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Comment on Kitano, M. and Taneda, M.: Extended transsphenoidal approach to the anterior communicating artery aneurysm: aneurysm incidentally identified during macroadenoma resection
Comment on Kitano, M. and Taneda, M.: Extended transsphenoidal approach to the anterior communicating artery aneurysm: aneurysm incidentally identified during macroadenoma resection
citation_date
2007
Description
Kitano and Taneda describe the successful clipping of an ACoA aneurysm via the transsphenoidal approach. There are limitations of the approach; most notable are the limited and narrow corridor and the relationship between the aneurysm and the optic chiasm, which may hinder full visualization of the A1 vessels for proximal control (especially in patients with short A1 segments). The aneurysm in this case was very small and unruptured. The limitation of the transsphenoidal approach is the lack of ability to perform extensive bimanual manipulation and dissection because of the narrow corridor. A larger lesion that was superiorly directed would be much more difficult to dissect and clip using this approach.
Type
text;
citation_publisher
Wolters Kluwer (LWW)
citation_volume
61
citation_keywords
Aneurysm; Transsphenoidal approach
Subject (LCSH)
Nervous system -- Surgery; Aneurysms -- Surgery
citation_language
eng;
Bibliographic Citation
Couldwell, W. T. (2007). Comment on Kitano, M. and Taneda, M.: Extended transsphenoidal approach to the anterior communicating artery aneurysm: aneurysm incidentally identified during macroadenoma resection. Neurosurgery, 61, ONSE300.
