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:

Archnoidal 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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