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Aneurysm III: Interprofessional Care

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Updated: Aug 4, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

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Intracranial Aneurysm "Clip Anchoring": Technical Note.

David Bervini¹, David Zhang¹, Johannes Goldberg¹

¹Department of Neurosurgery, Inselspital, Bern University Hospital, Bern, Switzerland.

Journal of Neurological Surgery. Part A, Central European Neurosurgery

|April 6, 2023

Summary

This summary is machine-generated.

Aneurysm clip slippage during surgery can cause harm. Using both aneurysm and artery clips together may prevent this complication in elective intracranial aneurysm clipping procedures.

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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

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Published on: July 21, 2013

Area of Science:

Neurosurgery
Vascular Surgery
Medical Device Technology

Background:

Intracranial aneurysm surgery carries risks, including clip slippage and displacement.
These complications can lead to significant patient morbidity and adverse outcomes.
Preventative strategies are crucial for improving surgical safety in aneurysm treatment.

Purpose of the Study:

To describe the novel use of concomitant aneurysm and artery clips.
To evaluate this technique's potential in preventing clip slippage during intracranial aneurysm surgery.
To report on a single-patient case undergoing elective aneurysm surgical clipping.

Main Methods:

A patient underwent elective surgical clipping for an intracranial aneurysm.
Concomitant use of both aneurysm clips and artery clips was employed during the procedure.
The surgical technique focused on securing the aneurysm clip to prevent displacement.

Main Results:

The concomitant use of aneurysm clips and artery clips was successfully implemented.
No instances of clip slippage or displacement were observed during or after the surgical procedure.
The patient experienced a favorable outcome without immediate complications related to clip placement.

Conclusions:

Concomitant application of aneurysm and artery clips appears to be a viable strategy.
This technique may offer enhanced security against clip slippage in aneurysm surgery.
Further investigation is warranted to confirm the efficacy and safety of this approach.