2013
DOI: 10.3171/2013.2.jns12735
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Visual outcomes for surgical treatment of large and giant carotid ophthalmic segment aneurysms: a case series utilizing retrograde suction decompression (the “Dallas technique”)

Abstract: Retrograde suction decompression greatly facilitates surgical clipping for large and giant aneurysms of the ophthalmic segment. Visual preservation and improvement occur in the majority of these cases and is an important outcome measure. Developing endovascular technology must show equivalence or superiority to surgery for this specific outcome.

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Cited by 42 publications
(24 citation statements)
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“…Recent endovascular advances, such as FDS, have been introduced as a promising treatment alternative, being more effective than coil embolization. In experienced hands, surgical treatment of these lesions can be accomplished with quite high success rates, but carry significant morbidity 1,2,3,4,5 . In our sample of 43 patients, 100% of aneurysms were clipped (complete exclusion in 100% on follow-up angiography).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Recent endovascular advances, such as FDS, have been introduced as a promising treatment alternative, being more effective than coil embolization. In experienced hands, surgical treatment of these lesions can be accomplished with quite high success rates, but carry significant morbidity 1,2,3,4,5 . In our sample of 43 patients, 100% of aneurysms were clipped (complete exclusion in 100% on follow-up angiography).…”
Section: Discussionmentioning
confidence: 99%
“…Good results have been published in the literature with the use of FDS, with occlusion rates of up to 90% and complications lower than 5%, however surgical clipping remains an acceptable option to achieve high occlusion rates with average complications 1,2,3,4,5,18,19,20 . The purpose of this study is to expose our surgical results and match them with those of the FDS era.…”
mentioning
confidence: 91%
“…In that study, the mean aneurysm size was 26 mm. Eleven (79%) of the 14 patients experienced visual improvement, whereas the remaining 3 (21%) patients experienced worsened vision after surgery [3].…”
Section: Retrograde Suction Decompressionmentioning
confidence: 99%
“…Using the RSD technique, they successfully collapsed and clipped more than 40 aneurysms. Mattingly et al [3] reports using the RSD technique over a 17-year period in 18 patients, which showed all positive outcomes. In that study, the mean aneurysm size was 26 mm.…”
Section: Retrograde Suction Decompressionmentioning
confidence: 99%
“…4 The analysis of the results must include visual acuity, Goldman or Humphrey visual fields, and funduscopic evaluation for optic nerve atrophy and the presence of an afferent pupillary defect. Additionally, comparison of endovascular-versus-surgical series should include morphologic features of aneurysm size and location matched to accurate vision data.…”
mentioning
confidence: 99%