Published in:
01-04-2020 | Ruptured Aneurysm | How I Do it - Vascular Neurosurgery - Aneurysm
How I do it: surgical clip reconstruction of a large, partially thrombosed, ruptured middle cerebral artery aneurysm
Published in: Acta Neurochirurgica | Issue 4/2020
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Background
Ruptured large and partially thrombosed aneurysms are challenging lesions to treat successfully.
Methods
We describe the surgical treatment of a large, ruptured partially thrombosed middle cerebral artery (MCA) aneurysm. Once the Sylvian fissure is dissected, temporary clips are placed, and the clot is evacuated with simple microsuction and ultrasonic aspiration. The aneurysm is then carefully clip reconstructed to avoid compromise of the parent vessels.
Conclusion
In cases of surgical clipping of large, thrombosed aneurysms, it is important to be aware of a few, but critically important, pitfalls to ensure successful outcome.