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(searched for: doi:10.1016/j.wneu.2020.12.100)
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Christopher Markosian, Mariya Soroka, Jonathan A. Forbes, Luke D. Tomycz
Published: 24 March 2022
Journal: Neurosurgery
Ehab El Refaee, Ahmed Zohdi, Henry W S Schroeder
Published: 15 June 2021
Journal: Neurosurgery
Neurosurgery, Volume 89; https://doi.org/10.1093/neuros/nyab134

Published: 9 May 2021
Journal: Cureus
Abstract:
Anterior communicating artery (ACOM) aneurysm clipping with intraoperative measures to ensure total occlusion and avoid ischemic complications is standard in countries such as the United States. However, alternatives need to be considered in resource-limited settings. The clipping of an unruptured, superiorly projecting ACOM aneurysm in a resource-limited setting is presented and special nuances that optimize safety are described. Careful surgical technique, meticulous identification of relevant anatomy, post-ligation inspection of the aneurysm and adjacent vessels, and possibly needle puncture of the aneurysm dome are critical to achieve favorable results.
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