Potential Risks and Limited Indications of the Supraorbital Keyhole Approach for Clipping Internal Carotid Artery Aneurysms
DOI: 10.1016/j.wnsx.2019.100025
Arata Tomiyama ,
Hideaki Ueno ,
Kentaro Mori ,
Kojiro Wada ,
Naoki Otani ,
Satoru Takeuchi ,
Satoshi Tomura ,
Sho Nishida ,
Takuji Yamamoto ,
Terushige Toyooka ,
Yasuaki Nakao Keywords: Clipping , Internal carotid artery , Keyhole surgery , Unruptured cerebral aneurysm 3D , 3-Dimensional , AcomA , Anterior communicating artery , AntChoA , Anterior choroidal artery , BDI , Beck Depression Inventory , CT , Computed tomography , CTA , Computed tomography angiography , DSA , Digital subtraction angiography , DWI , Diffusion-weighted imaging , HAM-D , Hamilton Depression Scale , HDS-R , Revised Hasegawa Dementia Scale , ICA , Internal carotid artery , ISUIA , International Study of Unruptured Intracranial Aneurysms , MCA , Middle cerebral artery , MMSE , Mini-Mental Status Examination , MRI , Magnetic resonance imaging , mRS , Modified Rankin Scale , NIHSS , National Institutes of Health Stroke Scale , PcomA , Posterior communicating artery , UCA , Unruptured cerebral aneurysm
Abstract:
Internal carotid artery (ICA) aneurysm may be a good target for supraorbital keyhole clipping. We discuss the surgical indications and risks of keyhole clipping for ICA aneurysms based on long-term clinical and radiologic results
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