E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova.

Abstract
Object: The aim of the study was to evaluate the usefulness of intraoperative duplex sonography in the treatment of large (17-24 mm) and giant (>25mm) intracranial aneurysm.
Methods: A Retrospective clinical review of 13 cases of giant and large aneurysm treated in Tokuda Hospital Sofia, Bulgaria. Results: The preoperative location of the aneurysm was as follows: MCA 6 pts (46%), ICA -5 pts (38%), ICA-Ophthalmic 1pt (8%) AcomA – 1pt (8%). Intraoperative Ultrasound (IOUS) used in all of the cases for intraoperative visualization of the aneurysm, adequate clip position. Endoscopy was applied additionally in 4 of the cases (31%). The IOUS visualization of distal blood flow achieved in 4 out of 13 patients (30%). Due to the IOUS image clip reposition was done in 1 pt (8%). In 10 pts (77%), clipping of the aneurysm was performed, and 3 cases (23%) the aneurysms were treated by wrapping. On postoperative CTA controls, complete aneurysm obliteration was observed in all clipped patients. In 3 (23%) patients under IOUS guidance, the aneurysmal walls were reduced in size using bipolar coagulation with the further good presentation of the aneurysmal neck, which allowed adequate clip placement.
Conclusion: The initial experience with this technique indicates that it is a reliable tool for blood flow evaluation in large and giant aneurysms, as well as the presence intraluminal thrombosis and calcifications in the aneurysm wall. The data from IOUS facilitates a more secure microsurgical dissection and in some situations gives additional data needed for clip repositioning and intraoperative diagnosis. The combination of IOUS and endoscopy provides additional information, which could aid the management of these lesions.

Key words: intraoperative ultrasonography, intraoperative duplex sonography, giant aneurysm, large aneurysm


 
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How to Cite this Article
Pubmed Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova. INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES. Int J Surg Med. 2015; 1(1): 12-17. doi:10.5455/ijsm.189572


Web Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova. INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES. http://www.ejos.org/?mno=189572 [Access: July 23, 2019]. doi:10.5455/ijsm.189572


AMA (American Medical Association) Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova. INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES. Int J Surg Med. 2015; 1(1): 12-17. doi:10.5455/ijsm.189572



Vancouver/ICMJE Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova. INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES. Int J Surg Med. (2015), [cited July 23, 2019]; 1(1): 12-17. doi:10.5455/ijsm.189572



Harvard Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova (2015) INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES. Int J Surg Med, 1 (1), 12-17. doi:10.5455/ijsm.189572



Turabian Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova. 2015. INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES. International Journal of Surgery and Medicine, 1 (1), 12-17. doi:10.5455/ijsm.189572



Chicago Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova. "INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES." International Journal of Surgery and Medicine 1 (2015), 12-17. doi:10.5455/ijsm.189572



MLA (The Modern Language Association) Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova. "INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES." International Journal of Surgery and Medicine 1.1 (2015), 12-17. Print. doi:10.5455/ijsm.189572



APA (American Psychological Association) Style

Slavomir Kondoff, Nurfet Alioski, Toma Spiriev, Jeliazko Vassilev, Georgi Simeonov, Christina Kostadinova (2015) INTRAOPERATIVE DUPLEX SONOGRAPHY FOR THE TREATMENT OF LARGE AND GIANT ANEURYSMS. RETROSPECTIVE ANALYSIS OF 13 CASES. International Journal of Surgery and Medicine, 1 (1), 12-17. doi:10.5455/ijsm.189572