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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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Transcranial fully endoscopic clipping techniques for ruptured aneurysms: an initial experience from a single center
Zhengxing Xie1,2, Chengyang Xie3, Yan Zhuang1,2
1Department of Neurosurgery, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Frontiers in Neurology
|March 23, 2026
Summary
Fully endoscopic bimanual clipping is a safe and feasible technique for treating ruptured intracranial aneurysms. This minimally invasive approach offers improved visualization and patient outcomes, showing promise for neurosurgical care.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
- Cerebrovascular Surgery
Background:
- Ruptured intracranial aneurysms present significant neurosurgical challenges.
- Traditional surgical approaches carry inherent risks.
- Novel techniques are needed to improve outcomes.
Purpose of the Study:
- To evaluate the safety and feasibility of fully endoscopic bimanual clipping for ruptured aneurysms.
- To assess the initial clinical experience with this technique.
Main Methods:
- Retrospective single-center study of patients undergoing fully endoscopic bimanual clipping for ruptured aneurysms.
- Data collection included patient records, imaging, surgical details, and outcomes.
- Eight consecutive patients were included.
Main Results:
- No intraprocedural ruptures occurred in eight patients.
- Complete aneurysm occlusion and preservation of vessels were confirmed postoperatively.
- 87.5% of patients achieved excellent or good recovery (Karnofsky Performance Status ≥ 80).
Conclusions:
- Fully endoscopic bimanual clipping is a safe and feasible option for ruptured aneurysms.
- The technique enhances visualization and reduces tissue manipulation.
- This approach shows promise for improving surgical care in neurosurgery.
