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Updated: Sep 30, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
[Management of ruptured aneurysm of anterior communicating artery by emergency operation]
Yingbin Li1, Liangsheng Luo, Dunzi Zhang
1Department of Neurosurgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China.
Objective:
To investigate the effectiveness of emergency operation on ruptured anterior communicating artery.
Methods:
Twenty-one cases of ruptured anterior communicating aneurysms, 9 of grade III, 10 of grade IV and 2 grade V according to Hunt-Hess classification, were treated by emergency clipping.
Results:
By the time of being discharged from hospital, 16 patients were perfectly recovered, 2 suffered from moderated disability, 1 suffered from severe disability and 2 were dead. No patients of grade III before operation died.
Conclusion:
Emergency clipping of ruptured aneurysm of anterior communicating artery prevents death and deterioration of condition caused by aneurysmal re-rupture and relieves the secondary cerebral vasospasm, thus decreasing the mortality and improving the prognosis.
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