Clipping of A.com.art. aneurysm-
(rt. pterional approach):
Dr. A. Vincent Thamburaj,
Neurosurgeon, Apollo Hospitals, Chennai, India.
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Clip1:
Following pterional craniotomy, the sylvian fissure is split; the basal cisterns are opened; the int.carotid is coming into view.
Clip2:
Arachnoidal dissection over the A1, continues to the aneurysm.
Clip3:
Further dissection of the dense archnoid around the aneurysm. Neck of the aneurysm is defined and clipped.
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