MCA bifurcation #brain #aneurysm clipping.This was a small, blister-like aneurysm that had grown over several years of observation. Simple technical nuances in this case include clipping parallel to M2 and perpendicular to M1, avoiding #stenosis of the M2 origins, securing both segments within the clip, ensuring patency of small #perforator branches below the clip (best seen in ICG #angiography after clip placement), and avoiding retractors. Final overview images of the brain demonstrate how #delicate and minimally invasive #microsurgical clipping can be under high #magnification. Despite dramatic advances in #endovascular #techniques, there still remain aneurysms that are easier and safer to treat with clipping. . #Repost with @Repostlyapp @babaksjahromi *Edited* time-lapse video #neurosurgery #neurocirurgiabr #neurosurgeryblog #neurocirurgia https://www.instagram.com/p/BsEvH_gFAPQ/?utm_source=ig_tumblr_share&igshid=ygvzjkiiispu
