Hj. Pikus et Rc. Heros, SURGICAL-TREATMENT OF INTERNAL CAROTID AND POSTERIOR COMMUNICATING ARTERY ANEURYSMS, Neurosurgery clinics of North America, 9(4), 1998, pp. 785
Saccular aneurysms of the subarachnoid segment of the internal carotid
artery (ICA) are very common. Although some of the aneurysms arising
from the subarachnoid ICA have earned the reputation of easy to treat
surgically, aneurysms in this region may be complex and quite difficul
t to repair. Even a simple aneurysm associated with the posterior comm
unicating artery may harbor surprises for the unwary or inexperienced
surgeon. This article details the pertinent anatomy of the subarachnoi
d internal carotid artery and associated saccular aneurysms, provides
a guide to their diagnosis and surgical treatment, and briefly reviews
some of the published surgical results. Pitfalls and technique tips a
re highlighted.