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Anterior Communicating Artery

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Eberhard Uhl – One of the best experts on this subject based on the ideXlab platform.

  • Transorbital keyhole approach to Anterior Communicating Artery aneurysms.
    Neurosurgery, 2001
    Co-Authors: Hans Jakob Steiger, Robert Schmid-elsaesser, W. Stummer, Eberhard Uhl

    Abstract:

    OBJECTIVE: The transorbital keyhole approach to Anterior Communicating Artery aneurysms was developed as a minimally invasive method for safe control of the Anterior Communicating Artery complex. This approach does not necessitate resection of the gyrus rectus. METHODS: The technique is described in detail. The transorbital keyhole approach provides more ventral access than the supraorbital approaches, and the Anterior Communicating Artery complex can be controlled by splitting the basal aspect of the interhemispheric fissure. RESULTS: Since late 1998, the authors have used the transorbital keyhole approach routinely. During the initial experience with 33 patients, the only observed complication specific to this approach was transient diplopia in one patient. At follow-up examinations 2 to 15 months after surgery, the cosmetic results were favorable as compared with those of standard pterional craniotomy. CONCLUSION: We have designed a small, custom-tailored approach to the Anterior Communicating Artery complex for routine use. The small orbitocranial approach is a step toward the ideal of purely extra-axial safe control of Anterior Communicating Artery aneurysms. The orbitocranial keyhole approach seems to be substantially better than the craniotomy, although it requires additional effort and time.

Hans Jakob Steiger – One of the best experts on this subject based on the ideXlab platform.

  • Transorbital keyhole approach to Anterior Communicating Artery aneurysms.
    Neurosurgery, 2001
    Co-Authors: Hans Jakob Steiger, Robert Schmid-elsaesser, W. Stummer, Eberhard Uhl

    Abstract:

    OBJECTIVE: The transorbital keyhole approach to Anterior Communicating Artery aneurysms was developed as a minimally invasive method for safe control of the Anterior Communicating Artery complex. This approach does not necessitate resection of the gyrus rectus. METHODS: The technique is described in detail. The transorbital keyhole approach provides more ventral access than the supraorbital approaches, and the Anterior Communicating Artery complex can be controlled by splitting the basal aspect of the interhemispheric fissure. RESULTS: Since late 1998, the authors have used the transorbital keyhole approach routinely. During the initial experience with 33 patients, the only observed complication specific to this approach was transient diplopia in one patient. At follow-up examinations 2 to 15 months after surgery, the cosmetic results were favorable as compared with those of standard pterional craniotomy. CONCLUSION: We have designed a small, custom-tailored approach to the Anterior Communicating Artery complex for routine use. The small orbitocranial approach is a step toward the ideal of purely extra-axial safe control of Anterior Communicating Artery aneurysms. The orbitocranial keyhole approach seems to be substantially better than the craniotomy, although it requires additional effort and time.

Kiyoshi Kazekawa – One of the best experts on this subject based on the ideXlab platform.

  • Endovascular treatment of tiny ruptured Anterior Communicating Artery aneurysms
    Neuroradiology, 2008
    Co-Authors: Masanori Tsutsumi, Hiroshi Aikawa, Masanari Onizuka, Tomonobu Kodama, Kouhei Nii, Shuko Matsubara, Minoru Iko, Housei Etou, Kimiya Sakamoto, Kiyoshi Kazekawa

    Abstract:

    Introduction
    Because of its high complication rate, the endovascular treatment (EVT) of Anterior Communicating Artery (ACoA) aneurysms less than 3 mm in maximum diameter remains controversial. We evaluated EVT of tiny ruptured ACoA aneurysms with Guglielmi detachable coils (GDCs).