Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Basilar bifurcation aneurysms. Lessons learnt from 40 consecutive cases.

Y Yonekawa1, N Khan, H G Imhof

  • 1Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland. yasuhiro.yonekawa@usz.ch

Acta Neurochirurgica. Supplement
|August 3, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Risk factors, pathologies and control of gut-dwelling roundworms in chickens.

Helminthologia·2026
Same author

Anal plasmablastic lymphoma with complete response to antiretroviral therapy - a case report.

South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie·2025
Same author

Palliative care management of head and neck cancer patients amongst oral and maxillofacial surgeons: A novel national survey assessing knowledge, decision making, perceived confidence, and training in the UK.

The British journal of oral & maxillofacial surgery·2025
Same author

Outcome of Double Layer UrethroplastyWithout Flap in Mid and Distal Penile Hypospadias.

Mymensingh medical journal : MMJ·2024
Same author

Capping Effects on Spin and Charge Excitations in Parent and Superconducting Nd_{1-x}Sr_{x}NiO_{2}.

Physical review letters·2024
Same author

Experience of piloting BPaLM/BPaL for DR-TB care at selected sites in Pakistan.

IJTLD open·2024
Same journal

Microneurosurgical Training on Simulators: The Zurich Microsurgery Lab Experience.

Acta neurochirurgica. Supplement·2025
Same journal

Educational Impact of an Annotation System Integrated with an Exoscope for Cerebral Aneurysm Surgery: Case Description.

Acta neurochirurgica. Supplement·2025
Same journal

Artificial Intelligence and Augmented Reality in Vascular Neurosurgery.

Acta neurochirurgica. Supplement·2025
Same journal

Experiences with and Practical Implications of Using a Hybrid Operating Room.

Acta neurochirurgica. Supplement·2025
Same journal

Epidemiology and Aetiology of Cerebral Cavernous Malformations.

Acta neurochirurgica. Supplement·2025
Same journal

Novel Hemodynamic Parameters for Cerebral Ischemia in Patients with Occlusive Cerebrovascular Disease Using Dual ASL Perfusion Imaging.

Acta neurochirurgica. Supplement·2025
See all related articles

Microsurgical clipping remains crucial for basilar bifurcation aneurysms, offering complete occlusion when endovascular methods are unfeasible. This study details strategies for safe and secure surgical aneurysm treatment.

Area of Science:

  • Neurosurgery
  • Vascular Neurology

Background:

  • Basilar bifurcation aneurysms are increasingly treated with endovascular techniques.
  • Microsurgical clipping offers complete occlusion and maintains a significant role.
  • Endovascular approaches can be unfeasible or incomplete for certain basilar bifurcation aneurysms.

Purpose of the Study:

  • To outline strategies for safe and secure microsurgical occlusion of basilar bifurcation aneurysms.
  • To detail techniques that prevent intraoperative rupture and injury to perforating arteries.

Main Methods:

  • Pterional approach with selective extradural anterior clinoidectomy (SEAC).
  • Preservation of the posterior communicating artery and isolation of perforating arteries.
  • Use of fenestrated and conventional clips, controlled hypotension, and temporary clipping (<15 min).

Related Experiment Videos

Main Results:

  • The described techniques aim to prevent premature intraoperative rupture.
  • Strategies focus on avoiding injury to critical perforating arteries.
  • Complete aneurysm occlusion is achievable even in deep, narrow operative fields.

Conclusions:

  • Microsurgical clipping remains a vital and complete treatment for basilar bifurcation aneurysms.
  • Specific surgical tactics enhance safety and efficacy, particularly when endovascular options are limited.
  • These strategies ensure secure occlusion and minimize risks of rupture and perforator injury.