Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case Series

Introduction: The application of neuro-endoscopes in cerebral aneurysm surgery may help to avoid unintended aneurysm remnants and the accidental clipping of perforating arteries and aid the detection of blood collecting in the subdural spaces. Here, we present our experience with the novel endoscopi...

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Main Authors: Karl-Michael Schebesch, Christian Doenitz, Amer Haj, Julius Höhne, Nils Ole Schmidt
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2020.602080/full
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author Karl-Michael Schebesch
Christian Doenitz
Amer Haj
Julius Höhne
Nils Ole Schmidt
author_facet Karl-Michael Schebesch
Christian Doenitz
Amer Haj
Julius Höhne
Nils Ole Schmidt
author_sort Karl-Michael Schebesch
collection DOAJ
description Introduction: The application of neuro-endoscopes in cerebral aneurysm surgery may help to avoid unintended aneurysm remnants and the accidental clipping of perforating arteries and aid the detection of blood collecting in the subdural spaces. Here, we present our experience with the novel endoscopic micro-inspection tool QEVO® (Carl Zeiss Meditec, Germany) in aneurysm surgery.Materials and Equipment: In all patients the surgical microscope KINEVO® (Carl Zeiss Meditec, Germany) and the Microinspection tool QEVO® were applied.Methods: The case series comprises 22 unruptured cerebral aneurysms of the anterior circulation. All aneurysms were treated surgically. All patients routinely underwent computed tomography and digital subtraction angiography within 10 days after surgery.Results: No aneurysm remnants, cerebral ischemic deficits, or subdural hematomas were detected.Discussion: In this technical note, we discuss the benefits and limitations of the QEVO® tool and illustrate the major paradigms by means of intraoperative photographs.
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spelling doaj.art-77a8f7fae07641b4bd79222a7299edca2022-12-21T23:09:47ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2020-11-01710.3389/fsurg.2020.602080602080Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case SeriesKarl-Michael SchebeschChristian DoenitzAmer HajJulius HöhneNils Ole SchmidtIntroduction: The application of neuro-endoscopes in cerebral aneurysm surgery may help to avoid unintended aneurysm remnants and the accidental clipping of perforating arteries and aid the detection of blood collecting in the subdural spaces. Here, we present our experience with the novel endoscopic micro-inspection tool QEVO® (Carl Zeiss Meditec, Germany) in aneurysm surgery.Materials and Equipment: In all patients the surgical microscope KINEVO® (Carl Zeiss Meditec, Germany) and the Microinspection tool QEVO® were applied.Methods: The case series comprises 22 unruptured cerebral aneurysms of the anterior circulation. All aneurysms were treated surgically. All patients routinely underwent computed tomography and digital subtraction angiography within 10 days after surgery.Results: No aneurysm remnants, cerebral ischemic deficits, or subdural hematomas were detected.Discussion: In this technical note, we discuss the benefits and limitations of the QEVO® tool and illustrate the major paradigms by means of intraoperative photographs.https://www.frontiersin.org/articles/10.3389/fsurg.2020.602080/fullQEVO®micro-inspection toolneuro-endoscopycerebral aneurysmaneurysm clippingvascular neurosurgery
spellingShingle Karl-Michael Schebesch
Christian Doenitz
Amer Haj
Julius Höhne
Nils Ole Schmidt
Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case Series
Frontiers in Surgery
QEVO®
micro-inspection tool
neuro-endoscopy
cerebral aneurysm
aneurysm clipping
vascular neurosurgery
title Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case Series
title_full Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case Series
title_fullStr Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case Series
title_full_unstemmed Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case Series
title_short Application of the Endoscopic Micro-Inspection Tool QEVO® in the Surgical Treatment of Anterior Circulation Aneurysms—A Technical Note and Case Series
title_sort application of the endoscopic micro inspection tool qevo r in the surgical treatment of anterior circulation aneurysms a technical note and case series
topic QEVO®
micro-inspection tool
neuro-endoscopy
cerebral aneurysm
aneurysm clipping
vascular neurosurgery
url https://www.frontiersin.org/articles/10.3389/fsurg.2020.602080/full
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