Clinical and surgical outcomes of bilateral intracranial aneurysms clipped through a single craniotomy: a retrospective comparative cohort study
In patients with bilateral ICA or MCA aneurysms, clipping via a single craniotomy provides clinical outcomes comparable to bilateral craniotomies. Contralateral clipping does not adversely affect occlusion or complication rates, supporting the safety and feasibility of a unilateral surgical approach for safe microsurgical clipping in selected cases of bilateral aneurysms.
Authors
- Eliezer Villanueva-Castro (ORCID: https://orcid.org/0000-0003-3649-8333)
- Xavier Wong-Achi
- Edgar Nathal (ORCID: https://orcid.org/0000-0002-9425-6212)
- Juan José Méndez-Gallardo
- Rodolfo Villalobos-Díaz (ORCID: https://orcid.org/0000-0002-7855-8317)
- Luis A Rodríguez-Hernández (ORCID: https://orcid.org/0000-0003-3185-0203)
- Gerardo Guinto (ORCID: https://orcid.org/0000-0001-7837-8941)
- Juan Luis Gómez-Amador (ORCID: https://orcid.org/0000-0002-6695-0274)
- Yael Beristain
- Valeria Terrazas-Aguirre
Institutions
- Oasis of Hope Hospital (MX)
- Universidad de las Californias (MX)
- Centro Médico ABC (MX)
- Instituto Nacional de Neurología y Neurocirugía (MX)
- University of Arkansas for Medical Sciences (US)
Publication Details
- Journal
- Neurosurgical FOCUS
- Published
- 2025-12-01
- DOI
- https://doi.org/10.3171/2025.9.focus25747
- Primary Topic
- Intracranial Aneurysms: Treatment and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00