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  • Title: [Trans-longitudinal fissure keyhole approach for distal anterior cerebral artery aneurysms].
    Author: Wang S, Zhao JZ, Wang R, Qi W.
    Journal: Zhongguo Yi Xue Ke Xue Yuan Xue Bao; 2004 Aug; 26(4):396-8. PubMed ID: 15379263.
    Abstract:
    OBJECTIVE: To explore the significance of the trans-longitudinal fissure keyhole approach for distal anterior cerebral artery aneurysms. METHODS: From March 2000 to October 2002, the trans-longitudinal fissure keyhole approach was adopted for 11 cases of distal anterior cerebral artery aneurysms, which including 9 cases of A2 segment and 2 cases of A3 segment. RESULTS: All cases were clipped successfully without any obvious neurological deficit and surgical death. Post-operative digital subtraction argiography demonstrated that all aneurysms disappeared. There was no need for foreign blood transformation. The mean hospitalization was 11 days. CONCLUSIONS: The keyhole approach is an effective and minimal-invasive approach in treating distal anterior cerebral artery aneurysms. It can also shorten hospitalization, decrease foreign blood transformation rate and reduce medical cost.
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