دورية أكاديمية
Reconstruction clipping of ruptured anterior circulation aneurysms via supraorbital lateral keyhole approach
| العنوان: | Reconstruction clipping of ruptured anterior circulation aneurysms via supraorbital lateral keyhole approach |
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| المؤلفون: | Yuzhang Wu, Yan Zhao, Shengping Yu, Fan Li, Shifei Cai, Chao Peng, Zhen Wang, Yifan Yang, Bangyue Wang, Xinyu Yang |
| المصدر: | Chinese Neurosurgical Journal, Vol 8, Iss 1, Pp 1-10 (2022) |
| بيانات النشر: | BMC, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Intracranial aneurysm, Subarachnoid hemorrhage, Clipping, Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Abstract Background Intracranial aneurysm (IA) is a serious disease. Analyze and review the cases of anterior circulation ruptured IA by supraorbital lateral keyhole approach, and summarize the experiences of this approach. Methods Retrospective analysis of 16 cases of ruptured anterior circulation IA in our department from January 2019 to June 2020, CT angiography (CTA) was performed before operation. Analyzing the IA’s parameters by 3D-CT reconstruction. The IA was clipped by supraorbital lateral keyhole approach combined with the 3D-skull reconstruction. Extraventricular drainage was performed before craniotomy. Intraoperative neurophysiological monitoring was performed during the operation. After operation, fluorescein angiography and vascular ultrasound were performed to check the clipping effect. Intracranial pressure monitor was performed postoperatively. CTA was reexamined one week after operation. The modified Rankin Scale (MRS) was performed 6 months after operation. Results There were 7 males (43.8%) and 9 females (56.2%), and the average age is 52.31 ± 11.12 years old. Among them, 11 patients (68.8%) were anterior communicating artery aneurysms and 5 (31.2%) were middle cerebral artery aneurysms. All patients were out of hospital within 10 days without any death, without cerebral infarction, cerebrospinal fluid leakage and neurological impairments. About mRS score, after 6 months follow-up, 8 cases (50%) had 0 point, 4 cases (25%) had 1 point, and 4 cases (25%) had 2 points. Conclusions For ruptured anterior circulation IA, the supraorbital lateral keyhole approach combined with ventricular drainage, intraoperative electrophysiological monitoring, and intraoperative vascular ultrasound is a safe and minimally invasive treatment. The application of reconstruction clipping can reconstruct the diameter of parent vessel and reduce the recurrence rate of IA. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2057-4967 |
| Relation: | https://doaj.org/toc/2057-4967 |
| DOI: | 10.1186/s41016-022-00272-6 |
| URL الوصول: | https://doaj.org/article/f8982d50fafe451cb3ed534eabf36e18 |
| رقم الأكسشن: | edsdoj.f8982d50fafe451cb3ed534eabf36e18 |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 20574967 |
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| DOI: | 10.1186/s41016-022-00272-6 |