Table 2 Summary of surgical therapy and simulation
From: Three-dimensional printing technology for treatment of intracranial aneurysm
Patient | Surgical approach | Actual Clipping (Yasargil) | Simulation result | Postoperative CTA | GOS scores |
|---|---|---|---|---|---|
1 | Left pterion keyhole approach | L-MCA: 10.2 mm curved | Same | Clipping complete | 5 |
2 | Left pterion-temple association approach | ACoA: 9.0 mm straight + mini clip | Same | Clipping complete | 3 |
3 | Right frontolateral keyhole approach | ACoA: fenestrated clip*2 | Same | Clipping complete | 5 |
4 | Right pterion keyhole approach | R-MCA: 11.0 mm straight +15.0 mm straight +20 .0 mm straight | R-MCA: 15.0 mm straight +20.0 mm straight | Clipping complete | 5 |
5 | Left pterion keyhole approach | L-MCA*2: 10.2 mm curved + fenestrated clip | The aneurysm neck of R-OphtA can not be exposed | Residual aneurysm of R-OphtA (The aneurysm neck is in cavernous sinus) | 5 |
6 | Left pterion keyhole approach | L-PCoA: 7.0 mm straight; L-ICA: fenestrated clip | The aneurysm of R-ICA was not recognized through left pterion keyhole approach | Clipping complete | 3 |
Right pterion-temple association approach | R-PCoA:9.0 mm straight | ||||
7 | Left pterion keyhole approach | ACoA: 7.0 mm straight;L-MCA: 10.3 mm curved + fenestrated clip *2 | Same | Clipping complete | 5 |
8 | Left pterion keyhole approach | R-MCA: 6.5 mm curved;L- OphtA: 11.0 mm straight | The aneurysm neck of R-OphtA can not be exposed | Residual aneurysm of R- OphtA (The aneurysm neck is in cavernous sinus) | 5 |
Right pterion keyhole approach | L-MCA: 10.2 mm curved | ||||
9 | Right pterion keyhole approach | R-MCA: 10.2 mm curved +8.3 mm curved | The aneurysm of L-PCoA was not recognized through right pterion keyhole approach | L-CA occlusion (L-CA ruptured during operation) | 1 |
Left pterion keyhole approach | L-PCoA: fenestrated clip | ||||
10 | Right supraorbital keyhole approach | BA: 20.0 mm straight; R-MCA: 9.0 mm straight | Same | Clipping complete | 5 |
Right trans-frontal keyhole longitudinal fissure approach | R-ACA: 6.5 mm curved | ||||
Left far-lateral keyhole approach | L-VA: 7.0 mm straight | ||||
11 | Left pterion keyhole approach | L-PCoA: 9.0 mm straight; R-PCoA: 11.0 mm straight | Same | Clipping complete | 5 |
12 | Left pterion keyhole approach | L-ICA: 6.5 mm curved; R-ICA: 10.2 mm curved *2 | Same | Clipping complete | 5 |
13 | Right pterion keyhole approach | L-ICA: 11.0 mm straight; R-PCoA: Mini clip; R-AChA Mini clip; L-MCA: fenestrated clip | Same | Clipping complete | 5 |
Right trans-frontal keyhole longitudinal fissure approach | L-ACA*2: 10.2 mm curved、7.0 mm straight | ||||
14 | Right pterion keyhole approach | R-MCA*2: 6.5 mm curved、8.3 mm curved *2; L-ACA 10.2 mm curved | Same | Clipping complete | 5 |
15 | Left pterion keyhole approach | L-ICA: 11.0 mm straight; R-ICA: fenestrated clip*4 | The aneurysm of R-ICA was not recognized through left pterion keyhole approach | Clipping complete | 1 |
16 | Left pterion keyhole approach | R-PCoA: 6.5 mm curved、L-OphtA: 7.0 mm curved | Same | Clipping complete | 5 |
17 | Right pterion keyhole approach | R-MCA: 10.3 mm curved +10.2 mm curved | Same | Clipping complete | 5 |
18 | Left pterion keyhole approach | ACoA : 15.0 mm straight | Same | Clipping complete | 5 |
19 | Right pterion keyhole approach | R-MCA: 10.3 mm curved *2 | Same | Clipping complete | 5 |
20 | Left modified pterional keyhole approach | ACoA: 20.0 mm straight *9 | Clipping through right pterional keyhole approach is satisfied | ACA occlusion (Aneurysm ruptured during operation) | 3 |
21 | Left pterion-temple association approach | L-ICA: 2*15.0 mm straight | L-ICA: 15.0 mm straight + 10.3 mm curved | Residual neck | 3 |
22 | Right pterion keyhole approach | R-ICA: fenestrated clip | Same | Clipping complete | 5 |
23 | Left far-lateral keyhole approach | VA: 10.2 mm curved +8.3 mm curved +6.5 mm curved | The bony prominence may be removed and bony opening must extended downward | Residual aneurysms of anterior circulation (Reoperation had not be performed) | 4 |
24 | Right far-lateral keyhole approach | R-VA: fenestrated clip | Bony opening must be extended downward | VA occlusion (Aneurysm ruptured during operation) | 1 |