How I do it: surgical clipping of vertebrobasilar junction aneurysms through a far-lateral transcondylar approach.

How I do it: surgical clipping of vertebrobasilar junction aneurysms through a far-lateral transcondylar approach.

Acta Neurochir (Wien). 2018 Mar 14;:

Authors: Nakov V, Spiriev T, Stavrev E

Abstract
BACKGROUND: Vertebrobasilar junction aneurysms occur rarely, but have a higher rupture rate than supratentoral aneurysms, and higher morbidity and mortality. Their location ventral to the neuroaxis makes them a challenging surgical lesion.
METHODS: In this paper, we share our experience with the surgical technique for the management of these complex aneurysms.
CONCLUSION: An in-depth understanding of the anatomy of these aneurysms, careful preoperative planning, and a meticulous surgical technique, including knowledge of every detail of the procedure-positioning, an advanced skull base technique, and careful aneurysm dissection and clipping-is essential for a successful outcome of the surgery.

PMID: 29541887 [PubMed - as supplied by publisher]

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