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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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Anterior communicating artery aneurysm clipping using standard small fronto-pterional approach, clipping with 3 Lazic clips.

An 80-year-old female presented 5 months previous for nonspecific gait disturbance, during which an MRI was performed. A large based anterior communic...
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