Paraclinoid internal carotid artery aneurysms originate from the internal carotid artery between the distal dural ring and the posterior communicating artery. Surgical treatment of these aneurysms is technically challenging because of the surrounding neurovascular structures. These lesions can be treated using several different methods, each of which has its advantages and disadvantages. Direct clipping methods were developed for paraclinoid ICA aneurysms, which includes suction decompression of giant aneurysms to deflate the aneurysm and improve dissection. Furthermore, intraoperative monitoring of electrophysiology and blood flow is indispensable for minimizing complications. The electrophysiology can be monitored with somatosensory-evoked potentials, motor-evoked potentials, and visual-evoked potentials; blood flow can be monitored with a Doppler flow meter, intraoperative angiography, and intraoperative indocyanine green videoangiography. In order to treat paraclinoid aneurysms, it is necessary to use a combination of these intraoperative monitoring techniques, in addition to gaining information on the anatomy, size, collateral flow pattern, and patient age. Surgical treatment of large and giant paraclinoid ICA aneurysms are technically challenging for many neurosurgeons. RSD greatly facilitates surgical clipping for large and giant paraclinoid ICA aneurysms. Visual preservation and improvement occur in the majority of these cases, which are important outcome measures. New and developing endovascular technology must be superior, or at least equivalent to surgery for this specific outcome. Paraclinoid aneurysms should be assessed jointly by the neurosurgeon and the endovascular team to choose the proper management strategy. OMICS Group International is an open access online publishing group which has 700+ peer-reviewed journals, organizes 3000+ International Scientific Conferences per year, have around 50,000+ editorial board members and 1000+ Scientific associations. Medical Journals provide a platform for outstanding research around the globe in the field of medicine. These scholarly journals aim to contribute to the progress and application of scientific discoveries, by providing free access to the research information. The published work reaches the general public and the scientific community immediately after publication, thus providing higher citation rates for the author. Medical Journals are supported by 5000 internationally renowned editorial board members and a high quality review board. Medical Journals use online Editorial Manager System for quick and high quality review process. Articles of Medical journals are subjected to peer reviewing and these are included in the standard indexing databases like ISI, Scopus, EBSCO, CAS, HINARI etc. All the articles published in Medical journals are permanently archived in respective peer reviewed journals thus providing unrestricted utilization and requisition of the scientific information.
Last date updated on July, 2014