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False Aneurysm vs True Aneurysm.

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Dr Ihab Suliman

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11,238 görüntüleme • 3 ay önce •via X (Twitter)

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In this operative video, Dr. Cohen demonstrates a suboccipital craniotomy for proximal-to-distal PICA end-to-side anastomosis for treatment of a calcified fusiform distal PICA aneurysm. The distal temporary clip is removed, revealing backflow through the aneurysm, so a permanent curved clip is placed on the distal aneurysm segment to prevent continued filling. The remaining temporary clips are removed sequentially, with minimal bleeding at the anastomosis. Micro-Doppler and fluorescein angiography confirm good flow through the vessels, no aneurysm filling, and preserved perfusion of the fourth ventricular floor. Learn more at: #Neurosurgery #Aneurysm #DrCohen #SurgicalExcellence
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