Step-wise pterional combined epidural and subdural approach to clip large carotid-ophthalmic segment aneurysms
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作者:
Hu, Peng
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Capital Med Univ, XuanWu Hosp, 45 Changchun St, Beijing 100054, Peoples R ChinaCapital Med Univ, XuanWu Hosp, 45 Changchun St, Beijing 100054, Peoples R China
Hu, Peng
[1
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Zhang, Hong-Qi
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机构:
Capital Med Univ, XuanWu Hosp, 45 Changchun St, Beijing 100054, Peoples R ChinaCapital Med Univ, XuanWu Hosp, 45 Changchun St, Beijing 100054, Peoples R China
Zhang, Hong-Qi
[1
]
Li, Xing-Juan
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Capital Med Univ, XuanWu Hosp, 45 Changchun St, Beijing 100054, Peoples R ChinaCapital Med Univ, XuanWu Hosp, 45 Changchun St, Beijing 100054, Peoples R China
Li, Xing-Juan
[1
]
机构:
[1] Capital Med Univ, XuanWu Hosp, 45 Changchun St, Beijing 100054, Peoples R China
BackgroundMicrosurgical clipping of large ophthalmic-carotid artery (OA) aneurysms is technically challenging. Among the reported approaches, pterional combined epidural and subdural approach is one of the efficient choices.MethodWe have applied this approach to treat a 33-year old female patient with a left large OA aneurysm. The step-wise technical details of this approach are reported.ConclusionWe show that it is a safe way to clip large OA aneurysms through a step-wise pterional combined epidural and subdural approach, which could make a clear anatomy and a confident manipulation.