Surgical Clip Ligation of Anterior Communicating Artery Aneurysm in a Resource-Limited Setting

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Surgical Clip Ligation of Anterior Communicating Artery Aneurysm in a Resource-Limited Setting


Journalcureus
Article typeJournal research article – Clinical research
Publication date – May – 2021
Authors – Christopher Markosian, Igor Kurilets Jr., Luke D. Tomycz
KeywordsACOM, ischemic, Resource-Limited Settings
Open access – Yes
SpecialityVascular surgery
World region Eastern Europe
Country: Ukraine
Language – English
Submitted to the One Surgery Index on May 20, 2021 at 7:59 am
Abstract:

Anterior communicating artery (ACOM) aneurysm clipping with intraoperative measures to ensure total occlusion and avoid ischemic complications is standard in countries such as the United States. However, alternatives need to be considered in resource-limited settings. The clipping of an unruptured, superiorly projecting ACOM aneurysm in a resource-limited setting is presented and special nuances that optimize safety are described. Careful surgical technique, meticulous identification of relevant anatomy, post-ligation inspection of the aneurysm and adjacent vessels, and possibly needle puncture of the aneurysm dome are critical to achieve favorable results.

OSI Number – 21095

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