%0 Journal Article
%T Clipado de aneurismas grandes y gigantes asistido por t谷cnica de descompresi車n por succi車n retr車grada
%A Francisco A. Mannar芍
%A Kato Yoko
%A Chen Sifang
%A Watabe Takeya
%J Revista Argentina de Neurocirug赤a
%D 2010
%I 
%X Objetivo. Presentar la experiencia del Hospital Fujita Health University en el clipado de aneurismas cerebrales de tama o grande y gigante asistida por descompresi車n por succi車n retr車grada, analizando sus ventajas y desventajas. Material y m谷todo. An芍lisis retrospectivo de 30 pacientes con diagn車stico de aneurismas cerebrales grandes y gigantes tratados por clipado asistido por descompresi車n succi車n retr車grada tratados entre Noviembre 2005 y Junio 2010. La t谷cnica quir迆rgica y el pron車stico fueron revisados. Resultados. Todos los aneurismas fueron clipados correctamente, y posteriormente se realizaron angiotomograf赤as 3D o angiograf赤as con sustracci車n digital, demostrando permeabilidad de ramos perforantes, y clipado aneurism芍tico sin cuello remanente. En esta serie no hubo mortalidad postoperatoria. Conclusi車n. La t谷cnica de descompresi車n por succi車n retr車grada es de gran utilidad en el tratamiento definitivo de aneurismas grandes y gigantes. Objective: To present Fujita Health University∩s experience with retrograde suction decompression in clipping large and giant cerebral aneurysms and analyze its advantages and pitfalls. Methods: A retrospective analysis of 30 patients with large and giant intracranial aneurysms treated by suction decompression assisted clipping between November 2005 and June 2010 is present. The surgical technique and the outcome of patients were reviewed. Results: All aneurysms were successfully clipped, and postoperative 3-D CTA or DSA revealed no major branch occlusion or residual aneurysm. There was no surgical mortality in both giant and large aneurysm groups. Conclusion: Retrograde suction decompression is a successful adjunct to clipping of large and giant cerebral aneurysms.
%K Aneurismas grandes
%K Aneurismas gigantes
%K Clipado
%K Descompresi車n por succi車n retr車grada
%K Suction decompression
%K Clipping
%K Large aneurysm
%K Giant aneurysms
%U http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1850-15322010000300004