Petrosal approaches to posterior circulation aneurysms.

Abstract:

:Complex posterior circulation aneurysms are formidable lesions with an abysmal natural history. Their management continues to present a challenge to both endovascular and open microsurgical approaches. Affording an expansive, combined supra- and infratentorial exposure, the petrosal approaches are well suited for these challenging lesions when located along the basilar trunk or at a low-lying basilar apex. This report evaluates the evolution and application of petrosal approaches to these lesions. Excluding transsigmoid, infratentorial, or labyrinth-sacrificing approaches, the authors found 23 reports with 61 posterior circulation aneurysms treated via a petrosal approach. Although early morbidity was not negligible, rates of aneurysm occlusion (95% overall) and long-term outcome were quite laudable in light of the challenge posed by these lesions. Moreover, with accumulating experience with petrosal approaches, rates of complications are likely to wane, as neurosurgeons capitalize on the expansive exposure afforded by these indispensable approaches.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Gross BA,Tavanaiepour D,Du R,Al-Mefty O,Dunn IF

doi

10.3171/2012.6.FOCUS12131

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

E9

issue

2

issn

1092-0684

journal_volume

33

pub_type

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