Basilar apex artery aneurysm clipping: how I do it.
Level V
Where this comes from
- Record sourced from PubMed, PMID 41051608.
- Also identified by DOI 10.1007/s00701-025-06687-1 and PMC identifier 12500782.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Approximately 5-8% of intracranial aneurysms arise from the basilar artery apex (BAA). Given the basilar artery role in supplying the brainstem and the posterior cerebral circulation, the rates of morbidity and mortality are especially high in case of rupture. Although endovascular occlusion techniques are overall favored, thus leading to decreasing surgical expertise, complex BAA aneurysm may still require treatment with microsurgical occlusion. We describe our institutional perioperative protocol in the management of BAA aneurysms, focusing on surgical anatomy, approach selection, and intraoperative nuances.
Medical subject headings
- Intracranial Aneurysm
- Basilar Artery
- Neurosurgical Procedures
- Microsurgery
- Vascular Surgical Procedures
- Endovascular Procedures