Hendricks Benjamin K, Spetzler Robert F
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Oper Neurosurg (Hagerstown). 2020 Jul 1;19(1):E47-E48. doi: 10.1093/ons/opaa052.
Large fusiform anterior cerebral artery aneurysms often require revascularization to allow for the treatment of the aneurysm and preservation of distal perfusion. The A3-A3 side-to-side anastomosis maintains ipsilateral distal perfusion. The inflow to the fusiform segment can then be clip occluded to treat the diseased vessel segment. This procedure is illustrated by the case in this video. The patient had a large right anterior cerebral artery fusiform aneurysm. An anterior interhemispheric craniotomy with the right side down was utilized for the approach. Postprocedural angiography demonstrated occlusion of the aneurysmal segment and patent distal perfusion within the ipsilateral distal segment. The patient gave informed consent for surgery and video recording. Institutional review board approval was deemed unnecessary. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.
大型梭形大脑前动脉瘤通常需要进行血管重建，以便治疗动脉瘤并保留远端灌注。A3-A3端端吻合术可维持同侧远端灌注。然后可以用夹子夹闭梭形节段的血流，以治疗病变血管节段。本视频中的病例说明了这一手术过程。该患者患有一个大型右侧大脑前动脉梭形动脉瘤。手术入路采用右侧向下的经纵裂前部开颅术。术后血管造影显示动脉瘤节段闭塞，同侧远端节段内远端灌注通畅。患者已签署手术及录像知情同意书。机构审查委员会认为无需批准。经亚利桑那州凤凰城巴罗神经学研究所许可使用。
