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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1818403287100030976 |
---|---|
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. |
first_indexed | 2024-12-14T08:21:51Z |
format | Article |
id | doaj.art-77a8f7fae07641b4bd79222a7299edca |
institution | Directory Open Access Journal |
issn | 2296-875X |
language | English |
last_indexed | 2024-12-14T08:21:51Z |
publishDate | 2020-11-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Surgery |
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 |
work_keys_str_mv | AT karlmichaelschebesch applicationoftheendoscopicmicroinspectiontoolqevointhesurgicaltreatmentofanteriorcirculationaneurysmsatechnicalnoteandcaseseries AT christiandoenitz applicationoftheendoscopicmicroinspectiontoolqevointhesurgicaltreatmentofanteriorcirculationaneurysmsatechnicalnoteandcaseseries AT amerhaj applicationoftheendoscopicmicroinspectiontoolqevointhesurgicaltreatmentofanteriorcirculationaneurysmsatechnicalnoteandcaseseries AT juliushohne applicationoftheendoscopicmicroinspectiontoolqevointhesurgicaltreatmentofanteriorcirculationaneurysmsatechnicalnoteandcaseseries AT nilsoleschmidt applicationoftheendoscopicmicroinspectiontoolqevointhesurgicaltreatmentofanteriorcirculationaneurysmsatechnicalnoteandcaseseries |