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Updated: May 13, 2025
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Minimally invasive transorbital approach for anterior communicating artery aneurysms: How I do it
Walter C Jean1, Franco Rubino2, Peter Harris3
1Lehigh Valley Fleming Neuroscience Institute, Allentown, PA, USA. walterjean@usf.edu.
Background:
The transorbital approach through the roof of the orbit can be utilized safely for the clip obliteration of ACOM aneurysms.
Method:
We demonstrate the technique and describe the limited indications for its application. The operation proceeds by strictly following the anatomic dissection of the optic nerve, A1 segment of the ACA and then dissection and clipping of the aneurysm.
Conclusion:
For the properly chosen patient and aneurysm, the transorbital approach has an excellent cosmetic outcome and can safely eliminate the aneurysm with great patient satisfaction.
