Title
Cranio-Orbito-Zygomatic Approach for a Previously Coiled/Recurrent Giant MCA Aneurysm in a Hybrid Angio/OR Suite
Document Type
Article
Publication Date
1-1-2015
Description
We present surgical clipping of a giant middle cerebral artery aneurysm. The patient is a 64-year-old woman who suffered subarachnoid hemorrhage in 2005. She was treated with coiling of the aneurysm at an outside institution. She presented to our clinic with headaches and was found on angiography to have giant recurrence of the aneurysm. To allow adequate exposure for clipping, we performed the surgery through a cranio-orbito-zygomatic (COZ) skull base approach, which is demonstrated. The surgery was performed in an operating room/angiography hybrid suite allowing for high quality intraoperative angiography. The technique and room flow are also demonstrated.
Citation Information
Arko, Leopold; Quach, Eric; Sukul, Vishad; Desai, Anuj; Gassie, Kelly; and Erkmen, Kadir. 2015. Cranio-Orbito-Zygomatic Approach for a Previously Coiled/Recurrent Giant MCA Aneurysm in a Hybrid Angio/OR Suite. Neurosurgical Focus. Vol.39 https://doi.org/10.3171/2015.7.FocusVid.14593 PMID: 26132625