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V006: MICROSURGICAL CLIP LIGATION OF GIANT OPHTHALMIC ICA ANEURYSM USING RETROGRADE SUCTION DECOMPRESSION AND DIRECT SUCTION DECOMPRESSION
Mustafa Motiwala, MD; Eva M Wu, MD; Sean Himel, MD; Clifford Yudkoff, MD; Earl D Jones, MD; Adam S Arthur, MD, MPH; Nickalus R Khan, MD; University of Tennessee Health Science Center

A patient with a giant ophthalmic segment aneurysm presented with complete loss of light perception in her left eye and progressive vision loss in her right eye. Notably, she had occlusion of her basilar artery requiring mechanical thrombectomy during her diagnostic angiogram. For these reasons, microsurgical clipping with cranio-orbital approach and extradural clinoidectomy was selected for treatment. Both retrograde suction decompression as well as direct suction decompression were required for adequate clip placement intraoperatively.

 

 

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