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Updated: Apr 7, 2026
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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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Intracranial blister aneurysms: clip reconstruction techniques
Daniel L Barrow1, Gustavo Pradilla1, D Jay McCracken1
1Emory University Hospital, Department of Neurosurgery, Atlanta, Georgia.
Neurosurgical Focus
|July 2, 2015
Summary
Intracranial blister aneurysms are rare cerebrovascular lesions. Surgical repair techniques are demonstrated for ruptured aneurysms causing subarachnoid hemorrhage.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Interventional Neuroradiology
Background:
- Intracranial blister aneurysms are rare, challenging cerebrovascular lesions predominantly affecting anterior circulation.
- Rupture of these aneurysms leads to acute subarachnoid hemorrhage, necessitating urgent intervention.
Observation:
- Endovascular treatment is often not feasible for ruptured blister aneurysms.
- Surgical options are limited due to the unique pathology, frequently requiring combined wrapping and clip reconstruction.
Findings:
- This video showcases surgical techniques for two patients with ruptured blister aneurysms causing subarachnoid hemorrhage.
- Demonstration includes repair strategies for vascular defects, addressing scenarios with and without intraoperative rupture.
Implications:
- Highlights critical surgical approaches for managing ruptured intracranial blister aneurysms.
- Provides valuable visual guidance for neurosurgeons managing these complex vascular lesions.
