The surgical approach for clipping anterior communicating artery Aneurysm

  • Robin Bhattarai Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Chuan Chen Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Chao Feng Liang Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Teng Chao Huang Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Hui Wang Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Cong Ling Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Ying Guo Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
Keywords: Aneurysm clipping, anterior communicating artery, pterional keyhole, supraorbital keyhole

Abstract

Anterior communicating artery (ACoA) aneurysm, accounts for 30%-35% of all the aneurysm making it one of the most common intracranial aneurysms. Although the Pterional approach is considered as the safe and appropriate method in ACoA aneurysm surgery, temporalis atrophy and injury to a frontal branch of the facial nerve are few inexorable complications. With the advancement of minimally invasive surgery several modified approaches, such as the supraorbital eyebrow incision approach, the minipterional approach, the mini-supraorbital approach, and the lateral supraorbital approach has been recently introduced and has been used as an alternative.

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Author Biographies

Robin Bhattarai, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Department of Neurosurgery,

Chuan Chen, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Department of Neurosurgery

Chao Feng Liang, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Department of Neurosurgery

Teng Chao Huang, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Department of Neurosurgery

Hui Wang, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Department of Neurosurgery

Cong Ling, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Department of Neurosurgery

Ying Guo, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Head of Department, Department of Neurosurgery

Published
2019-06-12
How to Cite
Bhattarai, R., Chen, C., Liang, C., Huang, T., Wang, H., Ling, C., & Guo, Y. (2019). The surgical approach for clipping anterior communicating artery Aneurysm. Nepal Journal of Neuroscience, 16(1), 10-20. https://doi.org/10.3126/njn.v16i1.24424
Section
Review Article