Abstract
Microsurgical clipping has been a gold standard for treatment of cerebral aneurysms. However, despite the far advances in surgical technique and craft, it may carry considerable risk of mortality and morbidity to the patient unless the surgeon keeps the basic principles and tactics for proper process of aneurysm clipping. To attain the goal of complete isolation of aneurysm from the cerebral circulation with concurrent saving parent artery and critical perforators, safe exposure of aneurysm, proper clip selection and accurate placement of the clip under the various intraoperative monitoring should be necessary. From exposure of target aneurysm to the final clip application, the authors will describe notable considerations for the successful clipping of aneurysm based on their own experience and review of literature.
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