经眶微创入路治疗前交通动脉瘤：我的手术方法。
Minimally invasive transorbital approach for anterior communicating artery aneurysms: How I do it.
作者信息
Jean Walter C, Rubino Franco, Harris Peter, Sàez-Alegre Miguel
机构信息
Lehigh Valley Fleming Neuroscience Institute, Allentown, PA, USA.
George Washington University, Washington, DC, USA.
出版信息
Acta Neurochir (Wien). 2025 May 9;167(1):136. doi: 10.1007/s00701-025-06556-x.
BACKGROUND
The transorbital approach through the roof of the orbit can be utilized safely for the clip obliteration of ACOM aneurysms.
METHOD
We demonstrate the technique and describe the limited indications for its application. The operation proceeds by strictly following the anatomic dissection of the optic nerve, A1 segment of the ACA and then dissection and clipping of the aneurysm.
CONCLUSION
For the properly chosen patient and aneurysm, the transorbital approach has an excellent cosmetic outcome and can safely eliminate the aneurysm with great patient satisfaction.
背景
经眶顶的经眶入路可安全用于前交通动脉瘤的夹闭术。
方法
我们展示了该技术并描述了其应用的有限适应证。手术通过严格遵循视神经、大脑前动脉A1段的解剖分离，然后进行动脉瘤的分离和夹闭来进行。
结论
对于选择合适的患者和动脉瘤，经眶入路具有极佳的美容效果，能安全消除动脉瘤，患者满意度高。
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