Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning

Brazilian Neurosurgery

article

Nicolás González Romo¹  Franco Ravera Zunino¹ 

[1] Department of Neurosurgery, Hospital Regional Rancagua

关键词: virtual reality;    intracranial aneurysm;    microsurgery;    skull base;   

DOI  :  10.1055/s-0040-1719004

学科分类：社会科学、人文和艺术（综合）

来源: Thieme

【 摘 要 】

Virtual reality (VR) has increasingly been implemented in neurosurgical practice. A patient with an unruptured anterior communicating artery (AcoA) aneurysm was referred to our institution. Imaging data from computed tomography angiography (CTA) was used to create a patient specific 3D model of vascular and skull base anatomy, and then processed to a VR compatible environment. Minimally invasive approaches (mini-pterional, supraorbital and mini-orbitozygomatic) were simulated and assessed for adequate vascular exposure in VR. Using an eyebrow approach, a mini-orbitozygomatic approach was performed, with clip exclusion of the aneurysm from the circulation. The step-by-step process of VR planning is outlined, and the advantages and disadvantages for the neurosurgeon of this technology are reviewed.

【 授权许可】

CC BY|CC BY-NC-ND