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Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report.

Publication ,  Journal Article
Nimjee, SM; Smith, TP; Kanter, RJ; Ames, W; Machovec, KA; Grant, GA; Zomorodi, AR
Published in: J Neurosurg Pediatr
June 2015

Large cerebral aneurysms of the basilar apex are difficult to treat. Recently, endovascular treatment has mitigated much of the morbidity associated with treating these lesions. However, the morphology of aneurysms of the vertebrobasilar system can preclude endovascular treatment. Rapid ventricular pacing (RVP) facilitates open surgical treatment of cerebral aneurysms. It can assist in reducing the pressure of the neck of the aneurysm, allowing safe application of a clip. The authors present a case of a pediatric patient who developed a basilar artery pseudoaneurysm that required surgery. Given the large size of the aneurysm, RVP was performed, allowing the surgeons to dissect the dome of the aneurysm from the surrounding tissue and pontine perforating branches away from the lesion to safely clip the lesion. The patient had an uneventful recovery. To the authors' knowledge, this represents the first known case of RVP to aid in basilar artery clip occlusion in a pediatric patient.

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Published In

J Neurosurg Pediatr

DOI

EISSN

1933-0715

Publication Date

June 2015

Volume

15

Issue

6

Start / End Page

625 / 629

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Surgical Instruments
  • Neurology & Neurosurgery
  • Microsurgery
  • Male
  • Intracranial Aneurysm
  • Humans
  • Child, Preschool
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Nimjee, S. M., Smith, T. P., Kanter, R. J., Ames, W., Machovec, K. A., Grant, G. A., & Zomorodi, A. R. (2015). Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report. J Neurosurg Pediatr, 15(6), 625–629. https://doi.org/10.3171/2014.11.PEDS14290
Nimjee, Shahid M., Tony P. Smith, Ronald J. Kanter, Warwick Ames, Kelly A. Machovec, Gerald A. Grant, and Ali R. Zomorodi. “Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report.J Neurosurg Pediatr 15, no. 6 (June 2015): 625–29. https://doi.org/10.3171/2014.11.PEDS14290.
Nimjee SM, Smith TP, Kanter RJ, Ames W, Machovec KA, Grant GA, et al. Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report. J Neurosurg Pediatr. 2015 Jun;15(6):625–9.
Nimjee, Shahid M., et al. “Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report.J Neurosurg Pediatr, vol. 15, no. 6, June 2015, pp. 625–29. Pubmed, doi:10.3171/2014.11.PEDS14290.
Nimjee SM, Smith TP, Kanter RJ, Ames W, Machovec KA, Grant GA, Zomorodi AR. Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report. J Neurosurg Pediatr. 2015 Jun;15(6):625–629.

Published In

J Neurosurg Pediatr

DOI

EISSN

1933-0715

Publication Date

June 2015

Volume

15

Issue

6

Start / End Page

625 / 629

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Surgical Instruments
  • Neurology & Neurosurgery
  • Microsurgery
  • Male
  • Intracranial Aneurysm
  • Humans
  • Child, Preschool