title: The "Multi Clip" method in unruptured complex middle cerebral artery aneurysms--a case series.
abstract: This study aims to analyze the feasibility, indications and applicability of the "Multi Clip" method for accurate and complete clipping in patients with unruptured complex middle cerebral artery aneurysms. In this series, we achieved precise clipping in all cases without any intraoperative complications. On the basis of our work, we classified the necessity for multi-clipping into 3 categories: 1) precise clipping, 2) perforator preservation, and 3) reconstruction. The outcome in all patients was excellent. In conclusion, the "Multi Clip" method is a safe and an efficient procedure in cases of difficult unruptured middle cerebral artery aneurysms, where optimal neck closure cannot be obtained by single clipping.
authors.affiliation: Department of Neurosurgery, Fujita Health University, Toyoake, Aichi, Japan.
authors.forename: D R
authors.initials: DR
authors.lastname: Babbu
authors.forename: H
authors.initials: H
authors.lastname: Sano
authors.forename: Y
authors.initials: Y
authors.lastname: Kato
authors.forename: O
authors.initials: O
authors.lastname: Arabi
authors.forename: K L
authors.initials: KL
authors.lastname: Karagiozov
authors.forename: M
authors.initials: M
authors.lastname: Yoneda
authors.forename: S
authors.initials: S
authors.lastname: Imizu
authors.forename: S
authors.initials: S
authors.lastname: Watanabe
authors.forename: J
authors.initials: J
authors.lastname: Oda
authors.forename: T
authors.initials: T
authors.lastname: Kanno
mesh_terms: D003399:Craniotomy; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D013525:Surgical Instruments; D017585:Ultrasonography, Doppler, Transcranial