Microsurgical Clipping of a Recurrent Right MCA Aneurysm After Web Embolization
Abstract
This video demonstrates the microsurgical clipping of a recurrent middle cerebral artery aneurysm previously treated with a WEB device. A 51-year-old woman initially presented with subarachnoid hemorrhage from a ruptured right ophthalmic aneurysm. A 7 mm MCA bifurcation aneurysm was treated simultaneously with WEB. Follow-up imaging showed progressive recurrence. Standard pterional approach was used for clipping. Intraoperative ICG confirmed exclusion. Histological analysis revealed WEB remnants. The patient had no postoperative complications or new neurological deficits. 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
Moyamoya disease diagnosis and treatment
Vascular Malformations Diagnosis and Treatment
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