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Acta Neurochirurgica

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01-04-2020 | Orbitotomy | How I Do it - Vascular Neurosurgery - Aneurysm

Surgical clipping of a non-ruptured ophthalmic aneurysm through an extradural micropterional keyhole approach

Authors: Rafael Martinez-Perez, Ignacio Jusue-Torres, Marcos Chiarullo, Jorge M. Mura

Published in: Acta Neurochirurgica | Issue 4/2020

Abstract

Background

Clipping continues to be one of the treatment strategies for ophthalmic artery aneurysms not amenable for stenting or coiling, or when long-term treatment durability is a concern. However, crescent development of endovascular techniques demands minimal invasiveness in the transcranial approaches while ensuring satisfactory results.

Methods

We describe an extradural micropterional keyhole approach (eMKA) to the paraclinoid region and highlight the key anatomical elements of this surgical approach.

Conclusion

The eMKA is a minimally invasive approach that provides access to the paraclinoid region using an extradural corridor. Therefore, it is suitable for clipping of ophthalmic artery aneurysms and other paraclinoid aneurysms.

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Title: Surgical clipping of a non-ruptured ophthalmic aneurysm through an extradural micropterional keyhole approach
Authors: Rafael Martinez-Perez
Ignacio Jusue-Torres
Marcos Chiarullo
Jorge M. Mura
Publication date: 01-04-2020
Publisher: Springer Vienna
Keywords: Orbitotomy
Craniotomy
Aneurysm
Aneurysm
Published in: Acta Neurochirurgica / Issue 4/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-020-04261-5

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Springer Medicine

Surgical clipping of a non-ruptured ophthalmic aneurysm through an extradural micropterional keyhole approach

Abstract

Background

Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Conclusion

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