neurosurgical
focus
Neurosurg Focus 38 (1):Video 6, 2015
Anterior communicating artery aneurysm clipping using standard small fronto-pterional approach, clipping with 3 Lazic clips Michael Reinert M.D.1, Luca Valci, M.D.,2 Martina Dalolio, M.D.,2 Vladimir Reyes M.D.,1 and Justine D’Auria, R.N.1 1
Neurosurgery, Ospedale Civico di Lugano; and 2Neurosurgery, Via Tesserete 46, Lugano, Switzerland
An 80-year-old female presented 5 months previous for nonspecific gait disturbance, during which an MRI was performed. A large based anterior communicating artery aneurym was found independent of neurology. An interdisciplinary discussion favored surgical treatment, on which the patient insisted. Surgery was performed using standard anesthesia techniques with intraoperative burst supression during surgery, neuromonitoring with MEP and SEP, as well as ICG angiography, microdoppler and neuronavigation. Successful clipping was performed with 2 fenestrated straight and one bayoneted straight Lazic clip. Temporary clipping was 6.1 minutes. Postoperative angiography showed exclusion of the aneurysm, and there was no neurological deficit. The video can be found here: http://youtu.be/WKjOHG8irFo. Key words ACOM; aneurysm; clipping; video
submitted August 28, 2014. accepted October 9, 2014. include when citing DOI: 10.3171/2015.V1.FOCUS14541. Correspondence Michael Reinert, M.D., Ospedale Civico di Lugano, Neurosurgery, Via Tesserete 46, Lugano, 6903, Switzerland. email:
[email protected]. ©AANS, 2015
Neurosurg Focus Volume 38 (Suppl 1) • January 2015
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