Summary
The authors present a review of the literature of the direct surgical intracranial attack on aneurysms of the anterior communicating artery. On the basis of 25 personally operated cases, the bifrontal approach with routine use of intracranial temporary clips, recently described byPool, is described. Technical aspects and the surgical indications of this method are discussed and the results compared with those obtained with other surgical techniques previously used.
Zusammenfassung
Die Autoren geben eine Literaturübersicht über die direkte chirurgische intracranielle Versorgung der Aneurysmen der A. communicans anterior. An Hand von 25 eigenen Fällen werden der doppelseitig frontale Zugang und die routinemäßige Anwendung vorübergehender örtlicher Zirkulationsunterbrechung durch Klips dargestellt, wie sie kürzlich vonPool beschrieben worden sind. Indikation und Technik dieses Vorgehens werden diskutiert, und die Ergebnisse werden mit denjenigen verglichen, die mit der früher üblichen Technik erreicht worden sind.
Résumé
Les auteurs présentent une revue de la littérature sur l'aggression directe intracrânienne des anévrismes de l'artère communicante antérieure. Ils présentent ensuite, avec l'expérience de 25 cas opérés personnellement, la voie d'aggression bifrontale avec l'emploi de routine de clips temporaires intracrâniennes. Ils discutent aussi les aspects techniques et les indications chirurgicales de cette méthode, en les comparant avec les résultats obténus avec les autres techniques chirurgicales emploiées auparavant.
Riassunto
Gli autori presentano una revisione della letteratura sull'aggressione diretta intracranica agli aneurismi dell'arteria comunicante anteriore. Essi discutono poi sulla base di 25 casi personalmente operati, la via d'approccio bifrontale con l'impiego di routine delle clips temporanee intracraniche. Vengono discussi inoltre gli aspetti tecnici e le indicazioni chirurgiche del nuovo metodo ed i relativi risultati sono paragonati con quelli ottenuti con gli altri metodi chirurgici in precedenza adottati.
Resumen
Los autores revisan la literatura acerca de las vías de agresión quirurgica intracraneal de los aneurismas de la arteria comunicante anterior. Basándose en 25 casos personales operados, subrayan las ventajas del método recientemente descrito porPool quien preconiza el empleo sistemático del colgajo bifrontal y de las clips intracraneales temporáneas. Los autores discuten los aspectos técnicos y las indicaciones quirúrgicas del método, comparando los resultados logrados gracias al mismo con los de las técnicas usadas anteriormente.
Similar content being viewed by others
References
Alexander, E., C. Davis andN. C. Kester, Intracranial Aneurysms. Methods of treatment; value of hypothermia in the surgical approach. Arch. Neurol. Psychiatr., Chicago,81 (1959), 684–692.
Allègre, G., andR. Vigouroux, Traitment chirurgical des anéurysms intracraniens du système carotidien. p. 96, Masson & Cie., Paris, 1957.
Baumann, C. H. H., andP. C. Bucy, Aneurysms of the anterior cerebral artery. Evaluation of surgical and conservative treatments. J. Amer. Med. Ass.163 (1957), 1448–1954.
Botterell, E. H., W. M. Lougheed, T. P. Morley andS. L. Vandewater, Hypothermia in the surgical treatment of ruptured intracranial aneurysms. J. Neurosurg., Springfield,15 (1958), 4–18.
Gillingham, F. J., The management of ruptured intracranial aneurysms. Ann. Roy. Coll. Surg. Engl.23 (1958), 89–117.
Graf, C. J., Results of direct attack on non-fistulous intracranial aneurysms with remarks on statistics. J. Neurosurg., Springfield,12 (1955), 146–153.
Guidetti, B., Il trattamento chirurgico degli aneurismi della comunicante anteriore. Minerva Neurochir.2 (1958), 4–14.
Frugoni, P., andG. Morello, Considérations sur le traitement des anéurysms de l'artère communicante antérieure. Neurochir.6 (1960), 25–29.
Hamby, W. B., The treatment of ruptured intracranial aneurysms. Surg. Clin. N. America34 (1954), 1063–1075.
