title: Anterior communicating artery aneurysm clipping using standard small fronto-pterional approach, clipping with 3 Lazic clips.
abstract: 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 .
authors.affiliation: Neurosurgery, Ospedale Civico di Lugano; and.
authors.forename: Michael
authors.initials: M
authors.lastname: Reinert
authors.forename: Luca
authors.initials: L
authors.lastname: Valci
authors.forename: Martina
authors.initials: M
authors.lastname: Dalolio
authors.forename: Vladimir
authors.initials: V
authors.lastname: Reyes
authors.forename: Justine
authors.initials: J
authors.lastname: D'Auria
mesh_terms: D000369:Aged, 80 and over; D002536:Cerebral Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D002532:Intracranial Aneurysm / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures / Q000379:methods*; D013525:Surgical Instruments; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: ACOM; aneurysm; clipping; video