neurosurgical
focus
Neurosurg Focus 38 (1):Video 13, 2015
Surgical clipping of a large left middle cerebral artery aneurysm M. Yashar S. Kalani, M.D., Ph.D., Peter Nakaji, M.D., Joseph M. Zabramski, M.D., and Robert F. Spetzler, M.D. Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona
Middle cerebral artery aneurysms, especially those with complex morphology, are considered excellent aneurysms for surgical clipping, given the challenges that exist with current endovascular techniques. We present a case of a large, complex, left middle cerebral artery aneurysm treated with microsurgical clipping. This video highlights critical steps in obtaining proximal and distal control as well as subarachnoid dissection necessary to prepare the aneurysm for final clipping. The video can be found here: http://youtu.be/RlKH2Km9z5Y. Key words aneurysm clipping; middle artery aneurysm
submitted August 29, 2014. accepted October 9, 2014. include when citing 10.3171/2015.V1.FOCUS14555. Correspondence Robert F. Spetzler, M.D., c/o Neuroscience Publications; Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, 350 W. Thomas Road; Phoenix, AZ 85013. E-mail: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 38 (Suppl 1) • January 2015
1
focus
Neurosurg Focus 38 (1):Video 13, 2015
Surgical clipping of a large left middle cerebral artery aneurysm M. Yashar S. Kalani, M.D., Ph.D., Peter Nakaji, M.D., Joseph M. Zabramski, M.D., and Robert F. Spetzler, M.D. Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona
Middle cerebral artery aneurysms, especially those with complex morphology, are considered excellent aneurysms for surgical clipping, given the challenges that exist with current endovascular techniques. We present a case of a large, complex, left middle cerebral artery aneurysm treated with microsurgical clipping. This video highlights critical steps in obtaining proximal and distal control as well as subarachnoid dissection necessary to prepare the aneurysm for final clipping. The video can be found here: http://youtu.be/RlKH2Km9z5Y. Key words aneurysm clipping; middle artery aneurysm
submitted August 29, 2014. accepted October 9, 2014. include when citing 10.3171/2015.V1.FOCUS14555. Correspondence Robert F. Spetzler, M.D., c/o Neuroscience Publications; Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, 350 W. Thomas Road; Phoenix, AZ 85013. E-mail: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 38 (Suppl 1) • January 2015
1
