title: Anterior petrosectomy approach to infraclinoidal basilar artery aneurysms: the emerging role of the neuro-otologist in multidisciplinary management of basilar artery aneurysms.
abstract: Aneurysms of the basilar artery are uncommon. Historically, because of the central location of these basilar lesions, surgical access has been difficult. Moreover, while this disease and its surgical management inherently carry a high risk of patient morbidity, the presence of neighboring vital neural and vascular structures introduces additional intraoperative challenges. Since 1986 we have employed a transpetrous approach for access to selective aneurysms involving the basilar artery. Removal of the petrous apex has provided an expanded deep window through which infraclinoidal basilar artery aneurysms can be controlled. Reported herein are our results utilizing an anterior petrosectomy approach to the management of infraclinoidal artery aneurysms.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Ohio 45267, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Friedman
authors.forename: M L
authors.initials: ML
authors.lastname: Pensak
authors.forename: M
authors.initials: M
authors.lastname: Tauber
authors.forename: J M
authors.initials: JM
authors.lastname: Tew
authors.forename: H R
authors.initials: HR
authors.lastname: van Loveren
mesh_terms: D000328:Adult; D000368:Aged; D001488:Basilar Artery / Q000601:surgery*; D002531:Cerebellum / Q000601:surgery; D003399:Craniotomy / Q000379:methods; D004388:Dura Mater / Q000601:surgery; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery; D010036:Otolaryngology; D010348:Patient Care Team; D010579:Petrous Bone / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D013345:Subarachnoid Hemorrhage / Q000601:surgery; D016683:Supine Position; D016896:Treatment Outcome