12 research outputs found
Use of a Contest Format for Objective Assessment of Microsurgical Technique: An Observational Study
journal articl
Radial artery grafts for symptomatic cavernous carotid aneurysms in elderly patients
Background: Radial artery grafts (RAG) have been used in the treatment
of complex vascular lesions, but not for symptomatic cavernous carotid
aneurysms in elderly patients. Aim: To investigate the safety,
usefulness, and perioperative complications of RAGs for symptomatic
cavernous carotid aneurysms in elderly patients. Material and Methods:
Of the 74 consecutive patients, in whom RAGs were used, we
retrospectively investigated the postoperative outcomes and
complications in eight elderly patients aged over 70 years with
symptomatic internal carotid artery aneurysms in cavernous sinus.
Results: Postoperative complications included one case of cerebral
infarction, one case of symptomatic seizures, and one case of delayed
cranial nerve palsy. Outcome: Seven patients had an mRS score of 0, and
one patient had a score of 2. Postoperatively there was improvement in
cranial nerve palsy in seven patients and the patients who had symptoms
for one year and eight months had residual deficits. Although it cannot
be stated that the frequency of perioperative complications was low,
the final outcomes were favorable. Conclusion: Even in carotid disease
that is difficult to treat among the elderly, RAG would appear to be a
useful and safe treatment