Microsurgical Clip Ligation of Giant Ophthalmic ICA Aneurysm using Retrograde Suction Decompression and Direct Suction Decompression
Abstract
A patient with a giant ophthalmic segment aneurysm presented with complete loss of light perception in her left eye and progressive vision loss in her right eye. Notably, she had occlusion of her basilar artery requiring mechanical thrombectomy during her diagnostic angiogram. For these reasons, microsurgical clipping with cranio-orbital approach and extradural clinoidectomy was selected for treatment. Both retrograde suction decompression as well as direct suction decompression were required for adequate clip placement intraoperatively. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Intracranial Aneurysms: Treatment and Complications
Vascular Malformations Diagnosis and Treatment
Cerebrovascular and Carotid Artery Diseases
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN