Endoscopic endonasal clipping of an unsecured superior hypophyseal artery aneurysm

Kassam, Amin; Gardner, Paul A.; Mintz, Arlan; Snyderman, Carl H.; Carrau, Ricardo L.; Horowitz, Michael

doi:10.3171/jns.2007.107.5.1047

Cited by 2 publications

(4 citation statements)

References 9 publications

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“…Taking into account the high grade of variability that can affect the anatomy of the anterior communicating artery complex, which is already well described and that remain beyond the object of the present study [18,23,24,[34][35][36][37][38], our results have been critically analyzed with the aim of highlighting the relevant anatomical consideration for clinical application. In this study, the bone opening at the planum was extended depending on the desired exposure of the vessels of the anterior portion of the Willis' circle.…”

Section: Discussionmentioning

confidence: 99%

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The extended endoscopic endonasal transplanum transtuberculum approach to the anterior communicating artery complex: anatomic study

et al. 2015

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The ACoA, A2, and the distal segment of A1 can be visualized and controlled through the transplanum transtuberculum approach. The relationship between A1, gyrus rectus, and optic chiasm is the main determinant for the exposure and control of the vessel. The olfactory nerve can represent a surgical landmark for the identification of the A1 origin. The whole course of the RAH can be visualized trough this approach.

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Section: Discussionmentioning

confidence: 99%

“…for the treatment of very selected cases of aneurysms of the anterior portion of the Willis' circle [19,21,24,27].…”

Section: Introductionmentioning

confidence: 99%

The extended endoscopic endonasal transplanum transtuberculum approach to the anterior communicating artery complex: anatomic study

et al. 2015

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“…One year later, the same group reported a case of a 56-year-old woman found to have two unruptured aneurysms: an anterior communicating artery (AComA) aneurysm and a superior hypophyseal artery (sha) aneurysm (18) . The aneurysm was clipped by an endoscopic endonasal transtuberculum/transplanum approach and, except from a mild postoperative confusion, the patient was free of any infection and/or CSF leak.…”

Section: Minimally Invasive Approaches: Transsphenoidal Approaches and Extended Endoscopic Endonasal Surgerymentioning

confidence: 99%

“…Particularly, the wider and panoramic view offered by the endoscope increased the versatility of the transsphenoidal approach and allowed it to be expanded to different parts of the skull base (16) . Indeed, a variety of vascular lesions, mainly posterior circulation aneurysm, have started to be approached through the transsphenoidal route, pioneered by the innovative works presented by Kassam et al in 2006 and 2007 (17,18) .…”

Section: Introductionmentioning

confidence: 99%

The ventral route to intracranial aneurysm: from the origin towards modern transsphenoidal surgery. An historical review and current perspective

Somma¹,

Notaris²,

Ensenat³

et al. 2014

Rhin

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Objective: A review of the main studies that have explored the use of the ventral pathway for treatment of intracranial aneurysms,including the recent reported extended transsphenoidal approaches. Methods: A comprehensive literature review was performed using the PubMed database. We recovered 48 cases of cerebral aneurysms, approached via the transcervical-transclival, transoral-transclival, transfacial-transclival ventral pathways and the extended transsphenoidal route. The overall rates of complications and surgical success were evaluated and compared for both traditional ventral and transsphenoidal approaches. Results: For traditional routes, the overall complications and surgical success rates were 74% (26/35) and 87% (13115), respectively.For extended transsphenoidal approaches were 44% (4/9) and 78% (7 /9), respectively. Conclusion: Our paper is a reconnaissance of what has been done via "the anterior route" and a notification of the existence of this "surgical window': Present and future of cerebral aneurysm treatment is represented by the endovascular technique. A few selected cases in specialized centers, where transsphenoidal approaches with the aid of the endoscope are routinely performed,may be treated with such techniques alone or in combination with other different procedures. Further studies in large numbers of patients will be required to validate the full benefit of this approach.

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Endoscopic endonasal clipping of an unsecured superior hypophyseal artery aneurysm

Cited by 2 publications

References 9 publications

The extended endoscopic endonasal transplanum transtuberculum approach to the anterior communicating artery complex: anatomic study

The extended endoscopic endonasal transplanum transtuberculum approach to the anterior communicating artery complex: anatomic study

The ventral route to intracranial aneurysm: from the origin towards modern transsphenoidal surgery. An historical review and current perspective

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