Potential Risks and Limited Indications of the Supraorbital Keyhole Approach for Clipping Internal Carotid Artery Aneurysms
| Autor: | Arata Tomiyama, Terushige Toyooka, Takuji Yamamoto, Satoshi Tomura, Naoki Otani, Sho Nishida, Yasuaki Nakao, Kojiro Wada, Satoru Takeuchi, Hideaki Ueno, Kentaro Mori |
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| Rok vydání: | 2019 |
| Předmět: |
MRI
Magnetic resonance imaging AntChoA Anterior choroidal artery medicine.medical_treatment lcsh:RC346-429 UCA Unruptured cerebral aneurysm HAM-D Hamilton Depression Scale Modified Rankin Scale Retrospective analysis DSA Digital subtraction angiography MMSE Mini-Mental Status Examination NIHSS National Institutes of Health Stroke Scale Clipping surgical procedures operative Status examination cardiovascular system CT Computed tomography Original Article BDI Beck Depression Inventory ICA Internal carotid artery PcomA Posterior communicating artery Internal carotid artery mRS Modified Rankin Scale medicine.medical_specialty Unruptured cerebral aneurysm education lcsh:Surgery Keyhole surgery Aneurysm AcomA Anterior communicating artery medicine.artery medicine cardiovascular diseases DWI Diffusion-weighted imaging lcsh:Neurology. Diseases of the nervous system 3D 3-Dimensional ISUIA International Study of Unruptured Intracranial Aneurysms MCA Middle cerebral artery business.industry BDI - Beck depression inventory lcsh:RD1-811 Clipping (medicine) medicine.disease nervous system diseases Surgery CTA Computed tomography angiography Neurology (clinical) business HDS-R Revised Hasegawa Dementia Scale Keyhole |
| Zdroj: | World Neurosurgery: X, Vol 2, Iss, Pp-(2019) World Neurosurgery: X |
| ISSN: | 2590-1397 |
| DOI: | 10.1016/j.wnsx.2019.100025 |
| Popis: | Background: Internal carotid artery (ICA) aneurysm may be a good target for supraorbital keyhole clipping. We discuss the surgical indications and risks of keyhole clipping for ICA aneurysms based on long-term clinical and radiologic results. Methods: This was a retrospective analysis of 51 patients (aged 35–75 years, mean 62 years) with ICA aneurysms (mean 5.8 ± 1.8 mm) who underwent clipping via the supraorbital keyhole approach between 2005 and 2017. Neurologic and cognitive functions were examined by several methods, including the modified Rankin Scale and Mini-Mental Status Examination. The state of clipping was assessed 1 year and then every few years after the operation. Results: Complete clipping was confirmed in 45 patients (88.2%), dog-ear remnants behind the clip persisted in 4 patients, and wrapping was performed in 2 patients. Mean duration of postoperative hospitalization was 3.4 ± 6.9 days. The mean clinical follow-up period was 6.6 ± 3.2 years. The overall mortality was 0, and overall morbidity (modified Rankin Scale score ≥2 or Mini-Mental Status Examination |
| Databáze: | OpenAIRE |
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