Hamilton, J. G., andM. A. Falconer, Immediate and late results of surgery in cases of saccular intracranial aneurysms. J. Neurosurg., Springfield,16 (1959), 514–541.
Harris, P., Aneurysms of the anterior communicating artery. Cincinnati J. Med.42 (1961), 1–8.
Hoffman, G. R., F. Derom, G. Meirsman, L. Herpol andJ. Verstraeten, Traitement chirurgical de l'anéurysme de latère communicante anterieure. Acta chir. Belg.59 (1960), 610.
Hunt, W. E., J. N. Meagher andJ. E. Barnes, The management of intracranial aneurysms. J. Neurosurg., Springfield,19 (1962), 34–40.
Krayenbühl, H., L'anéurysme de l'artère communicante antérieure, p. 42, p. 110, Masson & Cie., Paris, 1959.
Laine, E., In:Krayenbühl, H., 1959, loc. cit.
Lang, E. F., andJ. L. Poppen, Aneurysms of the anterior communicating artery: results of surgical treatment. Surg. Clin. N. America42 (1962), 793–805.
Le Beau, J., Anéurysmes de l'artère communicante antérieure. Ruptures et indications neurochirurgicales. Neurochir.5 (1962), 38–57.
Lepoire, J., andB. Coxam, Les anéurysmes de la communicante antérieure. Neurochir.5 (1959), 162–182.
Logue, V., In:Krayenbühl, H., 1959, loc. cit., p. 121.
Maspes, P. E., andG. Marini, Intracranial arterial spasm related to supraclinoid ruptured aneurysms. Acta neurochir., Wien,10 (1962), 630–638.
McKissock, W., K. W. E. Paine andL. S. Walsh, An analysis of the results of treatment of ruptured intracranial aneurysms. Report of 772 consecutive cases. J. Neurosurg., Springfield,17 (1960), 762–776.
Norlen, G., andA. S. Barnum, Surgical treatment of aneurysms of the anterior communicating artery. J. Neurosurg., Springfield,10 (1953), 634–650.
Pardal, E., andM. L. Morete du Pardal, Les anéurysmes du complex artériel cérébral-communicante anterieure. Neurochir.6 (1960), 78–88.
Petit-Dutaillis, D., andR. Billet, L'anéurysme de l'artère communicante antérieure. Neurochir.3 (1957), 300–311.
Pool, J. L., Aneurysms of the anterior communicating artery. Bifrontal craniotomy and use of bilateral temporary clips. J. Neurosurg., Springfield,18 (1961), 98–112.
Pool, J. L., Timing and techniques in the intracranial surgery of ruptured aneurysms of the anterior communicating artery. J. Neurosurg., Springfield,19 (1962), 378–388.
Rosomoff, H. L., Pathophysiology of the central nervous system during hypothermia. Acta neurochir., Wien (in press).
Snellman, A., T. Marela andS. Nystrom, Considérations sur les anéurysmes de la région située entre les artères cérébrales antérieures. Neurochir.5 (1959), 143–161.
Tönnis, W., Probleme und Ergebnisse der Behandlung intrakranieller Aneurysmen. Klin. Chir.287 (1957), 634–641.
Uilhein, A., andR. A. Hughes, The surgical treatment of intracranial vestigial aneurysms. Surg. Clin. N. America35 (1955), 1071–1083.
Uilhein, A., H. R. Terry andJ. T. Martin, Induced hypothermia in neurological conditions. Med. Clin. N. America44 (1960), 1079–1100.
Vigouroux, R., andJ. E. Paillas, Sur le traitement chirurgical de la communicante antérieure. Neurochir.6 (1960), 42–71.
Williamson, W., andC. Brackett, Management of intracranial aneurysms of the anterior communicating artery. Amer. J. Surg.22 (1956), 100–107.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Maspes, P.E., Marini, G. Aneurysms of the anterior communicating artery. Acta neurochir 11, 479–494 (1963). https://doi.org/10.1007/BF01404422
Issue Date:
DOI: https://doi.org/10.1007/BF01404422