Minimally Invasive Microsurgery for Cerebral Aneurysms

Wong, Jody; Tymianski, Rachel; Radovanović, Ivan; Tymianski, Michael

doi:10.1161/strokeaha.115.008221

Cited by 46 publications

(25 citation statements)

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“…Все это может приводить к образованию большого кожного рубца, алопеции, гипестезии, атрофии височной мышцы, вызывающей асимметрию лица, к дисфункции височно-нижнечелюстного сустава, боли при жевании. Некоторые пациенты отмечают дискомфорт при ношении очков [5][6][7][8][9]. Общеизвестен также риск формирования эпидуральной гематомы и/или развития ликвореи после стандартных доступов [5,7,8,10].…”

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Supraorbital keyhole craniotomy in surgery of anterior circle of willis aneurysms

et al. 2016

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The progress in surgical treatment of intracranial aneurysms is based on the introduction of modern minimally invasive techniques. Among the variety of keyhole approaches, supraorbital craniotomy is most often used in surgical treatment of anterior circle of willis aneurysms. The authors present the preliminary results of application of supraorbital keyhole craniotomy for anterior circle of willis aneurysms in 27 patients. Most of the patients had unruptured aneurysms (18 patients). Nine patients had SAH, and 4 of them were operated on in the acute period. The patients' condition was assessed as a grade 1-2 (Hunt-Hess scale) and grade 1-3 (Fisher scale). There were no intraoperative aneurysm ruptures, other serious complications, and deaths. Postoperative complications were assessed at 2 weeks and 6 months. The postoperative cosmetic outcome was assessed by patients as excellent.

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Supraorbital keyhole craniotomy in surgery of anterior circle of willis aneurysms

et al. 2016

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“…Based on our experience, LOS provides a more intuitive perspective that not only allow adequate surgical exposure, but is no less effective than conventional pterional approaches in the treatment of aneurysms. One of the most important aims of the supraorbital keyhole approach is the minimization of brain exposure via limited and more specific craniotomies 14 . Supraorbital craniotomy gives access to the circle of Willis, and dissection of the Sylvian fissure can be performed easily 3 .…”

Section: Discussionmentioning

confidence: 99%

Analysis Surgical Outcomes of Ruptured Anterior Communicating Artery Aneurysm: Lateral Supraorbital Versus Pterional Approach.

Cai

Zhang

et al. 2020

Preprint

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Objective To compare lateral supraorbital approach with pterional approach to determine the most effective routine to clip anterior communicating artery aneurysm.Method A total of 85 patients with anterior communicating artery aneurysm underwent surgical clipping, 34 through the lateral supraorbital approach and 51 through the pterional approach from June 2016 to June 2018 in the department of neurosurgery,Jinhua central hospital. We retrospectively analyzed the demographic and clinical variables including age, sex and Hunt-Hess grade. Accordingly, operative data, clinical outcome and postoperative complications were analyzed. The mRS at discharge and 6 months later were evaluated.Outcome All aneurysms were completely clipped. There was no significant difference in intraoperative aneurysm rupture rate and intensive care time between the two groups (P>0.05). Compared with the pterional approach, the operation time of the lateral approach was shorter, the amount of bleeding was less, and the bone flap was small, and there was a statistical difference (P<0.05). There was no statistically significant difference in complications between the two groups (P <0.05). There was no significant difference in mRS between the two groups at different time points (P>0.05). There was no significant difference in hospital stay between the two groups (P>0.05).Conclusion According to our results, we recommend the lateral supraorbital approach for ACoAA and A1/A2 to neurosurgeons who have gained sufficient experience due to its advantages over the pterional approach.

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“… Temporary clips are used to determine positioning for a permanent clip, which will remain in place for the patient's lifetime Aneurysm clipping also can be performed via a minimally invasive keyhole approach, including ○supraorbital craniotomy for supratentorial or basilar aneurysms, ○lateral supraorbital craniotomy for anterior circulation aneurysms, ○mini‐pterional craniotomy for carotid and middle cerebral artery aneurysms, and ○interhemispheric craniotomy for anterior cerebral artery aneurysms …”

Section: Procedural Variationsmentioning

confidence: 99%

Aneurysm clipping

2018

AORN Journal

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Minimally Invasive Microsurgery for Cerebral Aneurysms

Cited by 46 publications

References 46 publications

Supraorbital keyhole craniotomy in surgery of anterior circle of willis aneurysms

Supraorbital keyhole craniotomy in surgery of anterior circle of willis aneurysms

Analysis Surgical Outcomes of Ruptured Anterior Communicating Artery Aneurysm: Lateral Supraorbital Versus Pterional Approach.

Aneurysm clipping

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