Cathal John Hannan1, Mohsen Javadpour2,3,4. 1. Manchester Centre for Clinical Neurosciences, Manchester, UK. 2. National Neurosurgical Centre, Beaumont Hospital, Beaumont Road, Dublin, Ireland. mjavadpour@rcsi.ie. 3. Royal College of Surgeons in Ireland, Dublin, Ireland. mjavadpour@rcsi.ie. 4. School of Medicine, Trinity College Dublin, Dublin, Ireland. mjavadpour@rcsi.ie.
Abstract
BACKGROUND: 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. METHODS: We performed a successful coil extraction and clip reconstruction of this aneurysm using an ultrasonic aspirator and stacked fenestrated aneurysm clips. CONCLUSION: 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.
BACKGROUND: 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. METHODS: We performed a successful coil extraction and clip reconstruction of this aneurysm using an ultrasonic aspirator and stacked fenestrated aneurysm clips. CONCLUSION: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.
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