Minimally invasive transorbital approach for anterior communicating artery aneurysms: How I do it

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-05-09 DOI:10.1007/s00701-025-06556-x

Walter C. Jean, Franco Rubino, Peter Harris, Miguel Sàez-Alegre

引用次数: 0

Abstract

Background

The transorbital approach through the roof of the orbit can be utilized safely for the clip obliteration of ACOM aneurysms.

Method

We demonstrate the technique and describe the limited indications for its application. The operation proceeds by strictly following the anatomic dissection of the optic nerve, A1 segment of the ACA and then dissection and clipping of the aneurysm.

Conclusion

For the properly chosen patient and aneurysm, the transorbital approach has an excellent cosmetic outcome and can safely eliminate the aneurysm with great patient satisfaction.

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微创经眶入路治疗前交通动脉瘤：我是怎么做的

背景：经眶顶的经眶入路可以安全地用于夹闭ACOM动脉瘤。方法对该技术进行演示，并介绍其应用的适应症。手术严格按照解剖解剖视神经，A1节段ACA，然后剥离和夹持动脉瘤进行。结论经眶入路对选择合适的患者和动脉瘤具有良好的美容效果，可以安全的切除动脉瘤，患者满意度高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.