Endoscopic endonasal clipping of a medial paraclinoid aneurysm with roadmapping assistance: Two-dimensional operative video

Marcos V Sangrador-Deitos; German Lopez-Valencia; Gerardo Y Guinto-Nishimura; Aldo G Eguiluz-Melendez; Samuel Romano-Feinholz; Juan L Gomez-Amador

doi:10.25259/SNI_1061_2022

Endoscopic endonasal clipping of a medial paraclinoid aneurysm with roadmapping assistance: Two-dimensional operative video

Surg Neurol Int. 2023 Jan 27:14:31. doi: 10.25259/SNI_1061_2022. eCollection 2023.

Authors

Marcos V Sangrador-Deitos¹, German Lopez-Valencia¹, Gerardo Y Guinto-Nishimura¹, Aldo G Eguiluz-Melendez², Samuel Romano-Feinholz¹, Juan L Gomez-Amador¹

Affiliations

¹ Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
² Department of Neurosurgery, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Mexico City, Mexico.

Abstract

Background: Advancements in endoscopic endonasal approaches (EEAs) allow the treatment of a wide variety of diseases including vascular pathology.

Case description: A 56-year-old woman presented with thunderclap headache due to two aneurysms: Communicating segment of left internal carotid artery (ICA) and medial paraclinoid (Baramii IIIB). The ICA aneurysm was clipped through a conventional transcranial approach; the paraclinoid aneurysm was successfully clipped using an EEA guided with roadmapping assistance.

Conclusion: EEA is useful to treat aneurysms in selected cases and the use of adjuvant angiographical techniques such as roadmapping or proximal balloon control allow excellent control during the procedure.

Keywords: Aneurysm; Clipping; Endoscopic; Medial paraclinoid.

Publication types

Case Reports