Anterior communicating artery aneurysm clipping using standard small fronto-pterional approach, clipping with 3 Lazic clips

2015 ◽  
Vol 38 (videosuppl1) ◽  
pp. Video6 ◽  
Author(s):  
Michael Reinert ◽  
Luca Valci ◽  
Martina Dalolio ◽  
Vladimir Reyes ◽  
Justine D'Auria
Keyword(s):  
Surgical Treatment ◽  
Neurological Deficit ◽  
Artery Aneurysm ◽  
Gait Disturbance ◽  
Anterior Communicating Artery ◽  
Pterional Approach ◽  
Aneurysm Clipping ◽  
Anterior Communicating Artery Aneurysm ◽  
Icg Angiography ◽  
Temporary Clipping

An 80-year-old female presented 5 months previous for nonspecific gait disturbance, during which an MRI was performed. A large based anterior communicating artery aneurym was found independent of neurology. An interdisciplinary discussion favored surgical treatment, on which the patient insisted.Surgery was performed using standard anesthesia techniques with intraoperative burst supression during surgery, neuromonitoring with MEP and SEP, as well as ICG angiography, microdoppler and neuronavigation. Successful clipping was performed with 2 fenestrated straight and one bayoneted straight Lazic clip. Temporary clipping was 6.1 minutes. Postoperative angiography showed exclusion of the aneurysm, and there was no neurological deficit.The video can be found here: http://youtu.be/WKjOHG8irFo.

Neck-bridge device for combined endovascular and surgical treatment of a giant anterior communicating artery aneurysm

2005 ◽  
Vol 47 (4) ◽  
pp. 295-299
Author(s):  
Charbel Mounayer ◽  
Per Undrén ◽  
Michel Piotin ◽  
Hervé Boissonnet ◽  
Jacques Moret
Keyword(s):  
Surgical Treatment ◽  
Artery Aneurysm ◽  
Anterior Communicating Artery ◽  
Anterior Communicating Artery Aneurysm

scholarly journals Contralateral Vasospasm in an Uncomplicated Elective Anterior Communicating Artery Aneurysm Clipping

2020 ◽  
Vol 138 ◽  
pp. 214-217 ◽  
Author(s):  
James A. Knight ◽  
Mark G. Bigder ◽  
Mauricio Mandel ◽  
Yiping Li ◽  
Gary K. Steinberg
Keyword(s):  
Artery Aneurysm ◽  
Anterior Communicating Artery ◽  
Aneurysm Clipping ◽  
Anterior Communicating Artery Aneurysm

scholarly journals Successful management of diastolic heart failure in a patient with restrictive cardiomyopathy following an anterior communicating artery aneurysm clipping

2017 ◽  
Vol 04 (02) ◽  
pp. 120-123
Author(s):  
Rajasekar Arumugam ◽  
Georgene Singh ◽  
Krishnaprabhu Raju ◽  
Ramamani Mariappan
Keyword(s):  
Heart Failure ◽  
Diastolic Heart Failure ◽  
Artery Aneurysm ◽  
Restrictive Cardiomyopathy ◽  
Anterior Communicating Artery ◽  
Aneurysmal Subarachnoid Haemorrhage ◽  
Successful Management ◽  
Aneurysm Clipping ◽  
Anterior Communicating Artery Aneurysm ◽  
Neurosurgical Patients

AbstractPerioperative management of neurosurgical patients with an underlying myocardial dysfunction poses a unique challenge to the neuroanaesthesiologist and the neurointensivist. Sudden catecholamine surge during the aneurysmal subarachnoid haemorrhage (SAH) can cause severe cardiac dysfunction such as myocardial ischaemia and cardiomyopathy. SAH in a patient with restrictive cardiomyopathy could be hazardous to the myocardium leading to severe cardiac morbidity. We report the successful management of an acute post-operative diastolic heart failure with a milrinone infusion in a patient with restrictive cardiomyopathy, following anterior communicating artery aneurysm clipping. We have discussed the ‘dual beneficial’ role of milrinone on the heart and the brain in this clinical setting. In addition, the importance of peri-operative utilisation of transoesophageal echocardiography and transthoracic echocardiography for the successful management of diastolic heart failure is highlighted.

scholarly journals Behavioral Disorders in Association with Posterior Callosal and Frontal Cerebral Infarction

1993 ◽  
Vol 6 (1) ◽  
pp. 55-57
Author(s):  
J. P. Lejeune ◽  
D. Caparros-Lefebvre
Keyword(s):  
Surgical Treatment ◽  
Cerebral Infarction ◽  
Behavioral Disorders ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Clinical Feature ◽  
Anterior Communicating Artery ◽  
Anterior Communicating Artery Aneurysm ◽  
Alien Hand ◽  
Auditory Suppression

Behavioral disorders were a prominent clinical feature after the surgical treatment of an anterior communicating artery aneurysm rupture in a 44-year-old man. Callosal apraxia was associated with an alien hand. The latter remained 1 year after surgery while diagonistic apraxia disappeared after 3 months. Other callosal signs included left agraphia, tactile anomia and auditory suppression. MRI revealed posterior callosal infarction and a right frontal infarct. The association of diagonistic apraxia and alien hand is rarely reported.

Sign in / Sign up

Export Citation Format

Share Document