Comment on Kitano, M. and Taneda, M.: Extended transsphenoidal approach to the anterior communicating artery aneurysm: aneurysm incidentally identified during macroadenoma resection

Update item information
Publication Type Journal Article
School or College School of Medicine
Department Neurosurgery
Creator Couldwell, William T.
Title Comment on Kitano, M. and Taneda, M.: Extended transsphenoidal approach to the anterior communicating artery aneurysm: aneurysm incidentally identified during macroadenoma resection
Date 2007
Description Kitano and Taneda describe the successful clipping of an ACoA aneurysm via the transsphenoidal approach. There are limitations of the approach; most notable are the limited and narrow corridor and the relationship between the aneurysm and the optic chiasm, which may hinder full visualization of the A1 vessels for proximal control (especially in patients with short A1 segments). The aneurysm in this case was very small and unruptured. The limitation of the transsphenoidal approach is the lack of ability to perform extensive bimanual manipulation and dissection because of the narrow corridor. A larger lesion that was superiorly directed would be much more difficult to dissect and clip using this approach.
Type Text
Publisher Wolters Kluwer (LWW)
Volume 61
Subject Aneurysm; Transsphenoidal approach
Subject LCSH Nervous system -- Surgery; Aneurysms -- Surgery
Language eng
Bibliographic Citation Couldwell, W. T. (2007). Comment on Kitano, M. and Taneda, M.: Extended transsphenoidal approach to the anterior communicating artery aneurysm: aneurysm incidentally identified during macroadenoma resection. Neurosurgery, 61, ONSE300.
Rights Management © Wolters Kluwer (LWW) http://lww.com
Format Medium application/pdf
Format Extent 55,974 bytes
Identifier ir-main,12909
ARK ark:/87278/s6r78zvk
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-09-05
ID 706720
Reference URL https://collections.lib.utah.edu/ark:/87278/s6r78zvk
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