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The treatment of relatively large cerebral aneurysms by direct clipping has been reported to significantly increase operative morbidity. In this article, we introduce a newly conducted surgical technique of aneurysmoplasty, which is most suitable for clipping of these ruptured aneurysms and implies additional methods to prevent surgical injury to surrounding vessels and brain tissues. The main concept of aneurysmoplasty includes tentative clipping in the early stage of aneurysm dissection and reduction in size of aneurysms by low output bipolar-coagulation. These methods are systemically arranged and titrated according to the aneurysm’s size and location. Transforming large ruptured aneurysms to small unruptured aneurysms apparently improves safety and reliability in clipping procedure by direct inspection around the neck and behind the dome of aneurysms.

Surgical Techniques of Clipping for Ruptured Cerebral Aneurysms: Aneurysmoplasty for an Ideal Clipping of Large-sized Ruptured Cerebral Aneurysms