A1A2 Fenestration Tube Technique for Clipping a Ruptured Anterior Communicating Artery Aneurysm
Arq. bras. neurocir
;
38(2): 153-156, 15/06/2019.
Artigo
em Inglês
| LILACS
| ID: biblio-1362604
ABSTRACT
A fenestration tube is a clipping reconstruction technique that allows the preservation of critical vessels in aneurysm surgery. A patient with a ruptured anterior communicating artery (ACoA) aneurysm with a posterior projection was admitted to our neurosurgery unit. A right dominant A1 with rotation of the A2 fork was observed on preoperative computed tomography angiography (CTA). During surgery, we observed that the recurrent artery of Heubner branched off the A2 just distal to the neck of the aneurysm. Successful clipping was achieved by building an "A1A2 fenestration tube," with preservation of the recurrent artery and of the ACoA perforators. Surgical nuances and the advantages of fenestration tubes are discussed.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Aneurisma Intracraniano
/
Artéria Cerebral Anterior
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Arq. bras. neurocir
Assunto da revista:
Cirurgia
/
Neurocirurgia
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Department of Neurosurgery, Hospital Regional Rancagua/CL
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