Clinical applied anatomy of anterior communicating artery aneurysm treated by supraorbital lateral-longitudinal fissure approach

doi:10.13418/j.issn.1001-165x.2019.03.001

Chinese Journal of Clinical Anatomy ›› 2019, Vol. 37 ›› Issue (3) : 241-244. DOI: 10.13418/j.issn.1001-165x.2019.03.001

ZHANG Guang-hui¹, HAN Rui-zhang², JIN Hua², WANG Yu-hai³

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Abstract

Objective　To study the anatomy of anterior communicating artery complex (ACoAC) by supraorbital lateral-longitudinal fissure approach under microscope, and to provide anatomic reference for clinical clipping of the anterior communicating artery aneurysm (ACoAA).　Methods　ACoAC exposed through the supraorbital lateral-longitudinal fissure approach was observed under microscope in a total of 20 adult cadavers (40 sides) , and relevant data were measured and recorded.　Results　The supraorbital lateral-longitudinal fissure approach could better expose ACoAC. In particular, the superior and posterior superior areas of the anterior communicating artery could obtain a good surgical field of vision. The length of the anterior communicating artery (AComA) was (2.80±1.12) mm. The middle outer diameter was (1.79±0.82) mm. The distance from the anterior edge of optic chiasma was (4.59±2.22) mm. 　Conclusion　The supraorbital lateral-longitudinal fissure approach has the characteristics of good visual field and small brain tissue injury, which should consider favorably in treatment of the anterior communicating artery aneurysms (ACoAA) categorized as the superior and posterior superior type.

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Supraorbital lateral-longitudinal fissure / 　ACoAC / 　ACoAA / 　 Applied anatomy

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ZHANG Guang-hui, HAN Rui-zhang, JIN Hua, WANG Yu-hai. Clinical applied anatomy of anterior communicating artery aneurysm treated by supraorbital lateral-longitudinal fissure approach[J]. Chinese Journal of Clinical Anatomy. 2019, 37(3): 241-244 https://doi.org/10.13418/j.issn.1001-165x.2019.03.001

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