Clipping and STA-MCA bypass for unruptured AcomA aneurysm associated with unilateral MCA occlusion.

Abstract

The authors show a surgical technique of clipping in conjunction with superficial temporal artery (STA)-middle cerebral artery (MCA) bypass to treat unruptured anterior communicating artery (AcomA) aneurysm associated with unilateral MCA occlusion. First, through MCA occlusion side, fronto-temporal craniotomy, extra-dural drilling of lesser sphenoid wing, and followed by wide exposure of Sylvian fissure, STA-MCA bypass was performed. Then, through trans-Sylvian, fronto-basal, and lateral trajectory, interhemispheric fissure was dissected from the base, which enabled good exposure and clipping of high positioned AcomA aneurysm. The video can be found here: http://youtu.be/GWItnRSs3m4 .

• Authors: Tomohiro Inoue, Hiroki Yoshida, Akira Tamura, Isamu Saito
• Journal: Neurosurgical focus (Neurosurg Focus) Vol. 38 Issue VideoSuppl1 Pg. Video2 (Jan 2015) ISSN: 1092-0684 [Electronic] United States
• PMID: 25554842 (Publication Type: Case Reports, Journal Article, Video-Audio Media)

Topics

• Aged
• Cerebral Angiography
• Cerebral Revascularization (methods)
• Craniotomy
• Humans
• Infarction, Middle Cerebral Artery (complications, surgery)
• Intracranial Aneurysm (complications, surgery)
• Magnetic Resonance Imaging
• Male