gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Excimer Laser Assisted Non-occlusive Bypass of Giant Aneurysm of the internal carotid artery

Excimer Laser unterstützter Bypass eines Riesenaneurysma der Arteria Karotis Interna

Meeting Abstract

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  • corresponding author M. Reinert - Department of Neurosurgery, Inselspital Bern, University of Bern, Switzerland
  • P. Taussky - Department of Neurosurgery, Inselspital Bern, University of Bern, Switzerland
  • R. W. Seiler - Department of Neurosurgery, Inselspital Bern, University of Bern, Switzerland
  • A. Barth - Department of Neurosurgery, Inselspital Bern, University of Bern, Switzerland

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. DocP069

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2005/05dgnc0337.shtml

Veröffentlicht: 4. Mai 2005

© 2005 Reinert et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

The ELANA (Excimer Laser Assisted Non-occlusive Anastomosis) technique is a bypass procedure by which the main vessel is not occluded. This allows for a continued bloodstream during the anastomosis. This may imply that this technique has the potential to treat vascular situations where there has previously been no alternative. We report here of the first Swiss case using the ELANA technique in a patient with an Aneurysm of the intracranial internal carotid artery.

Methods

In a 57-year-old patient, a giant aneurysm of the left intracranial internal carotid artery with compression of the left optic tract was detected by MRI, after the patient complained of a right-sided visual field deficit. The angiogram showed the branches of the internal carotid artery arising from within the neck of the aneurysm. As a result neither a clipping or coiling of the aneurysm was an option. An ELANA bypass was performed with a saphenous vein graft from the intracranial internal carotid artery to the trunk of the middle cerebral artery.

Results

The procedure was performed without any perioperative complications. The patient was dismissed home 9 days after the operation without any new neurological deficits. An angiography postoperatively showed a high-flow bypass with reduced filling of the aneurysm as compared with pre-operatively.

Conclusions

We report of our first experience with the ELANA bypass technique in a patient with a giant aneurysm unalienable to coiling or clipping. The lack of temporary occlusion of the involved vessels offers a novel therapeutic option where previously there has been none.