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Updated: Jul 16, 2026

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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
The "Multi Clip" method in unruptured complex middle cerebral artery aneurysms--a case series
1Department of Neurosurgery, Fujita Health University, Toyoake, Aichi, Japan.
Minimally Invasive Neurosurgery : MIN
|February 27, 2007
Summary
The "Multi Clip" method offers a safe and effective approach for treating complex middle cerebral artery aneurysms. This technique ensures precise clipping, preserving perforators and enabling reconstruction when single clipping is insufficient.
Area of Science:
- Neurosurgery
- Vascular Neurology
Background:
- Unruptured complex middle cerebral artery aneurysms pose surgical challenges.
- Optimal neck closure is crucial for preventing rebleeding and ensuring patient safety.
Purpose of the Study:
- To evaluate the feasibility, indications, and applicability of the "Multi Clip" method.
- To assess the safety and efficacy of multi-clipping for complex middle cerebral artery aneurysms.
Main Methods:
- Retrospective analysis of patients undergoing the "Multi Clip" procedure.
- Classification of multi-clipping necessity into precise clipping, perforator preservation, and reconstruction.
Main Results:
- The "Multi Clip" method achieved precise clipping in all cases.
- No intraoperative complications were reported.
- Excellent patient outcomes were observed.
Conclusions:
- The "Multi Clip" method is a safe and efficient technique for complex unruptured middle cerebral artery aneurysms.
- It is particularly beneficial when single clipping fails to achieve optimal neck closure.
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