Proximal clipping of a large fusiform aneurysm of the A2 segment of the left anterior cerebral artery with awakening of the patient (A case report...
Шехтман О. Д., Горожанин В. А., Куликов А. С., Окишева Е. А.
Вопросы нейрохирургии им. Н.Н. Бурденко
Т. 82, Вып. 4, С. 97-102
Опубликовано: 2018
Тип ресурса: Обзор
DOI:10.17116/neiro201882497
Аннотация:
Arterial aneurysms of the A2 segment are very rare (<1[%]) peripheral aneurysms of the anterior cerebral artery (ACA) territory. Usually, these are saccular aneurysms; there are single reports of fusiform aneurysms of this location. Surgical treatment of these aneurysms involves both microsurgical and endovascular interventions. In the presented case, we used deconstructive surgery (proximal clipping of the aneurysm) with intraoperative awakening of the patient, which verified sufficient collateral blood flow. In the case of focal deficit development, we planned to simultaneously perform an interarterial anastomosis between the A3 segments of the right and left ACAs. © 2018, Media Sphera Publishing Group. All rights reserved.
Ключевые слова:
Awake craniotomy; Distal aneurysms; Peripheral aneurysms; Proximal (Hunter’s) clipping
aneurysm; anterior cerebral artery; brain angiography; case report; diagnostic imaging; female; human; intraoperative awareness; intraoperative monitoring; neurosurgery; nuclear magnetic resonance imaging; pathophysiology; procedures; treatment outcome; young adult; Aneurysm; Anterior Cerebral Artery; Cerebral Angiography; Female; Humans; Intraoperative Awareness; Magnetic Resonance Imaging; Monitoring, Intraoperative; Neurosurgical Procedures; Treatment Outcome; Young Adult
Язык текста: Русский
ISSN: 2309-1681
Шехтман О. Д.
Горожанин В. А.
Куликов А. С.
Окишева Е. А. Елена Андреевна 1983-
Shekhtman O. D.
Gorozhanin V. A.
Kulikov A. S.
Okisheva E. A. Elena Andreevna 1983-
Proximal clipping of a large fusiform aneurysm of the A2 segment of the left anterior cerebral artery with awakening of the patient (A case report and literature review)
Proximal clipping of a large fusiform aneurysm of the A2 segment of the left anterior cerebral artery with awakening of the patient (A case report...
Текст визуальный непосредственный
Вопросы нейрохирургии им. Н.Н. Бурденко
Издательство Медиа Сфера
Т. 82, Вып. 4 С. 97-102
2018
Обзор
Awake craniotomy Distal aneurysms Peripheral aneurysms Proximal (Hunter’s) clipping
aneurysm anterior cerebral artery brain angiography case report diagnostic imaging female human intraoperative awareness intraoperative monitoring neurosurgery nuclear magnetic resonance imaging pathophysiology procedures treatment outcome young adult Aneurysm Anterior Cerebral Artery Cerebral Angiography Female Humans Intraoperative Awareness Magnetic Resonance Imaging Monitoring, Intraoperative Neurosurgical Procedures Treatment Outcome Young Adult
Arterial aneurysms of the A2 segment are very rare (<1[%]) peripheral aneurysms of the anterior cerebral artery (ACA) territory. Usually, these are saccular aneurysms; there are single reports of fusiform aneurysms of this location. Surgical treatment of these aneurysms involves both microsurgical and endovascular interventions. In the presented case, we used deconstructive surgery (proximal clipping of the aneurysm) with intraoperative awakening of the patient, which verified sufficient collateral blood flow. In the case of focal deficit development, we planned to simultaneously perform an interarterial anastomosis between the A3 segments of the right and left ACAs. © 2018, Media Sphera Publishing Group. All rights reserved.