Endoscope-assisted microneurosurgery for anterior circulation aneurysms using the angle-type rigid endoscope over a 3-year period

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Giovanni ProfetaL Profeta

Abstract

The use of the endoscope (fiberscope) to assist the microsurgical clipping of cerebral aneurysm was first reported by Fischer and Mustafa in 1994. The rigid endoscope has been increasingly used during aneurysm surgery in which structures around the aneurysm can be detected with high quality imaging. Our 3 years of its use now allows us to assess the endoscope's efficacy and limits in standard surgery with a pterional approach in aneurysms of the anterior circulation. The endoscope can carry out a supportive role in planning surgical manoeuvres and in verifying whether clipping has been performed correctly or not. In our view, among the aneurysms of the anterior circulation, the endoscope is particularly useful in those of the internal carotid and the anterior communicating arteries. In many cases of these aneurysms the posterior communicating artery, choroidal artery or one of the distal cerebral arteries is hidden behind the aneurysm dome. Dome retraction is often required in order to see these vascular structures with the microscope. Thus an endoscope with a 30 degrees view angle becomes very useful. The concealed areas are identified without retraction, which prevents the possibility of the aneurysm being ruptured and also r...Continue Reading

References

Jan 1, 1988·Acta neurochirurgica·L M AuerF Heppner
Jun 1, 1995·Minimally Invasive Neurosurgery : MIN·M TanedaT Hayakawa
Jan 1, 1994·British Journal of Neurosurgery·J Fischer, H Mustafa
Jan 1, 1997·Stereotactic and Functional Neurosurgery·J C ChenM L Levy
May 6, 1999·Minimally Invasive Neurosurgery : MIN·N J Hopf
May 11, 1999·Neurologia Medico-chirurgica·A Perneczky, H G Boecher-Schwarz
Jun 17, 1999·Advances and Technical Standards in Neurosurgery·G Fries, A Perneczky
Aug 16, 2000·Minimally Invasive Neurosurgery : MIN·Y KatoT Kanno
Oct 18, 2002·Neurosurgery·Chandrasekar KalavakondaPeter Hechl

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Citations

Sep 23, 2014·Journal of Neurosurgery·Sui-To Wong, Dawson Fong
Sep 24, 2010·World Neurosurgery·Bai-nan XuBao-min Li
Jun 5, 2015·Neurologia Medico-chirurgica·Hideyuki Yoshioka, Hiroyuki Kinouchi
Jun 9, 2006·Neurological Research·Altay Sencer, Talat Kiriş
Mar 14, 2018·Journal of Neurosurgery·Mauricio MandelEberval Gadelha Figueiredo
Aug 26, 2015·Stroke; a Journal of Cerebral Circulation·Johnny Ho Yin WongMichael Tymianski
Jan 10, 2014·Neurosurgery·Shakeel A Chowdhry, Robert F Spetzler
Oct 22, 2013·Neurosurgery·Maria Peris-CeldaAlbert L Rhoton
Sep 10, 2019·Asian Journal of Neurosurgery·Ahmed AnsariYoko Kato
Sep 16, 2011·Clinical Neurosurgery·Yoshihisa NishiyamaToru Horikoshi
Sep 16, 2019·World Neurosurgery·Alaa S MontaserRicardo L Carrau
May 17, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·C E FerrarezJ A Landeiro

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