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Updated: May 22, 2025
If ligation is found to be impracticable, the Moore-Corradi method or Macewen's needling may be tried. #Carotid Aneurysms.# Aneurysm of the common carotid is more frequent on the right than on the left side, and is usually situated either at the root of the neck or near the bifurcation. It is the aneurysm most frequently met with in women.
'When did this take place? asked the father. 'Last night, sir, after you were asleep, was the reply. 'It's most extraordinary, said Mr. Nicholson. 'Do you mean to say you have been out all night? 'All night, as you say, sir. I have been to the telegraph and the police office, and Mr. Macewen's. Oh, I had my hands full, said Alexander. 'Very irregular, said the father.
Inasmuch as obliteration of the sac and the feeding artery is out of the question, surgical treatment is confined to causing coagulation of the blood in an extension or pouching of the sac, which, making its way through the parietes of the chest, threatens to rupture externally. This may be achieved by Macewen's needles or by the introduction of wire into the sac.
From this three brief extracts may be made, and may serve as specimens of the whole, which is virtually reproduced entire in Dr. MacEwen's Biography.
Digital compression of the feeding artery has been given up except as a preparation for operations on the sac with a view to favouring the development of a collateral circulation. Macewen's acupuncture or "needling" consists in passing one or more fine, highly tempered steel needles through the tissues overlying the aneurysm, and through its outer wall.
There appears to be no doubt, sir, that John has been abominably used." "When did this take place?" asked the father. "Last night, sir, after you were asleep," was the reply. "It's most extraordinary," said Mr. Nicholson. "Do you mean to say you have been out all night?" "All night, as you say, sir. I have been to the telegraph and the police office, and Mr. MacEwen's.
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