title: Clipping of a ruptured anterior communicating artery aneurysm with right A1-A2 sectioning and reanastomosis.
abstract: We showcase the microsurgical clipping of a previously coiled and ruptured anterior communicating artery aneurysm, done through a right-sided approach. Initial clipping with a fenestrated clip occluded the flow in the right A2. After temporary clipping of both A1 and A2 vessels, we cut the right A1 and A2, clipped the aneurysm with a straight clip while preserving the flow in the left A1 and A2 and then performed reanastomosis of the right A1-A2 in an end to end fashion. This strategy allowed for complete obliteration of the aneurysm while preserving the flow in all four vessels. The video can be found here: http://youtu.be/4Y024zU5NVo.
authors.affiliation: Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Ziad A
authors.initials: ZA
authors.lastname: Hage
authors.affiliation: Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Fady T
authors.initials: FT
authors.lastname: Charbel
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D013525:Surgical Instruments; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: anastomosis; aneurysm clipping; anterior communicating artery; video