ArticleActa neurochirurgica2026
Tandem straight fenestrated clipping for posterior communicating artery aneurysm with fetal-type posterior cerebral artery.
Article in Acta neurochirurgica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn 20% of patients, a dominant posterior communicating artery (PCoA) supplies the occipital lobe owing to a hypoplastic P1 segment of the posterior cerebral artery (PCA).
methodWe present a reconstructive technique involving straight fenestrated clips applied in tandem for the exclusion of a postero-laterally projecting, wide-necked PCoA aneurysm with limited dome height and associated with a fetal-type PCA.
conclusionThis configuration progressively reconstructs the supraclinoid internal carotid artery-PCoA junction, completely excludes the aneurysm neck and avoids clip slippage. Continuous intraoperative neuromonitoring supports safe flow control and patency of the perforators and anterior choroidal artery.
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