J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803435
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Microsurgical Clipping of a Large Ophthalmic Artery Aneurysm with Use of Endovascular Balloon Guide for Proximal Control and Aspiration Decompression with Prophylactic STA-MCA Bypass

Ehsan Dowlati
1   North Shore University Hospital, Manhasset, New York, United States
,
Justin Turpin
1   North Shore University Hospital, Manhasset, New York, United States
,
Hayley Donaldson
2   Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
,
Timothy White
1   North Shore University Hospital, Manhasset, New York, United States
,
Shyle Mehta
1   North Shore University Hospital, Manhasset, New York, United States
,
Danielle Golub
1   North Shore University Hospital, Manhasset, New York, United States
,
Amir R. Dehdashti
1   North Shore University Hospital, Manhasset, New York, United States
› Author Affiliations
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    A 35-year-old female referred for decreased right eye vision was found to have a large 1.1 × 1.0 × 1.6 cm right carotid-ophthalmic artery aneurysm. She underwent an angiogram and balloon test occlusion. Given compression of the optic nerve, decision was made to pursue microsurgical clipping with endovascular proximal control and decompression using a balloon guide with aspiration in the right cervical ICA and prophylactic right STA-MCA bypass. Patient tolerated the procedure well and her vision improved.


     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

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