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  • Title: Clipping of a ruptured anterior communicating artery aneurysm with right A1-A2 sectioning and reanastomosis.
    Author: Hage ZA, Charbel FT.
    Journal: Neurosurg Focus; 2015 Jul; 39 Video Suppl 1():V10. PubMed ID: 26132608.
    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.
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