CORRESPONDENCE congratulate the authors for their work in documenting the appli- Letter: Microsurgical Clipping of an Anterior cation of this technology. Communicating Artery Aneurysm Using a Novel Robotic Visualization Tool in Lieu of the Binocular Operating Microscope: Operative Disclosures Video Dr Kassam has the following disclosures: (1) Synaptive Medical (consultant), (2) KLS Martin (consultant), and (3) Medtronic Medical (advisory board). The To the Editor: other authors have no personal, financial, or institutional interest in any of the We would like to congratulate the authors on their recent drugs, materials, or devices described in this article. publication of an operative video in Operative Neurosurgery on the microsurgical clipping of an anterior communication artery Srikant Chakravarthi, MD, MSc aneurysm using a robotic visualization tool. The authors describe Richard Rovin, MD their clinical experience with a robotic exoscope referred to as Amin Kassam, MD the BrightMatter TM Servo System (Synaptive Medical, Toronto, Aurora Neuroscience Innovation Institute Ontario). Note that the utilization of this system can offer an Aurora St. Luke’s Medical Center alternative to the conventional surgical microscope. However, the Milwaukee, Wisconsin authors do remark that to the best of their knowledge, “the use of this device for the microsurgical clipping of an intracranial REFERENCES aneurysm has never been described in the literature.” We would like to bring to their attention a publication (abstract) in PubMed 1. Klinger DR, Reinard KA, Ajayi OO, Delashaw JB. Microsurgical clipping of an anterior communicating artery aneurysm using a novel robotic visualization tool published in August of 2016, describing the use of this technology in lieu of the binocular operating microscope: Operative video. Oper Neurosurg. in repairing 6 intracranial aneurysms over the previous year. 2018;14(1):26-28. We suspect the authors likely may have just inadvertently 2. Kassam AB, Chakravarthi SS, Celix J, et al. 113 initial experience with an image- not found the previous publication (August 2016) reference guided robotically positioned optical platform for aneurysm surgery. Neurosurgery. 2016;63(Suppl 1):147-148. describing the application of this technology in aneurysm surgery 3. Gonen L, Chakravarthi SS, Monroy-Sosa A, et al. Initial experience with a robot- in their search. In addition, a subsequent larger series of broader ically operated video optical telescopic-microscope in cranial neurosurgery: feasi- applications in intracranial surgery, including aneurysms, was bility, safety, and clinical applications. Neurosurg Focus. 2017;42(5):E9. published in May of 2017. We would be appreciative if the authors, in any way, could 10.1093/ons/opy076 acknowledge the previous work. Again, we would like to OPERATIVE NEUROSURGERY VOLUME 0 | NUMBER 0 | 2018 | 1 Downloaded from https://academic.oup.com/ons/advance-article-abstract/doi/10.1093/ons/opy076/4970739 by Ed 'DeepDyve' Gillespie user on 12 July 2018
Operative Neurosurgery – Oxford University Press
Published: Apr 14, 2018
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