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Review
. 2022 Oct;33(4):371-382.
doi: 10.1016/j.nec.2022.05.005. Epub 2022 Sep 11.

Minimally Invasive and Outpatient Aneurysm Surgery: New Concepts

Spyridon Karadimas  1 , Husain Shakil  1 , João Paulo Almeida  2 , Michael Tymianski  3 , Ivan Radovanovic  4
Affiliations
Review

Minimally Invasive and Outpatient Aneurysm Surgery: New Concepts

Spyridon Karadimas et al. Neurosurg Clin N Am. 2022 Oct.

Abstract

Anterior circulation aneurysms have classically been treated using the pterional (PT) craniotomy. Minimally invasive alternatives to the PT craniotomy have been successfully used to treat vascular pathologies of the anterior circulation. These approaches offer smaller incisions and reduced tissue dissection, resulting in shorter hospital stay, improved cosmetic results, and comparable outcomes for aneurysm treatment compared with classic open approaches. The supraorbital, lateral supraorbital (LSO), mini-PT, minimal interhemispheric, and endoscopic transpterional port approach (ETPA) are each best suited for different aneurysm targets. Outpatient aneurysm surgery has been possible with the use of minimally invasive approaches.

Keywords: Key-hole aneurysm surgery; Minimally invasive aneurysm surgery; Outpatient aneurysm surgery.

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