Step-wise pterional combined epidural and subdural approach to clip large carotid-ophthalmic segment aneurysms

Background Microsurgical clipping of large ophthalmic-carotid artery (OA) aneurysms is technically challenging. Among the reported approaches, pterional combined epidural and subdural approach is one of the efficient choices. Method We have applied this approach to treat a 33-year old female patient...

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Bibliographic Details
Published in:Acta neurochirurgica 2019-03, Vol.161 (3), p.607-610
Main Authors: Hu, Peng, Zhang, Hong-Qi, Li, Xing-Juan
Format: Article
Language:English
Subjects:
Adult
Aneurysm
Carotid artery
Carotid Artery, Internal - surgery
Female
How I Do it - Vascular Neurosurgery - Aneurysm
Humans
Interventional Radiology
Intracranial Aneurysm - surgery
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Neurosurgical Procedures - instrumentation
Neurosurgical Procedures - methods
Surgical Orthopedics
Vascular Neurosurgery - Aneurysm
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Summary:Background Microsurgical clipping of large ophthalmic-carotid artery (OA) aneurysms is technically challenging. Among the reported approaches, pterional combined epidural and subdural approach is one of the efficient choices. Method We have applied this approach to treat a 33-year old female patient with a left large OA aneurysm. The step-wise technical details of this approach are reported. Conclusion We show that it is a safe way to clip large OA aneurysms through a step-wise pterional combined epidural and subdural approach, which could make a clear anatomy and a confident manipulation.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-019-03833-4