title: Intraoperative transaneurysmal coil-assisted clip occlusion of a complex anterior communicating artery aneurysm. Technical note.
abstract: The combination of surgical and endovascular treatment for complex intracranial aneurysms has previously been used in a staged fashion. To perfect the clipping process of a complex anterior communicating artery aneurysm and to avoid a second staged procedure, the authors used a method of direct intraoperative transaneurysmal coil-assisted clip occlusion of the aneurysm. To the authors' knowledge this is the first time direct intraoperative transaneurysmal coil-assisted clip occlusion has been reported. It should be kept in mind as one of the options to help in complete obliteration of complex intracranial aneurysms.
authors.affiliation: Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. nkrayenbuehl@bluewin.ch
authors.forename: Niklaus
authors.initials: N
authors.lastname: Krayenbühl
authors.forename: Ali F
authors.initials: AF
authors.lastname: Krisht
mesh_terms: D000208:Acute Disease; D000328:Adult; D002533:Cerebral Angiography; D006261:Headache / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D007430:Intraoperative Care; D008297:Male; D008866:Microsurgery / Q000295:instrumentation; D019635:Neurosurgical Procedures / Q000295:instrumentation*; D012720:Severity of Illness Index