Far Lateral Transcondylar Craniotomy for Left Proximal Pica Aneurysm - Cotton Clipping Technique
Abstract
In this video we demonstrate the cotton clipping technique of a ruptured left posterior inferior cerebellar artery aneurysm via the far lateral transcondylar approach. The patient presented with a 2mm aneurysm arising proximally from the lateral medullary segment of PICA. After opening the dura there was intraoperative aneurysmal rupture, which was carefully controlled with bipolar cautery to the aneurysm, and the aneurysm was secured with a muslin gauze wrap around PICA to include the aneurysm. 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
Neurosurgical Procedures and Complications
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