Contralateral approach for clipping of bilateral anterior circulation aneurysms

Justin M. Caplan, Eric Sankey, David Gullotti, Joanna Wang, Erick Westbroek, Brian Hwang, Judy Huang

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with bilateral anterior circulation aneurysms present a management challenge. These lesions may be treated in a staged manner or alternatively, for select patients, a contralateral approach may be utilized to treat bilateral aneurysms with a single surgery. In this narrated video illustration, we present the case of a 57-year-old woman with incidentally discovered bilateral aneurysms (left middle cerebral artery [MCA], left anterior choroidal artery and right MCA). A contralateral approach through a left pterional craniotomy was performed for microsurgical clipping of all three aneurysms. The techniques of pterional craniotomy, contralateral approach, microsurgical clipping and intraoperative angiography are reviewed.

Original languageEnglish (US)
Article numberV9
JournalNeurosurgical focus
Volume39
DOIs
StatePublished - 2015

Keywords

  • Aneurysm
  • Anterior choroidal artery
  • Contralateral approach
  • Lamina terminalis
  • Microsurgical clipping
  • Middle cerebral artery
  • Video

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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