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Updated: Apr 25, 2026
18:50
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
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Tailoring fenestrated aneurysm clips intraoperatively: Instant solution for a difficult problem
Pinar Eser1, Ismail Seckin Kaya1, Oguz Altunyuva1
1Bursa Uludag University Faculty of Medicine, Department of Neurosurgery, 16120 Bursa, Turkey.
Neurocirugia (English Edition)
|July 4, 2024
Summary
Intraoperative clip modification is an effective technique for safely clipping complex anterior communicating artery aneurysms when standard clips are too long. This method ensures successful aneurysm occlusion and protects vital parent arteries.
Area of Science:
- Neurosurgery
- Vascular Neurology
Background:
- Anterior communicating artery (AcoA) aneurysms present significant surgical complexity due to intricate anatomy and narrow surgical corridors.
- Traditional techniques like extended craniotomies and specialized clips are used, but may not always suffice.
Observation:
- This study retrospectively analyzed two patients requiring intraoperative clip modification for ruptured AcoA aneurysms.
- In both cases, standard fenestrated clips were too long, risking compromise of the parent A2 arteries.
Findings:
- Intraoperative clip modification, involving shortening and smoothing clip tips, enabled safe and successful clipping of AcoA aneurysms.
- Post-clipping imaging confirmed complete aneurysm occlusion and maintained patency of the parent arteries in both patients.
Implications:
- Clip modification offers a viable and effective solution for challenging AcoA aneurysm clipping when clip length is a limiting factor.
- This technique enhances surgical safety and improves outcomes for complex cerebrovascular cases.
Keywords:
Anterior communicating arteryArteria comunicante anteriorClip modificationClipaje microquirúrgicoClips de aneurisma fenestradoFenestrated aneurysm clipsMicrosurgical clippingModificación de clipMore Related Videos
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