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  • Title: Anterior clinoidectomy in low lying internal carotid artery-posterior communicating artery aneurysm.
    Author: Das KK, Singh G, Bhaisora KS, Srivastava AK.
    Journal: Acta Neurochir (Wien); 2024 Jun 08; 166(1):257. PubMed ID: 38850347.
    Abstract:
    BACKGROUND: At times, a regulation internal carotid artery-posterior communicating artery junction (ICA-P-Comm) aneurysm becomes a surgical hurdle owing to its close proximity to the anterior clinoid process, an immovable ICA and a concealed dominant P-Comm artery arising from the aneurysm neck. METHOD: A 70 year old patient with a low lying ICA-P-Comm aneurysm underwent a "tailored" intradural clinoidectomy for aneurysm clipping. CONCLUSION: A tailored anterior clinoidectomy to expose "just enough" allows a proximal ICA control in a suitable area, mobility of an atherosclerotic ICA and exposes the P-Comm artery origin which are essential in safe clipping of these aneurysms.
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