Endoscopic Techniques in Vascular Neurosurgery

Abstract

This section reviews the selection criteria and best practices for endoscopic cerebrovascular surgery, focusing on purely endoscopic endonasal approaches. Although these approaches still play a limited role in open vascular neurosurgery, they offer a robust and potentially safer technique for establishing visualization and vascular control of particular, well-selected pathologies, such as aneurysms of the proximal circulation; this requires strong, multidisciplinary experience with endoscopic anatomy and surgical technique, advanced reconstruction techniques, and instruments designed to be maneuvered within this relatively novel corridor and application.

Keywords: Aneurysm clipping; Endoscopic endonasal approach; Multidisciplinary; Nasoseptal flap; Paraclinoid; Reconstruction; Skull base.