Bilateral Large Aneurysms of the Cavernous Internal Carotid Artery Treated by Bilateral Radial Artery Grafts and Trapping of ICAs ? Case Report ?

Revascularization is occasionally necessary for the treatment of complicated intracranial aneurysms. We report a case of bilateral large aneurysms of the cavernous internal carotid artery treated by reconstruction of the bilateral ICAs with radial artery grafts and trapping of the ICAs. Bilateral radial artery grafts provide sufficient cerebral blood flow and good vascular reserve. Reconstruction of ICA with high flow bypass is effective and reliable option for the treatment of aneurysms that require parent artery occlusion, but careful perioperative management is very important to avoid ischemia of terminal branch and perforator infarction or thromboembolic stroke