Application of Micromirror in Microsurgical Clipping to the Intracranial Aneurysms

Objective: The aim of the study was to explore the values and disadvantages of micromirror in the intracranial aneurysm clipping surgery. Methods: Micromirror was used to assist microsurgical clipping to 36 intracranial aneurysms in 31 patients, of which 3 were carotid-ophthalmic artery aneurysms, 3 were anterior choroidal artery aneurysms, 11 were posterior communicating artery aneurysms, 7 were middle cerebral artery aneurysms, 10 were anterior communicating artery or anterior cerebral artery aneurysms, and the rest were a posterior cerebral artery aneurysm and a posterior inferior cerebellar artery aneurysm. The micromirror was used before and after clipping to observe the anatomic features of necks hidden behind and medial to aneurysms, to visualize surrounding neurovascular structures, and to verify the optimal clipping position. Intraoperative indocyanine green fluorescein angiography, postoperative computerized tomography angiography, and digital subtraction angiography confirmed the success of sufficient clipping. Results: Intraoperative indocyanine green angiography, postoperative computerized tomography angiography , or digital subtraction angiography were performed and showed no case of wrong or insufficient clipping of aneurysm. Conclusions: Micromirror-assisted microsurgical clipping to the intracranial aneurysm is safe, sufficient, convenient, and practical. Address correspondence and reprint requests to Weicheng Yao, MD. PhD, Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Jiangsu Road No. 16, Qingdao, Shandong, China; E-mail: ostuald78@163.com Received 19 September, 2017 Accepted 12 November, 2017 CZ and ZM equally contributed to this article. The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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