Combined interhemispheric and pterional approach for ACOM and left MCA aneurysms

Satoshi Kiyofuji  M.D.; Tomohiro Inoue  M.D.; Akira Tamura  M.D. Ph.D.; Isamu Saito  M.D. Ph.D.

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Combined interhemispheric and pterional approach for ACOM and left MCA aneurysms

机译：ACOM和左MCA动脉瘤的半球和翼状联合入路

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This video demonstrates combined two separate craniotomies for two difficult unruptured cerebral aneurysms. The anterior communicating artery (ACOM) aneurysm existed at a high position, projected posteriorly, and thus necessitated an interhemispheric approach. Left middle cerebral artery (MCA) aneurysm with complex figure was treated through a separate pterional approach. Meticulous micro-cisternal opening under high magnification enabled safe and effective exposure of both aneurysms with minimal brain retraction, which alleviated brain damage as shown in postoperative images.

机译：该视频演示了针对两个困难的未破裂脑动脉瘤的两个单独的开颅手术。前交通动脉（ACOM）动脉瘤位于较高的位置，向后突出，因此需要半球间入路。左脑中动脉（MCA）动脉瘤具有复杂的身材，通过单独的翼状入路治疗。高倍放大下细致的微脑池开口可安全有效地暴露两个动脉瘤，而脑部回缩最小，如术后影像所示，减轻了脑损伤。

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《Neurosurgical focus》 |2015年第videosuppl1期|共页
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Satoshi Kiyofuji M.D.; Tomohiro Inoue M.D.; Akira Tamura M.D. Ph.D.; Isamu Saito M.D. Ph.D.;
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1. A Modified Mini-Pterional (Subfrontal-Suprapterional) Approach to MCA Bifurcation Aneurysms with Minimal Dissection of the Temporal Muscle [J] . Petridis Athanasios K., Jung Suzin, Cheko Azad, Turkish neurosurgery . 2017,第5期

机译：一种改进的迷你活性（亚丙二普通）方法对MCA分叉动脉瘤的方法，具有最小的颞肌的解剖
2. Pterional or Subfrontal Access for Proximal Vascular Control in Anterior Interhemispheric Approach for Ruptured Pericallosal Artery Aneurysms at Risk of Premature Rupture [J] . Jaechan Park M.D. Ph.D. Journal of Korean Neurosurgical Society . 2017,第2期

机译：在前半球间入路为破裂性圆锥周动脉瘤破裂的近半球入路近端血管控制的Pterial或额叶通路。
3. Combined Pterional Transsylvian and Bifrontal Interhemispheric Approach to Ruptured Subcallosal and Pericallosal Brain Arteriovenous Malformation with Skeletonization of the Entire A2 ACA Segment [J] . World neurosurgery . 2020,第期

机译：组合椎间囊和双链间互际近亲与整个A2 ACA段骨骼化破裂的伯晶和术脑动脉畸形
4. Combined interventional and surgical treatment of abdominal aortic aneurysms using nickel-titanium tubular grafts-an alternative approach [C] . B. Hopkinson, J. Macierewicz, G. Beaton Conference on medical applications for shape-memory alloys . 1999

机译：使用镍钛管状移植物的腹主动脉瘤的组合介入和外科治疗 - 一种替代方法
5. 'Best practices' approach in computational fluid dynamic modeling of cerebral aneurysms using ANSYS CFX [D] . Nordahl, Emily Rose 2015

机译：使用ANSYS CFX在脑动脉瘤计算流体动力学建模中的“最佳实践”方法
6. Pterional or Subfrontal Access for Proximal Vascular Control in Anterior Interhemispheric Approach for Ruptured Pericallosal Artery Aneurysms at Risk of Premature Rupture [O] . Jaechan Park 2017

机译：在前半球间入路为破裂性圆锥周动脉瘤破裂的近半球入路近端血管控制的前庭或额下通路。
7. Interhemispheric Approach for ACom Aneurysm [O] . Kosumo Noda, Rokuya Tanikawa, Hiroyasu Kamiyama, 2012

机译：ACOM动脉瘤的互脱球接种

Combined interhemispheric and pterional approach for ACOM and left MCA aneurysms

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