Anterior clinoidectomy in low lying internal carotid artery-posterior communicating artery aneurysm.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 38850347.
- Also identified by DOI 10.1007/s00701-024-06145-4.
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Abstract
At times, a regulation internal carotid artery-posterior communicating artery junction (ICA-P-Comm) aneurysm becomes a surgical hurdle owing to its close proximity to the anterior clinoid process, an immovable ICA and a concealed dominant P-Comm artery arising from the aneurysm neck. A 70 year old patient with a low lying ICA-P-Comm aneurysm underwent a "tailored" intradural clinoidectomy for aneurysm clipping. A tailored anterior clinoidectomy to expose "just enough" allows a proximal ICA control in a suitable area, mobility of an atherosclerotic ICA and exposes the P-Comm artery origin which are essential in safe clipping of these aneurysms.
Medical subject headings
- Carotid Artery, Internal
- Intracranial Aneurysm