Retrograde suction decompression of giant paraclinoidal aneurysms. Technical note

H. H. Batjer, D. S. Samson

Research output: Contribution to journalArticlepeer-review

113 Scopus citations


Giant paraclinoidal carotid artery aneurysms frequently require temporary interruption of local circulation to facilitate safe occlusion. Due to brisk retrograde flow through the ophthalmic artery and cavernous branches, simple trapping of the aneurysm by cervical internal carotid artery clamping and intracranial distal clipping may not adequately soften the lesion. The authors describe a retrograde suction method of aspiration of this collateral supply which they have used in over 40 cases. After temporary trapping, a No. 18 angiocatheter is inserted into the cervical internal carotid artery. This catheter is then connected to a wall suction point allowing rapid aneurysm deflation. This technique, accomplished by the surgical assistant, permits the surgeon the freedom to use both hands in dealing quickly with the aneurysm.

Original languageEnglish (US)
Pages (from-to)305-306
Number of pages2
JournalJournal of neurosurgery
Issue number2
StatePublished - 1990


  • aneurysm
  • giant aneurysm
  • operative technique
  • suction

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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