Microsurgical treatment strategy for intracranial aneurysms

Objective To discuss the strategy of microsurgical treatment for intracranial aneurysms and improve the operative outcomes. Methods An retrospective analysis was conducted on the microsurgical time, approaches and operative and postoperative management of the 56 patients (59 aneurysms) who had intracranial aneurysms in the anterior circulation and had undergone microsurgical treatment. Results Aneurysms were directly clipped in 55 cases (58 aneurysms), while 1 case was trapped and died (1.8%). During the follow-up ranging from 6 months to 10 years, the 55 cases had moderate to excellent recovery in daily life. Conclusion A suitable and rational microsurgical strategy is essential for an excellent therapeutic outcome of intracranial aneurysms, even multiple aneurysms.