Utility of fenestrated straight clips in microsurgical clip reconstruction of an atherosclerotic middle cerebral artery aneurysm extensively involving two efferent arteries: Technical case report
Introduction: Clip reconstruction of morphologically complex aneurysms is challenging. A clipping technique for an atherosclerotic middle cerebral artery (MCA) aneurysm extensively involving two M2 branches is presented. Case illustration: A 68-year-old woman was referred to our hospital for treatme...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-12-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920302462 |
| Summary: | Introduction: Clip reconstruction of morphologically complex aneurysms is challenging. A clipping technique for an atherosclerotic middle cerebral artery (MCA) aneurysm extensively involving two M2 branches is presented. Case illustration: A 68-year-old woman was referred to our hospital for treatment of an unruptured left MCA aneurysm. Three-dimensional computed tomography angiography showed a middle cerebral artery aneurysm extensively involving two M2 branches. The aneurysm was treated by surgical clipping via a left pterional approach. Due to concern about significant remnant neck and clip slippage due to the wide-neck and atherosclerotic features, two straight fenestrated clips were applied across one M2 branch and in parallel to another M2 branch. The aneurysm was successfully obliterated without a significant remnant neck and narrowing of the efferent arteries. The patient recovered from surgery uneventfully. Conclusion: Parallel clip reconstruction with fenestrated clips may be a useful alternative to reduce the postclipping remnant of wide-neck and atherosclerotic aneurysms. |
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| ISSN: | 2214-7519 |