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Eyebrow keyhole approach to MCA aneurysms (CROSBI ID 581885)

Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | međunarodna recenzija

Mrak, Goran ; Paladino, Josip ; Jednačak, Hrvoje ; Marasanov, Sergej ; Nemir, Jakob Eyebrow keyhole approach to MCA aneurysms // Acta neurochirurgica / de Tribolet, N. ; Schramm, J. ; Sindou, M. (ur.). 2011. str. 665-665

Podaci o odgovornosti

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

engleski

Eyebrow keyhole approach to MCA aneurysms

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.

middle cerebral artery; keyhole; minimal invasive

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

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Podaci o prilogu

665-665.

2011.

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objavljeno

Podaci o matičnoj publikaciji

Acta neurochirurgica

de Tribolet, N. ; Schramm, J. ; Sindou, M.

Rim: Springer

0001-6268

Podaci o skupu

14th European Congress of Neurosurgery - EANS 2011

predavanje

09.10.2011-14.10.2011

Rim, Italija

Povezanost rada

Kliničke medicinske znanosti

Indeksiranost