{"id":"ae6a7f00-6070-4017-83c5-3bed3868543b","slug":"endoscopic-endonasal-clipping-of-a-medial-paraclinoid-aneurysm-with-roadmapping-assistance-two-dimensional-operative-video","title":"Endoscopic endonasal clipping of a medial paraclinoid aneurysm with roadmapping assistance: Two-dimensional operative video","authors":["Marcos V. Sangrador-Deitos","German Lopez-Valencia","Gerardo Y. Guinto-Nishimura","Aldo G. Eguiluz-Melendez","Samuel Romano-Feinholz","Juan L. Gomez-Amador"],"abstract":"Background: Advancements in endoscopic endonasal approaches (EEAs) allow the treatment of a wide variety of diseases including vascular pathology. Case Description: A 56-year-old woman presented with thunderclap headache due to two aneurysms: Communicating segment of left internal carotid artery (ICA) and medial paraclinoid (Baramii IIIB). The ICA aneurysm was clipped through a conventional transcranial approach; the paraclinoid aneurysm was successfully clipped using an EEA guided with roadmapping assistance. Conclusion: EEA is useful to treat aneurysms in selected cases and the use of adjuvant angiographical techniques such as roadmapping or proximal balloon control allow excellent control during the procedure.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/ae6a7f00-6070-4017-83c5-3bed3868543b/featured/hero-1781560560616.png","publishDate":"2023-01-27T00:00:00.000Z","doi":"10.25259/SNI_1061_2022","categories":["Skull Base","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/ae6a7f00-6070-4017-83c5-3bed3868543b/pdf"}