NEUROSURGICAL
FOCUS
Neurosurg Focus 38 (1):Video 16, 2015
Microsurgical clipping following failed coiling of a giant ophthalmic aneurysm Piyush Kalakoti, M.D., Richard D. Murray, M.D., Shyamal C. Bir, M.D., Ph.D., Osama Ahmed, M.D., and Anil Nanda, M.D., MPH. Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana
With the advent of endovascular modalities, endovascular coiling has become a progressively more common method of addressing intracranial aneurysms. When despite coiling, an aneurysm continues to enlarge, open microsurgical clipping is a viable, though technically demanding option. We present a unique case of failed coiling of a giant ophthalmic region aneurysm, in which the aneurysm was successfully managed via open microsurgical approach. We highlight the unique challenges faced and demonstrate the surgical process in an operative video presentation. The video can be found here: http://youtu.be/k2P4c4Lvq7g. KEY WORDS microsurgical aneurysm; failed coil
SUBMITTED August 30, 2014. ACCEPTED October 9, 2014. INCLUDE WHEN CITING DOI: 10.3171/2015.V1.FOCUS14563. CORRESPONDENCE Anil Nanda, M.D., Louisiana State University Health Sciences Center, Neurosurgery, 1501 Kings Highway, Shreveport, Louisiana 71130-3932. Email: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 38 (Suppl 1) • January 2015
1
FOCUS
Neurosurg Focus 38 (1):Video 16, 2015
Microsurgical clipping following failed coiling of a giant ophthalmic aneurysm Piyush Kalakoti, M.D., Richard D. Murray, M.D., Shyamal C. Bir, M.D., Ph.D., Osama Ahmed, M.D., and Anil Nanda, M.D., MPH. Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana
With the advent of endovascular modalities, endovascular coiling has become a progressively more common method of addressing intracranial aneurysms. When despite coiling, an aneurysm continues to enlarge, open microsurgical clipping is a viable, though technically demanding option. We present a unique case of failed coiling of a giant ophthalmic region aneurysm, in which the aneurysm was successfully managed via open microsurgical approach. We highlight the unique challenges faced and demonstrate the surgical process in an operative video presentation. The video can be found here: http://youtu.be/k2P4c4Lvq7g. KEY WORDS microsurgical aneurysm; failed coil
SUBMITTED August 30, 2014. ACCEPTED October 9, 2014. INCLUDE WHEN CITING DOI: 10.3171/2015.V1.FOCUS14563. CORRESPONDENCE Anil Nanda, M.D., Louisiana State University Health Sciences Center, Neurosurgery, 1501 Kings Highway, Shreveport, Louisiana 71130-3932. Email: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 38 (Suppl 1) • January 2015
1
