Combined endoscope-assisted transclival clipping and endovascular stenting of a basilar trunk aneurysm: case report

Neurosurgery
Jean A EloyJoshua B Bederson

Abstract

We describe a patient with a mid-basilar aneurysm treated with combined endoscope-assisted transsphenoidal clipping and endovascular stenting. A 28-year-old woman was transferred to the cranial base surgery center with an acute Grade III subarachnoid hemorrhage. Cerebral angiography demonstrated a small basilar trunk aneurysm that was not amenable to acute endovascular treatment. The patient underwent sublabial transsphenoidal/transclival endoscope-assisted clipping of the aneurysm and subsequent stenting of the affected segment. The aneurysm was repaired with a low-profile Weck clip (Weck Closure Systems Research, Triangle Park, NC) that permitted a watertight closure of the clival dura using cardiac Medtronic U-clips (Medtronic, Inc., Minneapolis, MN). Postoperatively, the patient had no evidence of cerebrospinal fluid leakage. Watertight dural closure was possible due to the use of a low-profile aneurysm clip that did not protrude through the dural defect, as well as self-tying sutures.

References

Jul 1, 1987·Journal of Neurosurgery·D J ArcherD Uttley
Dec 1, 1985·Journal of Neurosurgery·T KawaseT Mine
Oct 10, 1997·Journal of Neurosurgery·J D DayS L Giannotta
Oct 2, 1998·Acta neurochirurgica·V VanaclochaF Panta
Sep 2, 1999·Journal of Neurosurgery·C A DavidS Partovi
Nov 26, 2002·Neurosurgery·Paolo CappabiancaEnrico De Divitiis
Nov 1, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Arun KumarAndrew H Kaye
Apr 29, 2004·Neurosurgery·Paolo Cappabianca, Enrico de Divitiis
Oct 2, 2004·Neurosurgery·Paolo CappabiancaEnrico de Divitiis
Jul 20, 2005·Neuroradiology·Young-Jun LeeDong Ik Kim
Apr 22, 2006·Stroke; a Journal of Cerebral Circulation·UNKNOWN CARAT Investigators

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Citations

Aug 25, 2012·Neurosurgical Review·Michaël BruneauOlivier De Witte
Aug 1, 2015·Journal of Neurosurgery·Oszkar SzentirmaiTheodore H Schwartz
Nov 18, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Doniel DrazinAdam N Mamelak
Jun 29, 2015·World Neurosurgery·Paul A GardnerCarl H Snyderman
May 15, 2015·Clinical Neurology and Neurosurgery·Daniel M HeifermanAnand V Germanwala
Feb 28, 2014·BioMed Research International·Alberto Di SommaAlberto Prats-Galino
Jun 23, 2018·Journal of Neurosurgery·Ali Tayebi MeybodiMichael T Lawton

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