Endoscopic endonasal clipping of a medial paraclinoid aneurysm with roadmapping assistance: Two-dimensional operative video

Autor: Marcos V. Sangrador-Deitos, German Lopez-Valencia, Gerardo Y. Guinto-Nishimura, Aldo G. Eguiluz-Melendez, Samuel Romano-Feinholz, Juan L. Gomez-Amador
Rok vydání: 2023
Předmět:
Zdroj: Surgical Neurology International. 14:31
ISSN: 2152-7806
DOI: 10.25259/sni_1061_2022
Popis: Background: Advancements in endoscopic endonasal approaches (EEAs) allow the treatment of a wide variety of diseases including vascular pathology. Case Description: A 56-year-old woman presented with thunderclap headache due to two aneurysms: Communicating segment of left internal carotid artery (ICA) and medial paraclinoid (Baramii IIIB). The ICA aneurysm was clipped through a conventional transcranial approach; the paraclinoid aneurysm was successfully clipped using an EEA guided with roadmapping assistance. Conclusion: EEA is useful to treat aneurysms in selected cases and the use of adjuvant angiographical techniques such as roadmapping or proximal balloon control allow excellent control during the procedure.
Databáze: OpenAIRE