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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
  1. ACA anterior cerebral artery, ACoA anterior communicating artery, MCA middle cerebral artery, PCoA posterior communicating artery, CA carotid artery, OphtA ophthalmic artery, AChA anterior choroidal artery, BA basilar artery, VA vertebral artery, R right, L left