Minimally invasive transorbital approach for anterior communicating artery aneurysms: How I do it.

Authors

Walter C. Jean, Lehigh Valley Health NetworkFollow
Franco Rubino MD, Lehigh Valley Health NetworkFollow
Peter Harris MD, Lehigh Valley Health NetworkFollow
Miguel Sáez-Alegre MD, PhD, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

5-9-2025

Abstract

BACKGROUND: The transorbital approach through the roof of the orbit can be utilized safely for the clip obliteration of ACOM aneurysms.

METHOD: We demonstrate the technique and describe the limited indications for its application. The operation proceeds by strictly following the anatomic dissection of the optic nerve, A1 segment of the ACA and then dissection and clipping of the aneurysm.

CONCLUSION: For the properly chosen patient and aneurysm, the transorbital approach has an excellent cosmetic outcome and can safely eliminate the aneurysm with great patient satisfaction.

Volume

167

Issue

1

First Page

136

Last Page

136

ISSN

0942-0940

Published In/Presented At

Jean, W. C., Rubino, F., Harris, P., & Sàez-Alegre, M. (2025). Minimally invasive transorbital approach for anterior communicating artery aneurysms: How I do it. Acta neurochirurgica, 167(1), 136. https://doi.org/10.1007/s00701-025-06556-x

Disciplines

Medicine and Health Sciences

PubMedID

40343575

Department(s)

Department of Surgery, Fellows and Residents

Document Type

Article