Subtemporal approach for posterior communicating artery aneurysms
2024

Subtemporal Approach for Treating Posterior Communicating Artery Aneurysms

Sample size: 10 publication Evidence: moderate

Author Information

Author(s): Lan Jing, Huang Xiao, Liu Yue, Zhang Ting-bao, Chen Jin-cao, Li Zheng-wei

Primary Institution: Xiangyang No. 1 People’s Hospital, Hubei University of Medicine; Zhongnan Hospital of Wuhan University

Hypothesis

Can the subtemporal approach improve outcomes for patients with posterior communicating artery aneurysms?

Conclusion

The subtemporal approach for microsurgical clipping of posterior communicating artery aneurysms can achieve good clinical outcomes with a high preservation rate of related branches.

Supporting Evidence

  • All aneurysms were completely clipped via the subtemporal approach.
  • Good outcomes were obtained in 9 patients (90%).
  • Postoperative complications included oculomotor nerve palsy in one patient and cerebral infarction in another.

Takeaway

Doctors used a special method to fix brain aneurysms that are hard to see, and it worked well for most patients.

Methodology

Retrospective analysis of clinical and angiographic data from 10 patients treated with microsurgical clipping via the subtemporal approach.

Potential Biases

No comparative group was available to evaluate the benefits of the subtemporal approach.

Limitations

The study had a small sample size and was retrospective, which may introduce bias.

Participant Demographics

2 men (20%) and 8 women (80%), mean age 68.7 years.

Digital Object Identifier (DOI)

10.3389/fneur.2024.1518117

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