Para acceder a los documentos con el texto completo, por favor, siga el siguiente enlace: http://hdl.handle.net/10256/9563

Extended Endoscopic Endonasal Approaches for Cerebral Aneurysms: Anatomical, Virtual Reality and Morphometric Study
Di Somma, Alberto; De Notaris, Matteo; Stagno, Vita; Serra, Luis; Enseñat, Joaquim; Alobid, Isam; San Molina, Juan Lorenzo; Berenguer, Joan; Cappabianca, Paolo; Prats Galino, Alberto
Introduction. The purpose of the present contribution is to perform a detailed anatomic and virtual reality three-dimensional stereoscopic study in order to test the effectiveness of the extended endoscopic endonasal approaches for selected anterior and posterior circulation aneurysms. Methods. The study was divided in two main steps: (1) simulation step, using a dedicated Virtual Reality System (Dextroscope, Volume Interactions); (2) dissection step, in which the feasibility to reach specific vascular territory via the nose was verified in the anatomical laboratory. Results. Good visualization and proximal and distal vascular control of the main midline anterior and posterior circulation territory were achieved during the simulation step as well as in the dissection step (anterior communicating complex, internal carotid, ophthalmic, superior hypophyseal, posterior cerebral and posterior communicating, basilar, superior cerebellar, anterior inferior cerebellar, vertebral, and posterior inferior cerebellar arteries). Conclusion. The present contribution is intended as strictly anatomic study in which we highlighted some specific anterior and posterior circulation aneurysms that can be reached via the nose. For clinical applications of these approaches, some relevant complications, mainly related to the endonasal route, such as proximal and distal vascular control, major arterial bleeding, postoperative cerebrospinal fluid leak, and olfactory disturbances must be considered
Endoscòpia endonasal
Aneurismes
Endoscopic Endonasal
Intracranial aneurysms
Endoscopia
Aneurismes cerebrals
Reconeixement 3.0 Espanya
http://creativecommons.org/licenses/by/3.0/es/deed.ca
Artículo
info:eu-repo/semantics/publishedVersion
Hindawi Publishing Corporation
         

Mostrar el registro completo del ítem

Documentos relacionados

Otros documentos del mismo autor/a

Di Somma, Alberto; Notaris, Mateo de; Stagno, Vita; Serra, Luis; Enseñat Nora, Joaquim; Alobid, Isam; San Molina, Joan; Berenguer, Joan; Cappabianca, Paolo; Prats Galino, Alberto
Puigdellívol Sánchez, Anna; Reina, Miguel Angel; San Molina, Juan Lorenzo; Escobar, José Manuel; Castedo, Julio; Prats Galino, Alberto
Comellas Sanfeliu, Ester; Oller Martínez, Sergio Horacio; Poblete, José; Berenguer, Joan; Prats-Galino, Alberto
Viñas Jornet, Marina; Esteba Castillo, Susanna; Gabau, Elisabeth; Ribas Vidal, Núria; Baena, Neus; San Molina, Juan Lorenzo; Ruiz, Anna; Coll, Maria Dolors; Novell, Ramon; Guitart, Miriam
González Carrasco, Mònica; Francés Ortega, Jesús; Castro Vila, Rodolfo de; Castañer i Vivas, Margarida; San Molina, Juan Lorenzo; Martí Bonmatí, Joan