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| Name | Microsurgical management of a large ICA bifurcation aneurysm |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 30-03-2017 22:22:21 |
| Video Discription | Leonardo Rangel-Castilla, M.D. and Robert F. Spetzler, M.D. Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona A 70-year-old male with progressive visual disturbances, left superior quadrantanopsia, and right-sided papilledema underwent imaging that demonstrated a right internal carotid artery (ICA) terminus aneurysm with third-ventricle mass effect and ipsilateral optic nerve and chiasm compression. We performed a right modified orbitozygomatic craniotomy, with proximal control and dissection of the aneurysm and small perforator arteries. Temporary ICA and anterior cerebral artery (ACA) clips allowed placement of a large curved permanent clip, reconstructing the ICA bifurcation and maintaining adequate patency of the ACA and middle cerebral artery. Complete aneurysm obliteration was confirmed by intraoperative indocyanine green angiography and postoperative CT angiography. |
| Category | Education |
| Tags | Aneurysm (Disease Or Medical Condition) | indocyanine green angiography | microsurgery | internal carotid artery | JNS | AANS | Journal of Neurosurgery | Neurosurgical Focus |
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