Abstract：Objective To discuss the clinical outcomes of surgical treatment for anatomical complicated intracranial aneurysms using Dolenc approach. Methods Seventeen patients (7 males and 10 females, mean age 41-72) with anatomical complicated intracranial aneurysms admitted to Beijing Tian Tan Hospital of Capital Medical University from November 2014 to January 2016 were reviewed, including 4 paraclinoid aneurysms, 8 carotid artery-ophthalmic artery aneurysms, 1 basilar tip aneurysm, 2 posterior cerebral artery aneurysms, and 2 multiple intracranial aneurysms. All patients were treated with aneurysm clipping using Dolenc approach, including 2 patients with multiple intracranial aneurysms which were clipped in one operation. Results All aneurysms were clipped completely, patients discharged without any complication except two patients occurred with oculomotor paralyses and one patient with cerebral infarction in the frontal lobe after operation. All patients were followed up for 6 month with satisfactory prognosis with mean glasgow outcome scale 4.8. Conclusions Dolenc approach is more practical and safer for the surgical treatment of anatomical complicated intracranial aneurysms compared to traditional approach.
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2017, Vol. 22 
