Vascular clamp-assisted clipping of thick-walled giant aneurysms.

Neurosurgery 64(3 Suppl):113-20; discussion 120-1 (2009) PMID 19240560

The prognosis of giant aneurysms remains poor despite recent advances in microneurosurgery. Thick-walled and partially calcified giant aneurysms with an atheromatic base are difficult to clip safely. Special techniques allowing reshaping of the base and ensuring the stability of clips are often needed. We present our experience with direct clipping of thick-walled giant aneurysms with the aid of the DeBakey cardiovascular clamp (Aesculap, Tuttlingen, Germany).