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Updated: Jul 18, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Therapeutic options for endovascular therapy for intracranial aneurysms
R A Armonda1, J E Thomas, R H Rosenwasser
1Department of Neurosurgery, Division of Cerebrovascular Surgery and Interventional Neuroradiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Abstract:
Endovascular surgical technology is in the early stages of evolution. A critical phase of this development has been microcatheter technology, which has permitted sufficiently precise intravascular navigation to safely engage the lumen of the aneurysm itself. Digital subtraction angiography, rapid filming techniques and image acquisition, and simultaneous multiplanar imaging capability are indispensable tools that are constantly being refined in the setting of ever-improving computer technology. The marriage of these different technologies has allowed effective endovascular treatment of difficult-to-access aneurysms in medically compromised patients for whom open microsurgery has inherently higher risks.
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