Microsurgical clipping following failed coiling of a giant ophthalmic aneurysm

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With the advent of endovascular modalities, endovascular coiling has become a progressively more common method of addressing intracranial aneurysms. When despite coiling, an aneurysm continues to enlarge, open microsurgical clipping is a viable, though technically demanding option. We present a unique case of failed coiling of a giant ophthalmic region aneurysm, in which the aneurysm was successfully managed via open microsurgical approach. We highlight the unique challenges faced and demonstrate the surgical process in an operative video presentation.

The video can be found here: http://youtu.be/k2P4c4Lvq7g.

With the advent of endovascular modalities, endovascular coiling has become a progressively more common method of addressing intracranial aneurysms. When despite coiling, an aneurysm continues to enlarge, open microsurgical clipping is a viable, though technically demanding option. We present a unique case of failed coiling of a giant ophthalmic region aneurysm, in which the aneurysm was successfully managed via open microsurgical approach. We highlight the unique challenges faced and demonstrate the surgical process in an operative video presentation.

The video can be found here: http://youtu.be/k2P4c4Lvq7g.

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Contributor Notes

CORRESPONDENCE Anil Nanda, M.D., Louisiana State University Health Sciences Center, Neurosurgery, 1501 Kings Highway, Shreveport, Louisiana 71130-3932. Email: ananda@lsuhsc.edu.INCLUDE WHEN CITING DOI: 10.3171/2015.V1.FOCUS14563.

© AANS, except where prohibited by US copyright law.

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