Hellow guys, Welcome to my website, and you are watching Direct suction decompression and fenestrated clip reconstruction of complex paraclinoid CA aneurysm. and this vIdeo is uploaded by American Association of Neurological Surgeons at 2017-08-17T08:37:50-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Direct suction decompression and fenestrated clip reconstruction of complex paraclinoid CA aneurysm |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 17-08-2017 15:37:50 |
| Video Discription | James K. Liu, M.D. Department of Neurological Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers University, New Jersey Medical School, Newark, New Jersey Direct microsurgical clipping of complex paraclinoid carotid artery aneuryms remain a formidable technical challenge due to its deep location at the skull base with adjacent bony anatomy, large size, wide neck, and complex neuroanatomical relationships. In this operative video atlas manuscript, the author demonstrates a step-by-step technique for microsurgical clip reconstruction of a large complex ventral paraclinoid carotid artery aneurysm using a trapping and direct suction decompression strategy followed by multiple fenestrated clip reconstruction of the internal carotid artery (ICA) via a modified orbitozygomatic approach. The nuances of skull base techniques are illustrated including extradural optic nerve decompression, extradural anterior clinoidectomy, incision of the falciform ligament to untether the optic nerve, and release of the distal dural ring to obtain proximal control. Reconstruction of the ICA and preservation of the anterior choroidal artery was achieved with multiple fenestrated clips. Aneurysm obliteration and patency of flow through the ICA was confirmed on video indocyanine green and catheter angiography. Although novel endovascular strategies continue to evolve, these microsurgical skull base techniques should remain in the surgical armamentarium of treating these complex cranial base vascular lesions. |
| Category | Education |
| Tags | Intracranial Aneurysm (Disease Or Medical Condition) | Artery (Anatomical Structure) | suction decompression | paraclinoid | JNS | AANS | Journal of Neurosurgery | Neurosurgical Focus |
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