Balloon Test Occlusion for an Option to Decide Whether Simple ICA Ligation is Better Option than Trapping and High Flow Bypass of The Giant ICA Cavernous Aneurysm

  • Saujanya Rajbhandari Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Maitighar, Kathmandu
  • Pravesh Rajbhandari Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Maitighar, Kathmandu
  • Pranaya Shrestha Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Maitighar, Kathmandu
  • Basant Pant Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Maitighar, Kathmandu
  • Anish Neupane Department of Radiology Annapurna Neurological Institute and Allied Sciences Maitighar, Kathmandu
Keywords: Balloon test occlusion, Cavernous segment aneurysm (CSA), Digital subtraction angiography (DSA), Internal carotid artery

Abstract

Balloon Test occlusion (BTO) is a preoperative angiographic test used to estimate the risk of stroke after permanent therapeutic occlusion of an internal carotid artery (ICA) involved by aneurysms. Temporary balloon occlusion at the cavernous ICA aneurysm neck was performed in an attempt to assess the adequacy of cross flow from the opposite ICA. Adequate fl ow following BTO are preferred to have simple ICA ligation and incase of those who did not pass BTO trapping and high flow bypass is preferred .We have done Right ICA Ligation on our case report.

Nepal Journal of Neuroscience, Vol. 14, No. 2,  2017 Page:32-35

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Abstract
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PDF
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Published
2017-06-01
How to Cite
Rajbhandari, S., Rajbhandari, P., Shrestha, P., Pant, B., & Neupane, A. (2017). Balloon Test Occlusion for an Option to Decide Whether Simple ICA Ligation is Better Option than Trapping and High Flow Bypass of The Giant ICA Cavernous Aneurysm. Nepal Journal of Neuroscience, 14(2), 32-35. https://doi.org/10.3126/njn.v14i2.19732
Section
Case Report