Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud

Introduction. The purpose of the present contribution is to perform a detailed anatomic and virtual reality three-dimensional stereoscopic study in order to test the effectiveness of the extended endoscopic endonasal approaches for selected anterior and posterior circulation aneurysms. Methods. The...

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Autores: Di Somma, Alberto, de Notaris, Matteo, Stagno, Vita, Serra, Luis, Enseñat, Joaquim, Alobid, Isam, San Molina, Joan, Berenguer, Juan, Cappabianca, Paolo, Prats-Galino, Alberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/58512
Acceso en línea:http://hdl.handle.net/10230/58512
http://dx.doi.org/10.1155/2014/703792
Access Level:acceso abierto
Palabra clave:Endoscòpia
Aneurismes cerebrals
Imatgeria tridimensional en medicina
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spelling Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric studDi Somma, Albertode Notaris, MatteoStagno, VitaSerra, LuisEnseñat, JoaquimAlobid, IsamSan Molina, JoanBerenguer, JuanCappabianca, PaoloPrats-Galino, AlbertoEndoscòpiaAneurismes cerebralsImatgeria tridimensional en medicinaIntroduction. The purpose of the present contribution is to perform a detailed anatomic and virtual reality three-dimensional stereoscopic study in order to test the effectiveness of the extended endoscopic endonasal approaches for selected anterior and posterior circulation aneurysms. Methods. The study was divided in two main steps: (1) simulation step, using a dedicated Virtual Reality System (Dextroscope, Volume Interactions); (2) dissection step, in which the feasibility to reach specific vascular territory via the nose was verified in the anatomical laboratory. Results. Good visualization and proximal and distal vascular control of the main midline anterior and posterior circulation territory were achieved during the simulation step as well as in the dissection step (anterior communicating complex, internal carotid, ophthalmic, superior hypophyseal, posterior cerebral and posterior communicating, basilar, superior cerebellar, anterior inferior cerebellar, vertebral, and posterior inferior cerebellar arteries). Conclusion. The present contribution is intended as strictly anatomic study in which we highlighted some specific anterior and posterior circulation aneurysms that can be reached via the nose. For clinical applications of these approaches, some relevant complications, mainly related to the endonasal route, such as proximal and distal vascular control, major arterial bleeding, postoperative cerebrospinal fluid leak, and olfactory disturbances must be considered.Hindawi202320232014info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/58512http://dx.doi.org/10.1155/2014/703792reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésCopyright © 2014 Alberto Di Somma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/3.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/585122026-06-12T07:21:37Z
dc.title.none.fl_str_mv Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
title Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
spellingShingle Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
Di Somma, Alberto
Endoscòpia
Aneurismes cerebrals
Imatgeria tridimensional en medicina
title_short Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
title_full Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
title_fullStr Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
title_full_unstemmed Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
title_sort Extended endoscopic endonasal approaches for cerebral aneurysms: anatomical, virtual reality and morphometric stud
dc.creator.none.fl_str_mv Di Somma, Alberto
de Notaris, Matteo
Stagno, Vita
Serra, Luis
Enseñat, Joaquim
Alobid, Isam
San Molina, Joan
Berenguer, Juan
Cappabianca, Paolo
Prats-Galino, Alberto
author Di Somma, Alberto
author_facet Di Somma, Alberto
de Notaris, Matteo
Stagno, Vita
Serra, Luis
Enseñat, Joaquim
Alobid, Isam
San Molina, Joan
Berenguer, Juan
Cappabianca, Paolo
Prats-Galino, Alberto
author_role author
author2 de Notaris, Matteo
Stagno, Vita
Serra, Luis
Enseñat, Joaquim
Alobid, Isam
San Molina, Joan
Berenguer, Juan
Cappabianca, Paolo
Prats-Galino, Alberto
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Endoscòpia
Aneurismes cerebrals
Imatgeria tridimensional en medicina
topic Endoscòpia
Aneurismes cerebrals
Imatgeria tridimensional en medicina
description Introduction. The purpose of the present contribution is to perform a detailed anatomic and virtual reality three-dimensional stereoscopic study in order to test the effectiveness of the extended endoscopic endonasal approaches for selected anterior and posterior circulation aneurysms. Methods. The study was divided in two main steps: (1) simulation step, using a dedicated Virtual Reality System (Dextroscope, Volume Interactions); (2) dissection step, in which the feasibility to reach specific vascular territory via the nose was verified in the anatomical laboratory. Results. Good visualization and proximal and distal vascular control of the main midline anterior and posterior circulation territory were achieved during the simulation step as well as in the dissection step (anterior communicating complex, internal carotid, ophthalmic, superior hypophyseal, posterior cerebral and posterior communicating, basilar, superior cerebellar, anterior inferior cerebellar, vertebral, and posterior inferior cerebellar arteries). Conclusion. The present contribution is intended as strictly anatomic study in which we highlighted some specific anterior and posterior circulation aneurysms that can be reached via the nose. For clinical applications of these approaches, some relevant complications, mainly related to the endonasal route, such as proximal and distal vascular control, major arterial bleeding, postoperative cerebrospinal fluid leak, and olfactory disturbances must be considered.
publishDate 2014
dc.date.none.fl_str_mv 2014
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/58512
http://dx.doi.org/10.1155/2014/703792
url http://hdl.handle.net/10230/58512
http://dx.doi.org/10.1155/2014/703792
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/3.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/3.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Hindawi
publisher.none.fl_str_mv Hindawi
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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