aneurysms is of great importance. This approach can be safe and technically successful for the treatment of paraophthalmic aneurysms that fail the typical endovascular treatment.
UNASSIGNED: A 68-year-old male presented with gradual visual changes affecting his right eye and was found to have a giant unruptured right paraophthalmic aneurysm. The aneurysm showed growth, and the patient\'s symptoms worsened despite coiling and flow diversion. Due to the location of this aneurysm and persistent compression of the optic chiasm by the coil mass, his right ICA was sacrificed, and an expanded endoscopic endonasal approach was successfully used to clip the residual aneurysm, remove the coil mass, and thus, decompress the optic chiasm. The patient\'s visual symptoms improved after that, and post clipping imaging demonstrated adequate occlusion of his right paraophthalmic aneurysm.
UNASSIGNED: Recognizing the option of an endoscopic endonasal approach for clipping giant internal carotid aneurysms is of great importance. This approach can be safe and technically successful for the treatment of paraophthalmic aneurysms that fail the typical endovascular treatment.
摘要：
■巨大颈内动脉（ICA）动脉瘤通常通过分流来治疗，卷取,或两者的组合。然而,某些血管内治疗失败的病例构成了技术挑战.
■一名68岁的男性表现出逐渐的视觉变化，影响了他的右眼，并被发现患有一个巨大的未破裂的右眼旁动脉瘤。动脉瘤显示生长，尽管盘绕和分流，患者的症状恶化。由于动脉瘤的位置和线圈质量对视交叉的持续压缩，他的权利ICA被牺牲了，扩大的鼻内镜入路成功地用于夹住残余的动脉瘤，去除线圈质量，因此，对视交叉进行减压.之后患者的视觉症状得到改善,夹闭后成像显示他的右眼旁动脉瘤充分闭塞。
■认识到内镜经鼻入路夹闭巨大颈内动脉瘤的选择非常重要。这种方法对于治疗未通过典型血管内治疗的眼旁动脉瘤是安全且技术上成功的。
■一名68岁的男性表现出逐渐的视觉变化，影响了他的右眼，并被发现患有一个巨大的未破裂的右眼旁动脉瘤。动脉瘤显示生长，尽管盘绕和分流，患者的症状恶化。由于动脉瘤的位置和线圈质量对视交叉的持续压缩，他的权利ICA被牺牲了，扩大的鼻内镜入路成功地用于夹住残余的动脉瘤，去除线圈质量，因此，对视交叉进行减压.之后患者的视觉症状得到改善,夹闭后成像显示他的右眼旁动脉瘤充分闭塞。
■认识到内镜经鼻入路夹闭巨大颈内动脉瘤的选择非常重要。这种方法对于治疗未通过典型血管内治疗的眼旁动脉瘤是安全且技术上成功的。
