{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:08:56Z","timestamp":1793956136524,"version":"4.8.0"},"reference-count":19,"publisher":"Korean Society of Cerebrovascular Surgeons\/Korean Society of Endovascular Surgery","issue":"1","license":[{"start":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T00:00:00Z","timestamp":1642723200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["the-jcen.org"],"crossmark-restriction":true},"short-container-title":["J Cerebrovasc Endovasc Neurosurg"],"published-print":{"date-parts":[[2022,3,31]]},"abstract":"<jats:p>Posterior Cerebral Artery aneurysms are scarce, yet its territory is frequently associated to large and giant aneurysms. Treatment is mostly a binary option between microsurgical clipping and endovascular coiling. Hybrid approaches are an option too, whereas innovation with less frequent techniques such as endoscope-controlled and endoscope-assisted procedure may provide a safer surgical approach with same successful results. Hereby we report a case of a 53 years old male examined at the ER after presenting generalized seizures and altered state of consciousness. Upon arrival, neurological evaluation revealed homonymous right hemianopia. Computed tomography (CT) scan revealed a subarachnoid hemorrhage and left parieto-occipital intraparenchymal hemorrhage with intraventricular extension; computed tomography angiogram (CTA) revealed an aneurysm at the left posterior cerebral artery (PCA) in its P4 segment. We performed a vascular exploration with drainage of the occipital and intraventricular hematoma through a single endoscopic port through transulcal approach guided by neuronavigation, in addition to clipping and aneurysmectomy. The combination of microsurgical clipping with previous Endoport-guided endoscopic procedure may be a surgical-operative option that not only may facilitate the approach to the desired lesion, but also provides a safer surgical scenario.<\/jats:p>","DOI":"10.7461\/jcen.2022.e2021.05.002","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T07:52:54Z","timestamp":1642665174000},"page":"73-78","update-policy":"https:\/\/doi.org\/10.7461\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Endoport-assisted microsurgical treatment for a ruptured posterior cerebral artery aneurysm: A technical note"],"prefix":"10.7461","volume":"24","author":[{"given":"Juan Luis","family":"G\u00f3mez-Amador","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0770-1830","authenticated-orcid":true,"given":"Marcos Vinicius","family":"Sangrador-Deitos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Uribe-Pacheco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo Yoshiaki","family":"Guinto-Nishimura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel Gustavo","family":"Mondrag\u00f3n-Soto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4334","reference":[{"key":"ref1","first-page":"27","volume-title":"Aneurysms of the posterior cerebral artery: classification and endovascular treatment","author":"Ciceri","year":"2001"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2015.01.004"},{"key":"ref3","first-page":"230","volume-title":"","author":"Drake","year":"1996"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/bf01411263"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3109\/02688699409002948"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3109\/02688699209002368"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.44.164"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199812000-00037"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-011-0319-4"},{"key":"ref10","first-page":"219","volume-title":"Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. 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