Anterior communicating aneurysm clipping: How I do it.

Vernile, Bruno; Palmisciano, Paolo; Vadivelu, Sudhakar; Zuccarello, Mario · Acta Neurochir (Wien) · 2025

Level V

Where this comes from

Abstract

Up to 40% of intracranial aneurysms arise from the anterior cerebral artery and anterior communicating artery (ACA-ACoA) complex. The vast variability of vessel anomalies and the surrounding critical structures correlate with severe morbidity and mortality rates in case of rupture. In the era of cutting-edge advantages of endovascular procedures, surgical expertise is reducing. This article describes our institutional surgical technique in managing ACoA aneurysms, focusing on anatomical variants, approach selection, and technical intraoperative nuances.

Medical subject headings