Acta Neurochirurgica

, Volume 155, Issue 11, pp 2115–2119

Microsurgical management of distal anterior cerebral artery aneurysms: from basic to complex, a video review of four cases

How I Do it - Neurosurgical Techniques

DOI: 10.1007/s00701-013-1855-1

Cite this article as:
Navarro, R., Chao, K. & Steinberg, G.K. Acta Neurochir (2013) 155: 2115. doi:10.1007/s00701-013-1855-1

Abstract

Background

Distal anterior cerebral artery (DACA) aneurysms represent 2–9 % of intracranial aneurysms. They are often more amenable to surgical rather than endovascular treatment due to the size of parent vessels.

Method

We illustrate surgical approaches for DACA aneurysms arising from different segments of the anterior cerebral artery. Cases range from simple unruptured aneurysms to complex ruptured aneurysms requiring reconstruction and intracranial bypass.

Conclusion

The interhemispheric approach typically provides an adequate surgical corridor for surgical clipping of DACA aneurysms. Patient positioning, image guidance, and preoperative angiography help maximize safety and efficacy of surgery.

Keywords

Distal anterior cerebral artery Intracranial aneurysms Microsurgical clipping Pericallosal 

Abbreviations

AVMs

Arteriovenous malformations

DACA

Distal anterior cerebral artery

ICG

Indocyanine green

Supplementary material

View video
ESM 1

(MP4 102188 kb)

Copyright information

© Springer-Verlag Wien 2013

Authors and Affiliations

  1. 1.Department of NeurosurgeryStanford University School of MedicineStanfordUSA