Transciliary supraorbital keyhole-approach as the method of choice for surgery of unruptured cerebral aneurysms of anterior circulation: clinical case, surgical technique, indications and contraindications
Abstract
Objective. to present the clinical case of transciliary supraorbital craniotomy for the clipping of unruptured aneurysm of the posterior communicating artery. Material and methods. The indications and contraindications for minimally invasive surgery of aneurysms as well as surgical technique are discussed. Results. The supraorbital keyhole approach to anterior circulation aneurysms under condition of adequate patients’ selection has confirmed its high efficacy and safety in the hand of experienced neurosurgical team. Conclusion. The supraorbital craniotomy allows adequately visualizing the necessary intracranial structures despite its small dimensions.
About the Authors
R. S. Dzhindzhikhadze
ГБОУ ДПО РМАПО Минздрава РФ; ГКБ им. Ф.И. Иноземцева
Russian Federation
Russian Federation
O. N. Dreval’
ГБОУ ДПО РМАПО Минздрава РФ
Russian Federation
Russian Federation
V. A. Lazarev
ГБОУ ДПО РМАПО Минздрава РФ
Russian Federation
Russian Federation
R. L. Kambiev
ГКБ им. Ф.И. Иноземцева
Russian Federation
Russian Federation
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Review
For citations:
Dzhindzhikhadze R.S., Dreval’ O.N., Lazarev V.A., Kambiev R.L. Transciliary supraorbital keyhole-approach as the method of choice for surgery of unruptured cerebral aneurysms of anterior circulation: clinical case, surgical technique, indications and contraindications. Russian journal of neurosurgery. 2017;(1):32-35. (In Russ.)
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