Clipping of anterior communicating artery aneurysms via supraorbital keyhole approach from the side of non-dominant A1
10.3760/cma.j.issn.1673-4165.2017.05.007
- VernacularTitle:经非优势A1侧眶上锁孔入路夹闭前交通动脉动脉瘤
- Author:
Peng LUN
;
Jian XU
;
Yan ZHAO
;
Yihe DOU
- Keywords:
Intracranial Aneurysm;
Cerebral Angiography;
Tomography;
X-Ray Computed;
Imaging;
Three-Dimensional;
Neurosurgical Procedures;
Treatment Outcome
- From:
International Journal of Cerebrovascular Diseases
2017;25(5):420-424
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the surgical method, experience, and skills in clipping anterior communicating artery aneurysm (ACoAA) via supraorbital keyhole approach.MethodsThe ACoAA case data of selectively clipping via non-dominant supraorbital keyhole approach according to the A2 open plane formed by the anterior communicating artery and the bilateral A2 segments were analyzed retrospectively.The surgical method and experience were analyzed.The indications and advantages and disadvantages of this method were summarized.ResultsACoAA in 12 patients were completely clipped via supraorbital keyhole approach from the side of non-dominant A1, and the dominant A1 segment arteries were well exposed.The patients were followed up for 4-29 months after procedure.No recurrence or rupture of the aneurysms was found.The Glasgow Outcome Scale score was 5 in 11 patients and 4 in 1 patient.Conclusions ACoAA can be completely clipped via supraorbital keyhole approach from the side of non-dominant A1.It is a minimally invasive surgical approach with good efficacy.
