Minimally invasive microsurgery for anterior communicating artery aneurism: lateral supra-orbitary approach plus intra-operatory fluorescein angiography

• Autores: Salazar Campos, Cristian, Gaitán Cabellos, Miguel
• Formato: artículo
• Fecha de Publicación: 2022
• Institución: Universidad Peruana Cayetano Heredia
• Repositorio: Revistas - Universidad Peruana Cayetano Heredia
• Lenguaje: español
• OAI Identifier: oai:revistas.upch.edu.pe:article/4169
• Enlace del recurso: https://revistas.upch.edu.pe/index.php/RMH/article/view/4169
• Nivel de acceso: acceso abierto
• Materia: aneurisma; microcirugía; fluoresceína.; Aneurysm; microsurgery; fluorescein

Anterior communicating artery aneurisms (ACAA) are complex and require endovascular or microsurgery approaches. The use of minimally invasive microsurgery techniques is evolving. We present the case of a 34-year- old patient with a broad neck, non-broken, ACAA with a Glasgow coma scale of 15 points. A lateral supra-orbitary approach with total clipping of the ACAA using intra-operatory fluorescein angiography was performed. The objective was accomplished successfully and safe, optimizing both intra-operative and hospitalization times, thus, maximizing patient comfort, esthetic and prompt return to normal duties.