文章基本信息

标题：Subtemporal approach to basilar tip aneurysm with division of posterior communicating artery: Technical note
本地全文：下载
作者：Shunsuke Kakino ; Kuniaki Ogasawara ; Yoshitaka Kubo 等
期刊名称：Vascular Health and Risk Management
印刷版ISSN：1176-6344
电子版ISSN：1178-2048
出版年度：2008
卷号：4
期号：4
页码：931-935
DOI：10.2147/VHRM.S2436
出版社：Dove Medical Press Ltd
摘要：The subtemporal approach with division of the posterior communicating artery (PcomA) is described for treating aneurysms of the basilar tip. When the ipsilateral posterior cerebral artery (PCA) interferes with visibility and manipulation around the aneurysm neck and the artery is tethered by the PcomA and not mobilized, the PcomA can be divided near the junction with the PCA. The procedure permits PCA mobilization and exposes the neck of the aneurysm. We applied this procedure to a patient with a ruptured aneurysm of the basilar tip. The postoperative course was uneventful except for transient left oculomotor nerve palsy. Postoperative cerebral angiography and magnetic resonance imaging confirmed the respective disappearance of the aneurysm and no new ischemic lesions. The subtemporal approach allows safer and easier division of the PcomA near the junction to the PCA compared with the pterional approach, and the present procedure is more suitable for the subtemporal approach.
关键词：basilar tip aneurysm; subtemporal approach; posterior communicating artery