A1A2 Fenestration Tube Technique for Clipping a Ruptured Anterior Communicating Artery Aneurysm
Arq. bras. neurocir
; 38(2): 153-156, 15/06/2019.
Article
in En
| LILACS
| ID: biblio-1362604
Responsible library:
BR1.1
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.
Key words
Full text:
1
Index:
LILACS
Main subject:
Intracranial Aneurysm
/
Anterior Cerebral Artery
Limits:
Aged
/
Humans
Language:
En
Journal:
Arq. bras. neurocir
Journal subject:
Cirurgia
/
NEUROCIRURGIA
Year:
2019
Type:
Article