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

Campos C.S.; Cabellos M.G. · Revista Medica Herediana (2022) · DOI: 10.20453/rmh.v33i1.4169

Resumen

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.