Surgical Clip Ligation of Anterior Communicating Artery Aneurysm in a Resource-Limited Setting
Open Access
- 9 May 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Cureus
- Vol. 13 (5)
- https://doi.org/10.7759/cureus.14927
Abstract
Anterior communicating artery (ACOM) aneurysm clipping with intraoperative measures to ensure total occlusion and avoid ischemic complications is standard in countries such as the United States. However, alternatives need to be considered in resource-limited settings. The clipping of an unruptured, superiorly projecting ACOM aneurysm in a resource-limited setting is presented and special nuances that optimize safety are described. Careful surgical technique, meticulous identification of relevant anatomy, post-ligation inspection of the aneurysm and adjacent vessels, and possibly needle puncture of the aneurysm dome are critical to achieve favorable results.This publication has 5 references indexed in Scilit:
- Usefulness of Intraoperative Neurophysiological Monitoring During the Clipping of Unruptured Intracranial Aneurysm: Diagnostic Efficacy and Detailed ProtocolFrontiers in Surgery, 2021
- The Co-Pilot Project: An International Neurosurgical Collaboration in UkraineWorld Neurosurgery, 2020
- The quiet revolution: retractorless surgery for complex vascular and skull base lesionsJournal of Neurosurgery, 2012
- Cost-effectiveness of clipping vs coiling of intracranial aneurysms after subarachnoid hemorrhage in a developing country—a prospective studySurgical Neurology, 2009
- Fenestrated aneurysm clips in the surgical management of anterior communicating artery aneurysms: operative techniques and strategyNeurosurgical Focus, 2009