How I do it? Basilar bifurcation and left anterior choroidal artery aneurysms clipping.

Acta Neurochir (Wien)

Department of Neurosurgery, Huashan Hospital, Fudan University, No.12 Wulumuqi Zhong Road, Shanghai, 200040, China.

Published: October 2023

Background: Despite advancements in endovascular techniques, microsurgical treatment for posterior circulation aneurysms remains challenging.

Method: This report highlights the successful clipping surgery of a 17-year-old female patient with an aneurysm located at the basilar artery (BA) bifurcation and left anterior choroidal artery (AChoA). To improve exposure, the posterior communicating artery was transected. A straight fenestrated clip was then placed to repair the BA bifurcation aneurysm, followed by a curved mini clip for the AChoA aneurysm.

Conclusion: This report demonstrates the nuances of microsurgery in the treatment of select complex cases, which can benefit from microsurgery to achieve optimal treatment outcomes.

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Source
http://dx.doi.org/10.1007/s00701-023-05636-0DOI Listing

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