Anterior Communicating Artery Aneurysm Clipped Via an Endoscopic Endonasal Approach: Technical Note

@article{Froelich2011AnteriorCA,
  title={Anterior Communicating Artery Aneurysm Clipped Via an Endoscopic Endonasal Approach: Technical Note},
  author={Sebastien Froelich and H Cebula and Christian Debry and Patrick J Boyer},
  journal={Operative Neurosurgery},
  year={2011},
  volume={68},
  pages={ons310-ons316}
}
BACKGROUND: The anterior communicating artery (AcoA) aneurysm is one of the most challenging aneurysms. As endovascular techniques evolve, a remaining challenge is the reduction of complications related to the surgical approach. Although the endonasal approach is widely used for pituitary adenomas and is increasingly popular for suprasellar tumors, only 2 aneurysm cases have been reported. OBJECTIVE: To the best of our knowledge, we are reporting the first case of successful endoscopic… 
View on Wolters Kluwer
incsg.com
44 Citations
Highly Influential Citations
1
Background Citations
5
Methods Citations
1

44 Citations

Citation Type

Citation Type

Pure Endoscopic Endonasal Clipping of an Incidental Anterior Communicating Artery Aneurysm
TLDR
This article presents a 72-year-old female patient who underwent endoscopic endonasal transplanum-transtubercular surgery for tuberculum sellae meningioma followed by clipping of the incidental AcoA aneurysm, and shows that this technique cannot be routinely used due to lack of experience, but is an effective and safe method in selected and anatomically appropriate cases.
Endoscopic Endonasal Clipping of Anterior Circulation Aneurysm: Surgical Techniques and Results.
Endoscopic Endonasal Clipping of Intracranial Aneurysms: Surgical Technique and Results.
Extended Endoscopic Endonasal Clipping of Intracranial Aneurysms: An Anatomical Feasibility Study.
Endoscopic endonasal clip ligation of cerebral aneurysms: an anatomical feasibility study and future directions.
TLDR
The authors characterize the feasibility of endonasal endoscopic clip ligation of aneurysms involving the paraclinoid, anterior communicating, and basilar arteries and proximal control of the paraclival internal carotid artery.
A Cadaveric Anatomical Study on Anterior Communicating Artery Aneurysm Surgery by Extended Endoscopic Endonasal Approach
TLDR
The present cadaveric study on nine specimens with bilateral dissection has demonstrated that the endonasal transplanum transtuberculum approach to the ACoA region provides excellent visualization of the vasculature.
Extended endoscopic endonasal transclival clipping of posterior circulation aneurysms—an alternative to the transcranial approach
TLDR
Endoscopic extended transnasal surgery is an expanding field in neurosurgery with a steep learning curve, and with improvement in techniques and instrumentation the use of this approach for clipping posterior circulation aneurysms can become an effective alternative in the treatment of aneurYSms.
Assessment of the Endoscopic Endonasal Transclival Approach for Surgical Clipping of Anterior Pontine Anterior-Inferior Cerebellar Artery Aneurysms.
Expanded endonasal approach for the clipping of a ruptured basilar aneurysm and feeding artery to a cerebellar arteriovenous malformation
The endonasal approach for treatment of cerebral aneurysms: A critical review of the literature
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 30 REFERENCES
The Expanded Endonasal Approach for an Endoscopic Transnasal Clipping and Aneurysmorrhaphy of a Large Vertebral Artery Aneurysm: Technical Case Report
TLDR
This case report represents the first literature report of a transnasal endoscopic aneurysm clipping and thrombectomy of a large vertebral artery aneurYSm causing mass effect on the medulla.
Endoscopic endonasal clipping of an unsecured superior hypophyseal artery aneurysm. Technical note.
TLDR
It is shown that it is possible to successfully clip a medially projecting, paraclinoidal aneurysm using an endonasal approach, and such cases must be chosen with extreme caution and only performed by surgeons with significant experience with both endoscopic end onasal approaches and neurovascular surgery.
EXTENDED TRANSSPHENOIDAL APPROACH TO ANTERIOR COMMUNICATING ARTERY ANEURYSM: ANEURYSM INCIDENTALLY IDENTIFIED DURING MACROADENOMA RESECTION TECHNICAL CASE REPORT
TLDR
An extended transsphenoidal approach for clipping an anterior communicating artery (ACoA) aneurysm via the posterior portion of the planum sphenoidale is described to offer a minimally invasive approach to the ACoA complex.
Lateral supraorbital keyhole approach to clip unruptured anterior communicating artery aneurysms.
TLDR
The lateral supraorbital keyhole approach provides a more lateral subfrontal corridor to observe and clip an A-com A aneurysm than the standard Perneczky method, and is a minimally invasive treatment option for relatively small and unruptured A- com AAneurysms.
MICROSURGICAL MANAGEMENT OF ANTERIOR COMMUNICATING ARTERY ANEURYSMS
TLDR
Not all ACOM artery aneurysms can be coiled; therefore, the surgeon's microsurgical clipping technique is an important facet of managing these aneurYSms.
Microsurgical management of anterior communicating artery aneurysms
TLDR
Pterional approach to an anterior communicating artery aneurysm is an excellent accessing method and was successfully achieved in all cases.
EXTENDED ENDOSCOPIC ENDONASAL TRANSSPHENOIDAL APPROACH TO THE SUPRASELLAR AREA: ANATOMIC CONSIDERATIONS—PART 1
TLDR
The endoscopic endonasal transplanum sphenoidale technique is a straight, median approach to the midline areas around the sella that provides a multiangled, close-up view of all relevant neurovascular structures.
Unilateral interhemispheric keyhole approach for anterior cerebral artery aneurysms.
TLDR
The detailed microsurgical technique of the unilateral interhemispheric exposure of the anterior cerebral artery complex is presented and the overall results were excellent and good (working) in 95 cases, fair in 10 cases, poor in 9 and death supervened in 8 cases.
Low Anterior Interhemispheric Approach – A Narrow Corridor to Aneurysms of the Anterior Communicating Artery
TLDR
This approach is preferred on anatomical grounds for cases of unruptured small and medium sized ACoA aneurysms projecting anteriorly or posteriorly because the anterior communicating artery complex area can be fully visualized with minimal manipulation of the frontal lobes and anterior cerebral arteries.
Side selection of pterional approach for anterior communicating artery aneurysms – surgical anatomy and strategy
TLDR
This policy provided good postoperative outcomes, and use of skull base techniques or the interhemispheric approach, instead of the normal pterional approach, may further improve the postoperative outcome for closed A2 plane aneurysms.
...
1
2
3
...