Fully endoscopic keyhole approach for intracranial aneurysm clipping: clinical outcomes and technical note.

IF 2.8 3区医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL

European Journal of Medical Research Pub Date : 2025-04-26 DOI:10.1186/s40001-025-02594-4

Lulu Chen, Yuchun Shang, Yu Li, Xialin Zheng

{"title":"Fully endoscopic keyhole approach for intracranial aneurysm clipping: clinical outcomes and technical note.","authors":"Lulu Chen, Yuchun Shang, Yu Li, Xialin Zheng","doi":"10.1186/s40001-025-02594-4","DOIUrl":null,"url":null,"abstract":"Background: Surgical clipping is often utilized to treat intracranial aneurysms. The application of the endoscopy and keyhole approach in neurosurgery is increasing gradually in intracranial aneurysm occlusion. The aim of this study is to evaluate the role of fully endoscopic keyhole approach in clipping of intracranial aneurysms.Methods: We retrospectively analyzed four cases of intracranial aneurysms, including three cases of middle cerebral artery bifurcation aneurysms (M1) and one case of anterior communicating aneurysms (ACoA). Among them, the anterior communicating aneurysm underwent fully endoscopic clipping via supraorbital keyhole approach and the middle cerebral aneurysms underwent fully endoscopic clipping via mini-pterional keyhole approach. The clipped aneurysms were evaluated by Digital Subtraction Angiography (DSA).Results: All patients had satisfactory cerebral aneurysm clipping via the endoscopic keyhole approach. There was no cerebral hemorrhage, cerebral infarction, cerebral vasospasm. One case of intracranial infection was cured by active anti-infection. No recurrence of aneurysms after 6 months of follow-up.Conclusion: With the advantages of the endoscopy and keyhole approach, the excellent visual field of the endoscope can reduce the influence of intracranial aneurysmal neck residual and perforating vessel. However, endoscopic clipping of intracranial aneurysms in narrow corridors requires a learning curve.","PeriodicalId":11949,"journal":{"name":"European Journal of Medical Research","volume":"30 1","pages":"333"},"PeriodicalIF":2.8000,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032781/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Medical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40001-025-02594-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Surgical clipping is often utilized to treat intracranial aneurysms. The application of the endoscopy and keyhole approach in neurosurgery is increasing gradually in intracranial aneurysm occlusion. The aim of this study is to evaluate the role of fully endoscopic keyhole approach in clipping of intracranial aneurysms.

Methods: We retrospectively analyzed four cases of intracranial aneurysms, including three cases of middle cerebral artery bifurcation aneurysms (M1) and one case of anterior communicating aneurysms (ACoA). Among them, the anterior communicating aneurysm underwent fully endoscopic clipping via supraorbital keyhole approach and the middle cerebral aneurysms underwent fully endoscopic clipping via mini-pterional keyhole approach. The clipped aneurysms were evaluated by Digital Subtraction Angiography (DSA).

Results: All patients had satisfactory cerebral aneurysm clipping via the endoscopic keyhole approach. There was no cerebral hemorrhage, cerebral infarction, cerebral vasospasm. One case of intracranial infection was cured by active anti-infection. No recurrence of aneurysms after 6 months of follow-up.

Conclusion: With the advantages of the endoscopy and keyhole approach, the excellent visual field of the endoscope can reduce the influence of intracranial aneurysmal neck residual and perforating vessel. However, endoscopic clipping of intracranial aneurysms in narrow corridors requires a learning curve.

查看原文本刊更多论文

全内窥镜锁眼入路颅内动脉瘤夹闭：临床结果和技术注意事项。

背景：手术夹闭常用于颅内动脉瘤的治疗。内窥镜和锁眼入路在颅内动脉瘤闭塞手术中的应用日益增多。本研究的目的是评估全内窥镜锁眼入路在颅内动脉瘤夹闭中的作用。方法：回顾性分析4例颅内动脉瘤，包括3例大脑中动脉分叉动脉瘤（M1）和1例前交通动脉瘤（ACoA）。其中，前交通动脉瘤经眶上锁孔入路行全内镜夹闭，脑中动脉瘤经小翼位锁孔入路行全内镜夹闭。采用数字减影血管造影（DSA）对夹闭动脉瘤进行评估。结果：所有患者均经内窥镜锁眼入路行脑动脉瘤夹闭手术。无脑出血、脑梗死、脑血管痉挛。1例颅内感染经积极抗感染治愈。随访6个月无动脉瘤复发。结论：内窥镜与锁孔入路的优势，其良好的视野可减少颅内动脉瘤颈部残留及穿孔血管的影响。然而，内窥镜夹持颅内动脉瘤在狭窄的走廊需要一个学习曲线。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Journal of Medical Research 医学-医学：研究与实验

CiteScore

3.20

自引率

0.00%

发文量

247

审稿时长

>12 weeks

期刊介绍： European Journal of Medical Research publishes translational and clinical research of international interest across all medical disciplines, enabling clinicians and other researchers to learn about developments and innovations within these disciplines and across the boundaries between disciplines. The journal publishes high quality research and reviews and aims to ensure that the results of all well-conducted research are published, regardless of their outcome.