Minimally Invasive Aneurysm Clipping: The Extent of the Supraorbital Approach
| Autor: | J. Wuyts, Hamid Reza Niknejad, Luc Stockx |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Prefrontal Cortex Neurosurgical Procedures Anterior clinoid process 03 medical and health sciences 0302 clinical medicine Aneurysm medicine Humans Minimally Invasive Surgical Procedures cardiovascular diseases Craniotomy Aged Retrospective Studies business.industry Intracranial Aneurysm Clipping (medicine) Middle Aged medicine.disease Surgical Instruments Aged patients Surgery Skull Aneurysm clipping medicine.anatomical_structure 030220 oncology & carcinogenesis cardiovascular system Female Neurology (clinical) Complication business 030217 neurology & neurosurgery |
| Zdroj: | World neurosurgery. 127 |
| ISSN: | 1878-8769 |
| Popis: | Background The supraorbital keyhole craniotomy is a well-established minimally invasive approach for the treatment of intracranial aneurysms. However, the surgical range of exposure using this technique for treatment of intracranial aneurysms has not been studied. Methods We retrospectively reviewed the data of all clipped aneurysm cases using the supraorbital approach (SO) between 2006 and 2016 in our center. Most importantly, we determined the location of the treated aneurysms in the axial 2-dimensional plane, with the anterior clinoid process (ACP) as the point of reference: the ACP to aneurysm distance. Finally, we extracted data on patient age, aneurysm size, size of the craniotomy, length of hospital stay, and surgery-related complications. Results We included 142 patients for this series. A total of 170 aneurysms were clipped by means of the SO, and in 18 cases multiple aneurysms were treated during the same surgery. The mean aneurysm size was 7 mm (3.5–22 mm) and the mean craniotomy size was 28 mm (19–41 mm). The aneurysm location ranged from 14.4 mm medially to 35 mm laterally, measured with the ipsilateral ACP as the zero reference. Conclusions Although the SO is conventionally used in the treatment of anterior circulation aneurysms, we were able to treat aneurysms over a range of 50 mm over the skull base. With its low complication risk, relatively short hospital stay, and excellent cosmetic results, SO remains a valuable treatment option for both young and aged patients. |
| Databáze: | OpenAIRE |
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