How I do it: coil extraction and clip reconstruction of a previously coiled giant middle cerebral artery aneurysm.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 33506290.
- Also identified by DOI 10.1007/s00701-021-04727-0.
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Abstract
Microsurgical clipping of previously coiled intracranial aneurysms can be technically challenging. We present the case of a 48-year-old female with a partially coiled, previously ruptured giant middle cerebral artery aneurysm and the associated technical nuances. We performed a successful coil extraction and clip reconstruction of this aneurysm using an ultrasonic aspirator and stacked fenestrated aneurysm clips. Coil extraction and clip occlusion of previously coiled intracranial aneurysms is a complex and technically challenging procedure but can be performed safely and effectively when employed judiciously.
Medical subject headings
- Intracranial Aneurysm
- Surgical Instruments