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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: UNLABELLED, METHODS, RESULTS. Meshes: Adult, Aged, Carotid Artery Diseases, Carotid Artery, Internal, Cerebral Angiography, Female, Humans, Intracranial Aneurysm, Male, Microsurgery, Middle Aged, Ophthalmic Artery, Postoperative Complications, Retrospective Studies, Risk Factors, Statistics, Nonparametric, Surgical Instruments, Treatment Outcome, Vascular Surgical Procedures.
user
Is surgical clipping still a good choice for the treatment of paraclinoid aneurysms? Context: Paraclinoid aneurysms are lesions located adjacent to the clinoid and ophthalmic segments of the internal carotid artery. In recent years, flow diverter stents have been introduced as a better endovascular technique for treatment of these aneurysms. From 2009 to 2014, a total of 43 paraclinoid aneurysms in 43 patients were surgically clipped. We retrospectively reviewed the records of these patients to analyze clinical outcomes. Twenty-six aneurysms (60.5%) were ophthalmic artery aneurysms, while 17 were superior hypophyseal artery aneurysms (39.5%). The extradural approach to the clinoid process was used to clip these aneurysms. One hundred percent of aneurysms were clipped (complete exclusion in 100% on follow-up angiography). The length of follow-up ranged from 1 to 60 months (mean, 29.82 months).
assistant
Surgical clipping continues to be a good option for the treatment of paraclinoid aneurysms. Final Decision: yes