Pure endoscopic endonasal clipping of an incidental anterior communicating artery aneurysm
| Autor: | Ali Erdem Yildirim, Ahmed Deniz Belen, Derya Karaoglu, Nuri Eralp Cetinalp, Denizhan Divanlioglu |
|---|---|
| Přispěvatelé: | Çukurova Üniversitesi |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Natural Orifice Endoscopic Surgery
medicine.medical_specialty Microsurgery medicine.medical_treatment Nose Endoscopic clipping Tuberculum Sellae Meningioma Aneurysm medicine.artery medicine Humans cardiovascular diseases Anterior communicating artery Aged Anterior Communicating Artery Aneurysm business.industry Suture Techniques Postoperative complication Intracranial Aneurysm General Medicine Clipping (medicine) medicine.disease Surgical Instruments Surgery Skull medicine.anatomical_structure Otorhinolaryngology Endonasal cardiovascular system Female Radiology business |
| Popis: | PubMedID: 26080201 Anterior communicating artery (AcoA) aneurysm is the most common form of intracranial aneurysm. It occurs rarely together with other intracranial lesion. Today, microsurgical techniques and endovascular methods are used in the treatment of these aneurysms. Endoscopic endonasal approach is a useful technique for midline lesions of the skull base and is underpinned with extensive experience. In this article, we present 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. After complete removal of a tuberculum sellae meningioma via an endoscopic endonasal approach, an anterior and superior projected saccular AcoA aneurysm in the gyrus rectus area was totally clipped successfully via pure endoscopic endonasal transplanum-transtubercular approach, without any damage to parent arteries. The patient was discharged from the hospital within a short period of time without any postoperative complication. Endoscopic endonasal approach is a new paradigm in the treatment of aneurysm. Although this technique cannot be routinely used due to lack of experience, it is an effective and safe method in selected and anatomically appropriate cases. We believe that increased knowledge and experience will create successful results in this approach, and it can offer an alternative method for selected aneurysm cases. Copyright © 2015 by Mutaz B. Habal, MD. |
| Databáze: | OpenAIRE |
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