ArticleJournal of cerebrovascular and endovascular neurosurgery2023
Roadmapping technique in the hybrid operating room for the microsurgical treatment of complex intracranial aneurysms.
Article in Journal of cerebrovascular and endovascular neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 5 citations in OpenAlex.
- Simultaneous endoscopic endonasal treatment of a GH-secreting PitNET and paraclinoid aneurysm in a hybrid operating room - 2D operative video.Surgical neurology international · 2026Article
- Complex intracranial aneurysms: a DELPHI study to define associated characteristics.Acta neurochirurgica · 2024Article
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12 authors at 1 institution in 1 country.
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Abstract
objectiveTo describe the roadmapping technique and our three-year experience in the management of intracranial aneurysms in the hybrid operating room.
methodsWe analyzed all patients who underwent surgical clipping for cerebral aneurysms with the roadmapping technique from January 2017 to September 2019. We report demographic, clinical, and morphological variables, as well as clinical and radiological outcomes. We further describe three illustrative cases of the technique.
resultsA total of 13 patients were included, 9 of which (69.2%) presented with subarachnoid hemorrhage, with a total of 23 treated aneurysms. All patients were female, with a mean age of 47.7 years (range 31-63). All cases were anterior circulation aneurysms, the most frequent location being the ophthalmic segment of the internal carotid artery (ICA) in 11 cases (48%), followed by posterior communicating in 8 (36%), and ICA bifurcation in 2 (8%). Intraoperative clip repositioning was required in 9 aneurysms (36%) as a result of the roadmapping technique in the hybrid operating room. There were no residual aneurysms in our series, nor reported mortality.
conclusionsThe roadmapping technique in the hybrid operating room offers a complementary tool for the adequate occlusion of complex intracranial aneurysms, as it provides a real time fluoroscopic-guided clipping technique, and clip repositioning is possible in a single surgical stage, whenever a residual portion of the aneurysm is identified. This technique also provides some advantages, such as immediate vasospasm identification and treatment with intra-arterial vasodilators, balloon proximal control for certain paraclinoid aneurysms, and simultaneous endovascular treatment in selected cases during a single stage.
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