Microscopic and endoscopic anterior communicating artery complex anatomy as seen through keyhole approaches

Yeremeyeva, Esmiralda; Salma, Asem; Chow, Andrew; Ammirati, Mario

doi:10.1016/j.jocn.2012.02.016

Cited by 8 publications

(3 citation statements)

References 12 publications

(17 reference statements)

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“…The frontal lateral approach isn't purely in pursuit of small bone window, but it retains necessary exposure for operated area and reduces "unnecessary exposure" for brain tissues. With small space for operation, once aneurysm rupture occurs during the operation, it's difficult to implement vascular occlusion, thus, the surgeon should have excellent skill in micromanipulation [19]. A neck-related skin slit is normally done prior to craniotomy to protect the cervical ICA except the aneurysm is placed much over head the distance ring.…”

Section: Surgical Management Of Paraclinoid Aneurysms Via Frontal Latmentioning

confidence: 99%

Surgical management of paraclinoid aneurysms via frontal lateral approach

Wang¹,

Kan²,

Wang³

2018

biomedicalresearch

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Objective: Towards exploring minimally invasive techniques in paraclinoid aneurysms clipping via a frontal lateral approach. Methods: 118 patients by frontal lateral approach in the last 2.5 y in Beijing Tiantan Hospital were analysed retrospectively. Clinical data and follow-up outcomes of the patients were reviewed. Digital Subtraction Angiography (DSA) was performed among all patients to categorize the paraclinoid aneurysms. The microsurgery through frontal lateral approach was performed in 118 patients. According to various subtypes of paraclinoid aneurysms, summarize and compare the surgical skills and outcome of the treatment. Outcomes: Out of the 126 aneurysms, 116 got trimmed effectively, 5 was trapped. Numerous aneurysms in 3 incidents got cured in one craniotomy. Anterior clinoidectomy was removed in 110 cases. Aneurysm residues were found after 1 giant aneurysms clipping. One case lost his sight with preoperative visual light perception and in eight cases cerebral infarction occurred. Type I (dorsal projection) aneurysms constituted 47.5%, Type II aneurysms (34.7%) followed by Type III aneurysms constituted 17.8%. All the others had a good recovery. Conclusions: The paraclinoid aneurysm can be exposed and treated very well by microsurgery through frontal lateral approach which has the advantages such as minimal invasion, less effect on the patient's look and simple procedure. The lateral transfrontal approach is safe and effective in surgery for paraclinoid aneurysm. Among the 3 types, type I can reach better prognosis.

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Section: Surgical Management Of Paraclinoid Aneurysms Via Frontal Latmentioning

confidence: 99%

Surgical management of paraclinoid aneurysms via frontal lateral approach

Wang¹,

Kan²,

Wang³

2018

biomedicalresearch

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“…Similar conclusions were reached by Yeremeyeva et al who compared the exposure and surgical maneuverability around structures near the AComA complex between SOC, LSOC, and MPTC. 22 All 3 craniotomies offered good visualization and potential for surgical manipulation of the specific arterial locations to which the approach was targeted. They noted that the views and maneuverability from all approaches were enhanced by adding an endoscope, particularly views of the contralateral structures.…”

Section: Feasibility and Appropriateness Of Different Mim Approachesmentioning

confidence: 99%

Minimally Invasive Microsurgery for Cerebral Aneurysms

Wong

Tymianski

Radovanović

et al. 2015

Stroke

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“…Para el manejo de los aneurismas del complejo de la arteria comunicante anterior se han propuesto diversos abordajes: supraorbitario, transciliar y pterional. Está demostrado que estos abordajes pueden tener ventajas entre sí en la exposición de estructuras específicas del complejo de la arteria comunicante anterior (Yeremeyeva et al, 2012). Los aneurismas del segmento A1 de la arteria cerebral anterior a pesar de su baja incidencia (1%) representan un reto debido a su reducido tamaño y su estrecha relación con las arterias perforantes, y pueden alcanzarse mediante un abordaje pterional estándar (Lee et al, 2010;Yilmaz et al, 2014).…”

Section: Introductionunclassified

Unique Craniotomy for Aneurysms of the Cerebral Arterial Circle

Avendaño-Pradel

Jiménez-Castro²,

Montoya-Martínez³

et al. 2018

Int J Med Surg Sci

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The objective of the study was to describe our surgical and technical experience by reporting a series of 51 aneurysms treated by a pterional craniotomy as a unique approach for aneurismatic lesions of the cerebral arterial circle (Willis polygon). Retrospective study that reports a series of 37 patients (25 females and 12 males) with diagnosis of aneurismatic lesions from different localization in the Willis polygon from January 2012 to March 2015. Fifty one (51) aneurismatic lesions were treated by a unique pterional craniotomy, including 8 cases of multiple aneurismatic disease and 9 giant aneurysms. Every lesion was clipped by the same pterional modified approach. Every step of this procedure was described and illustrated sequentally. This analysis establishes that the modified frontotemporoesfenoidal (pterional) craniotomy allows surgical access to the clipping of these vascular lesions, from the circle of Willis which correlates with previous evidence. The detailed description of the surgical technique promotes a proper understanding of surgical anatomy and allows playback of this technique.

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Microscopic and endoscopic anterior communicating artery complex anatomy as seen through keyhole approaches

Cited by 8 publications

References 12 publications

Surgical management of paraclinoid aneurysms via frontal lateral approach

Surgical management of paraclinoid aneurysms via frontal lateral approach

Minimally Invasive Microsurgery for Cerebral Aneurysms

Unique Craniotomy for Aneurysms of the Cerebral Arterial Circle

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