How I do it? Preoperative Microsoft HoloLens 2 planning-assisted surgical clipping of a fetal posterior cerebral artery aneurysm

Xiaorong Yan; Zhiyi Yuan; Zixiao Yang; Jianping Song

doi:10.1007/s00701-023-05810-4

How I do it? Preoperative Microsoft HoloLens 2 planning-assisted surgical clipping of a fetal posterior cerebral artery aneurysm

Acta Neurochir (Wien). 2023 Nov;165(11):3371-3374. doi: 10.1007/s00701-023-05810-4. Epub 2023 Sep 19.

Authors

Xiaorong Yan^#^{1

2}, Zhiyi Yuan^#³, Zixiao Yang^#^{4

5

6

7

8}, Jianping Song^{9

10

11

12

13

14}

Affiliations

¹ Department of Neurosurgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350004, Fujian, China.
² Department of Neurosurgery, National Regional Medical Center, The First Affiliated Hospital Binhai Campus, Fujian Medical University, Fuzhou, 350209, Fujian, China.
³ School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.
⁴ Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, 200040, China.
⁵ Department of Neurosurgery, National Regional Medical Center, Huashan Hospital Fujian Campus, Fudan University, Fuzhou, 350209, Fujian, China.
⁶ Neurosurgical Institute of Fudan University, Shanghai, 200040, China.
⁷ Shanghai Clinical Medical Center of Neurosurgery, Shanghai, 200040, China.
⁸ Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China.
⁹ Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, 200040, China. [email protected].
¹⁰ Department of Neurosurgery, National Regional Medical Center, Huashan Hospital Fujian Campus, Fudan University, Fuzhou, 350209, Fujian, China. [email protected].
¹¹ Neurosurgical Institute of Fudan University, Shanghai, 200040, China. [email protected].
¹² Shanghai Clinical Medical Center of Neurosurgery, Shanghai, 200040, China. [email protected].
¹³ Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China. [email protected].
¹⁴ Research Unit of New Technologies of Micro-Endoscopy Combination in Skull Base Surgery (2018RU008), Chinese Academy of Medical Sciences (CAMS), Shanghai, 200040, China. [email protected].

^# Contributed equally.

PMID: 37723266
DOI: 10.1007/s00701-023-05810-4

Abstract

Background: The treatment of intracranial aneurysms has predominantly shifted towards endovascular strategies, but complex cases still necessitate microsurgery. Preoperative stimulation can be beneficial for inexperienced young neurosurgeons in preparing for safe microsurgery.

Method: A 72-year-old female with a left irregular fetal posterior cerebral artery (PCA) aneurysm underwent clipping repair. Microsoft HoloLens 2, utilizing mixed reality technology, was employed for preoperative stimulation and anatomical study. During the operation, we successfully identified the planned relationship between the aneurysm and the fetal PCA. The patient was cured without any complications.

Conclusion: We hope that this report will highlight the significance of Microsoft HoloLens 2 in microsurgical planning and education.

Keywords: Clipping; Intracranial aneurysm; Mixed reality; Posterior cerebral artery; Posterior communicating artery.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Endovascular Procedures*
Female
Humans
Intracranial Aneurysm* / diagnostic imaging
Intracranial Aneurysm* / surgery
Microsurgery
Neurosurgical Procedures
Posterior Cerebral Artery / surgery
Retrospective Studies
Treatment Outcome