Clipping of a ruptured anterior communicating artery aneurysm with right A1-A2 sectioning and reanastomosis

被引:1
|
作者
Hage, Ziad A. [1 ]
Charbel, Fady T. [1 ]
机构
[1] Univ Illinois, Dept Neurosurg, Chicago, IL 60607 USA
关键词
aneurysm clipping; anastomosis; anterior communicating artery; video;
D O I
10.3171/2015.7.FocusVid.14602
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We showcase the microsurgical clipping of a previously coiled and ruptured anterior communicating artery aneurysm, done through a right-sided approach. Initial clipping with a fenestrated clip occluded the flow in the right A2. After temporary clipping of both A1 and A2 vessels, we cut the right A1 and A2, clipped the aneurysm with a straight clip while preserving the flow in the left A1 and A2 and then performed reanastomosis of the right A1-A2 in an end to end fashion. This strategy allowed for complete obliteration of the aneurysm while preserving the flow in all four vessels. © AANS, 2015.
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页数:1
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