Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning

Virtual reality (VR) has increasingly been implemented in neurosurgical practice. A patient with an unruptured anterior communicating artery (AcoA) aneurysm was referred to our institution. Imaging data from computed tomography angiography (CTA) was used to create a patient specific 3D model of vasc...

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Autores principales:	Nicolás González Romo, Franco Ravera Zunino
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Revinter Publicações Ltda. 2021
Materias:	virtual reality intracranial aneurysm microsurgery skull base Medicine R Surgery RD1-811
Acceso en línea:	https://doaj.org/article/ed755598670c491099dbaa58f29e068a
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spelling	oai:doaj.org-article:ed755598670c491099dbaa58f29e068a2021-11-03T23:45:46ZMinimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning0103-53552359-592210.1055/s-0040-1719004https://doaj.org/article/ed755598670c491099dbaa58f29e068a2021-09-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1719004https://doaj.org/toc/0103-5355https://doaj.org/toc/2359-5922Virtual reality (VR) has increasingly been implemented in neurosurgical practice. A patient with an unruptured anterior communicating artery (AcoA) aneurysm was referred to our institution. Imaging data from computed tomography angiography (CTA) was used to create a patient specific 3D model of vascular and skull base anatomy, and then processed to a VR compatible environment. Minimally invasive approaches (mini-pterional, supraorbital and mini-orbitozygomatic) were simulated and assessed for adequate vascular exposure in VR. Using an eyebrow approach, a mini-orbitozygomatic approach was performed, with clip exclusion of the aneurysm from the circulation. The step-by-step process of VR planning is outlined, and the advantages and disadvantages for the neurosurgeon of this technology are reviewed.Nicolás González RomoFranco Ravera ZuninoThieme Revinter Publicações Ltda.articlevirtual realityintracranial aneurysmmicrosurgeryskull baseMedicineRSurgeryRD1-811ENBrazilian Neurosurgery, Vol 40, Iss 03, Pp e288-e293 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	virtual reality intracranial aneurysm microsurgery skull base Medicine R Surgery RD1-811
spellingShingle	virtual reality intracranial aneurysm microsurgery skull base Medicine R Surgery RD1-811 Nicolás González Romo Franco Ravera Zunino Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning
description	Virtual reality (VR) has increasingly been implemented in neurosurgical practice. A patient with an unruptured anterior communicating artery (AcoA) aneurysm was referred to our institution. Imaging data from computed tomography angiography (CTA) was used to create a patient specific 3D model of vascular and skull base anatomy, and then processed to a VR compatible environment. Minimally invasive approaches (mini-pterional, supraorbital and mini-orbitozygomatic) were simulated and assessed for adequate vascular exposure in VR. Using an eyebrow approach, a mini-orbitozygomatic approach was performed, with clip exclusion of the aneurysm from the circulation. The step-by-step process of VR planning is outlined, and the advantages and disadvantages for the neurosurgeon of this technology are reviewed.
format	article
author	Nicolás González Romo Franco Ravera Zunino
author_facet	Nicolás González Romo Franco Ravera Zunino
author_sort	Nicolás González Romo
title	Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning
title_short	Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning
title_full	Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning
title_fullStr	Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning
title_full_unstemmed	Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning
title_sort	minimally invasive mini-orbitozygomatic approach for clipping an anterior communicating artery aneurysm: virtual reality surgical planning
publisher	Thieme Revinter Publicações Ltda.
publishDate	2021
url	https://doaj.org/article/ed755598670c491099dbaa58f29e068a
work_keys_str_mv	AT nicolasgonzalezromo minimallyinvasiveminiorbitozygomaticapproachforclippingananteriorcommunicatingarteryaneurysmvirtualrealitysurgicalplanning AT francoraverazunino minimallyinvasiveminiorbitozygomaticapproachforclippingananteriorcommunicatingarteryaneurysmvirtualrealitysurgicalplanning
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Minimally Invasive Mini-orbitozygomatic Approach for Clipping an Anterior Communicating Artery Aneurysm: Virtual Reality Surgical Planning

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