机构：[1]Department of Neurosurgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China临床科室神经外科首都医科大学附属安贞医院[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China重点科室诊疗科室神经外科首都医科大学附属天坛医院
Background and Study Aims To explore the usefulness of a unilateral approach for clipping multiple aneurysms including a contralateral paraclinoid aneurysm. Materials and Methods Between January 2011 and May 2016, the unilateral approach was used to clip a contralateral paraclinoid aneurysm plus additional ipsilateral aneurysms. The records of these patients were analyzed retrospectively. Results A total of 27 bilateral aneurysms in 12 patients were clipped successfully via a unilateral pterional craniotomy. All patients showed a good recovery (Glasgow Outcome Scale score: 5). Postoperative digital subtraction angiography or computed tomography angiography did not show any residual aneurysm. Of the three patients with preoperative visual symptoms, two showed improvement. No visual function impairment was observed among the others. Conclusion The contralateral approach remains a safe and reliable treatment option for selected paraclinoid aneurysms and allows to clip additional ipsilateral aneurysm(s). Feasibility depends on the type of paraclinoid aneurysm and other specific related features. It is an alternative approach for experienced neurosurgeons.
第一作者机构：[1]Department of Neurosurgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
通讯作者：
通讯机构：[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China[*1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
推荐引用方式(GB/T 7714)：
Wang Jiantao,Wu Jun,Cao Yong,et al.Contralateral Approach to Paraclinoid Aneurysms: Angiographic Analysis and Surgical Results of 12 Patients[J].JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY.2019,80(3):180-186.doi:10.1055/s-0038-1666791.
APA：
Wang, Jiantao,Wu, Jun,Cao, Yong,Kan, Zhisheng&Wang, Shuo.(2019).Contralateral Approach to Paraclinoid Aneurysms: Angiographic Analysis and Surgical Results of 12 Patients.JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY,80,(3)
MLA：
Wang, Jiantao,et al."Contralateral Approach to Paraclinoid Aneurysms: Angiographic Analysis and Surgical Results of 12 Patients".JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY 80..3(2019):180-186
