Efficiency and safety of minimally invasive approaches for microsurgical treatment of brain aneurysms

Dzhindzhikhadze, R. S.; Szostek, Małgorzata; Dreval, О. N.; Lazarev, V. A.; Polyakov, A. V.; Shevchenko, K. V.; Novikova, E.K.

doi:10.17116/neiro20218501147

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…In the recent years the SEA has gained recognition worldwide 3,4 . It has been actively used since the end of the 20th century and many neurosurgeons have described successful experience with the SEA in aneurysm clipping [6][7][8][9][10][11][12] .…”

Section: Key Results and Interpretationmentioning

confidence: 99%

“…The pterional approach (PA), classically described by G. Yasargil 5 , remains the most used approach for vascular and neoplastic pathologies of the anterior and middle skull base and possesses high levels of safety and e cacy. Since A. Perneczky 6 rst reported the keyhole approach in 1998, many neurosurgeons have described successful experience with the SEA in aneurysm surgery and have noted its main advantages: shortened operative times, reduced hospital stays, and better cosmetic results [7][8][9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

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Supraorbital eyebrow approach and pterional approach in surgical treatment of ruptured and unruptured aneurysms: a propensity score-matched analysis

et al. 2023

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IntroductionTo determine safety and e cacy of the supraorbital eyebrow approach (SEA) in clipping of ruptured and unruptured aneurysms in comparison with the pterional approach (PA). MethodsA total of 229 patients who underwent surgical clipping of aneurysm from 2013-2022 and met inclusion criteria were recruited in the study. Study group of 67 patients treated via the SEA and comparison group of 162 patients treated via the PA were formed. Then, study groups of 66 patients in each with equal incoming factors were analyzed using propensity score technique. Parameters of safety and e cacy were then retrospectively compared. ResultsSuccessful clipping was achieved in all cases of both groups. There were no patients in the SEA group who required conversion to the standard craniotomy. There were no procedure-related deaths in this series. No patient experienced early or late rebleeding in either group. Mean blood loss volume in the SEA group was lower than in the PA group by approximately 77.5ml (P < .001). There were favorable differences in the SEA group regarding postoperative neurological de cit (p = .016), postoperative epileptic seizures rate (p = .013) ischemic and hemorrhagic complications (p = .028 and .0009 respectively) and outcomes (p < .001). Patients' satisfaction of cosmetic result measured by visual analogue scale were rated highly in both groups (p = .081). ConclusionFor patients where SEA provides adequate exposure, the SEA provides safety and cosmetic outcomes that are not inferior to the PA.

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Section: Key Results and Interpretationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supraorbital eyebrow approach and pterional approach in surgical treatment of ruptured and unruptured aneurysms: a propensity score-matched analysis

et al. 2023

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Supraorbital Eyebrow Approach and Pterional Approach in Surgical Treatment of Ruptured and Unruptured Aneurysms: A Propensity Score Matched Analysis

Pichugin

Pashaev

Danilov

et al. 2023

Preprint

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Introduction To determine safety and efficacy of the supraorbital eyebrow approach (SEA) in clipping of ruptured and unruptured aneurysms in comparison with the pterional approach (PA).Methods A total of 229 patients who underwent surgical clipping of aneurysm from 2013–2022 and met inclusion criteria were recruited in the study. Study group of 67 patients treated via the SEA and comparison group of 162 patients treated via the PA were formed. Then, study groups of 66 patients in each with equal incoming factors were analyzed using propensity score technique. Parameters of safety and efficacy were then retrospectively compared.Results Successful clipping was achieved in all cases of both groups. There were no patients in the SEA group who required conversion to the standard craniotomy. There were no procedure-related deaths in this series. No patient experienced early or late rebleeding in either group. Mean blood loss volume in the SEA group was lower than in the PA group by approximately 77.5ml (P < .001). There were favorable differences in the SEA group regarding postoperative neurological deficit (p = .016), postoperative epileptic seizures rate (p = .013) ischemic and hemorrhagic complications (p = .028 and .0009 respectively) and outcomes (p < .001). Patients’ satisfaction of cosmetic result measured by visual analogue scale were rated highly in both groups (p = .081).Conclusion For patients where SEA provides adequate exposure, the SEA provides safety and cosmetic outcomes that are not inferior to the PA.

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Efficiency and safety of minimally invasive approaches for microsurgical treatment of brain aneurysms

Cited by 2 publications

References 19 publications

Supraorbital eyebrow approach and pterional approach in surgical treatment of ruptured and unruptured aneurysms: a propensity score-matched analysis

Supraorbital eyebrow approach and pterional approach in surgical treatment of ruptured and unruptured aneurysms: a propensity score-matched analysis

Supraorbital Eyebrow Approach and Pterional Approach in Surgical Treatment of Ruptured and Unruptured Aneurysms: A Propensity Score Matched Analysis

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