Naslov
Eyebrow keyhole approach to MCA aneurysms

Autori
Mrak, Goran ; Paladino, Josip ; Jednačak, Hrvoje ; Marasanov, Sergej ; Nemir, Jakob

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
EANS 2011 Abstracts (u: Acta Neurochirurgica, 2011, vol. 153, issue 9) / De Tribolet, N. ; Schramm, J. ; Sindou, M. - Rim : Springer, 2011, 665-665

Skup
14th European Congress of Neurosurgery - EANS 2011

Mjesto i datum
Rim, Italija, 09.10.2011. - 14.10.2011

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
middle cerebral artery; keyhole; minimal invasive

Sažetak
Introduction: Middle cerebral artery aneurysms account for 20 to 30 percent of all intracranial aneurysms and depending on their location , orientation and surgical planning are addressed by different surgical approaches. We analyze the advantages of the eyebrow keyhole approach compared to the temporal keyhole or standard pterional approach. Methods: We retrospectively analyzed patient data of patients harboring MCA aneurysms which were surgically treated in our Department during the past 9 years. Surgical approach was based on location and size of the aneurys as well as variations in M1 branches anatomy and fundus orientation. Results: From May 2002 to May 2010 , 568 patients with aneurysms of various locations were treated surgically. Relative proportion of MCA aneurysms which underwent operational treatment was 40 %. A total of 235 patients with 262 MCA aneurysms underwent surgery with a small eyebrow keyhole craniotomy and subfrontal route was used as the approach of choice. In 34 patients we performed either a temporal keyhole or standard pterional approach. Conclusion: In our experience , supraorbital keyhole with subfrontal approach shows advantage over the lateral transsylvian approach in earlier proximal artery control, excellent visualization of the aneurysm neck avoiding the fundus in the majority of the cases and easier clip application horizontally to both M1 and M2 segments. However for the distal MCA aneurysms , giant wide neck aneurysms or additional vascular surgical procedures such as bypasses or other challenging techniques we prefer the lateral transsylvian approach.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
Odabrani sažeci objavljeni su u: Acta Neurochirurgica, September 2011, Volume 153, Issue 9, pp 1833-1905.

POVEZANOST RADA