J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803430
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Tandem Clipping of Multiple Middle Cerebral Artery Aneurysms with Different Projection Angles

Mehdi Khaleghi
1   University of South Alabama, Mobile, Alabama, United States
,
Sudhir Suggala
1   University of South Alabama, Mobile, Alabama, United States
,
Adnan Hussain Shahid
1   University of South Alabama, Mobile, Alabama, United States
,
Danner Buttler
1   University of South Alabama, Mobile, Alabama, United States
,
Garrett Dyess
1   University of South Alabama, Mobile, Alabama, United States
,
Rebecca Sugg
1   University of South Alabama, Mobile, Alabama, United States
,
Ursula Hummel
1   University of South Alabama, Mobile, Alabama, United States
,
Jai D. Thakur
1   University of South Alabama, Mobile, Alabama, United States
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After an initial ICA exposure, the Sylvian fissure was superficially opened. Then the ICA bifurcation was followed distally to expose the MCA bifurcation. A temporary clip was applied on M1. Three aneurysms were identified on the superior trunk. First, the two distal aneurysms were clipped parallel to M1. Then, the operative microscope was rotated to clip the proximal aneurysm in a perpendicular plane in respect to M1.



Publication History

Article published online:
07 February 2025

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