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  • Title: [Results of surgical treatment of 35 giant aneurysms].
    Author: Słoniewski P, Stempniewicz M, Imieliński B.
    Journal: Neurol Neurochir Pol; 1992; Suppl 1():20-4. PubMed ID: 1407298.
    Abstract:
    Results of surgical treatment of 35 giant aneurysms. Over the last 4 years (1988-1991) 35 large aneurysms were operated on in the Department of Neurosurgery Medical Academy in Gdańsk. This material is divided in two groups: to group I belong these aneurysms of diameter 2 to 2.5 cm and to group II those above the diameter of 2.5 cm. Surgery in group I was always performed by means of direct attack, while in group II sometimes STA-MTA by-pass, combined with carotid ligation was applied. The by-pass procedure is particularly advocated in the aneurysms of the infraclinoid portion of ICA and those originating from the junction of the ophthalmic and ICA (carotid-ophthalmic). With the progress of operative technique and routine application of temporary clipping of the vessels adjacent to and supplying the aneurysm, the number of by-pass operations has been limited to those of the infraclinoid portion of ICA only. Only in 1 case the result was unfavourable, in 2 cases it was fair and in 2 other cases it was excellent.
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