title: Microsurgical clipping following failed coiling of a giant ophthalmic aneurysm.
abstract: With the advent of endovascular modalities, endovascular coiling has become a progressively more common method of addressing intracranial aneurysms. When despite coiling, an aneurysm continues to enlarge, open microsurgical clipping is a viable, though technically demanding option. We present a unique case of failed coiling of a giant ophthalmic region aneurysm, in which the aneurysm was successfully managed via open microsurgical approach. We highlight the unique challenges faced and demonstrate the surgical process in an operative video presentation. The video can be found here: http://youtu.be/k2P4c4Lvq7g .
authors.affiliation: Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
authors.forename: Piyush
authors.initials: P
authors.lastname: Kalakoti
authors.forename: Richard D
authors.initials: RD
authors.lastname: Murray
authors.forename: Shyamal C
authors.initials: SC
authors.lastname: Bir
authors.forename: Osama
authors.initials: O
authors.lastname: Ahmed
authors.forename: Anil
authors.initials: A
authors.lastname: Nanda
mesh_terms: D000783:Aneurysm / Q000150:complications / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000601:surgery*
keywords: failed coil; microsurgical aneurysm