Pure Endoscopic Endonasal Clipping of an Incidental Anterior Communicating XXXX .

@entity1 @entity260 @entity1504 @entity1653 @entity439 @entity438
UNASSIGNED: Anterior communicating artery (AcoA) @entity439 is the most common form of @entity438 . It occurs rarely together with other @entity1504 . Today, microsurgical techniques and endovascular methods are used in the treatment of these @entity439 . Endoscopic endonasal approach is a useful technique for midline lesions of the skull base and is underpinned with extensive experience. In this article, we present a 72-year-old female @entity1 who underwent endoscopic endonasal transplanum-transtubercular surgery for @entity1653 followed by clipping of the incidental AcoA @entity439 . After complete removal of a @entity1653 via an endoscopic endonasal approach, an anterior and superior projected saccular AcoA @entity439 in the gyrus rectus area was totally clipped successfully via pure endoscopic endonasal transplanum-transtubercular approach, without any damage to parent arteries. The @entity1 was discharged from the hospital within a short period of time without any @entity260 . Endoscopic endonasal approach is a new paradigm in the treatment of @entity439 . Although this technique cannot be routinely used due to lack of experience, it is an effective and safe method in selected and anatomically appropriate cases. We believe that increased knowledge and experience will create successful results in this approach, and it can offer an alternative method for selected @entity439 cases.
