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Updated: Mar 13, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Minimally Invasive Craniotomy for Kissing Bilateral A3 Distal Anterior Cerebral Artery Aneurysms - Operative Nuances
Geeta Sundar1, Nithin Raj, Girish R Menon
1Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Abstract:
Distal anterior cerebral artery (DACA) aneurysms are rare and account for less than 10% of all intracranial aneurysms. "Kissing" bilateral mirror-image DACA aneurysms are even more uncommon. Securing these aneurysms pose considerable challenges in terms of access, periprocedural risks and difficulty in identifying the culprit aneurysm. We share our experience with the surgical clipping of kissing DACA aneurysm in a 48-year-old patient and discuss the concerns involved.

