{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T17:23:16Z","timestamp":1775323396805,"version":"3.50.1"},"reference-count":20,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nThe middle cerebral artery (MCA) is a common site of cerebral aneurysms and 82.6% occur at the bifurcation. When surgery is selected as a therapeutic option, it intends to clip the neck completely because if some remnant occurs, there exists the possibility of regrowth and bleeding in the short- or long-term.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nWe analyzed one drawback of the fenestrated clips of Yasargil and Sugita types to occlude the neck totally at a specific point formed by the union of the fenestra with the blades, creating a triangular space where the aneurysm can protrude, giving place to a remnant that can lead to a future recurrence and rebleeding. We show two cases of ruptured MCA aneurysms in which a cross-clipping technique occluded a broad base and dysmorphic aneurysm using straight fenestrated clips.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nIn both cases (one using a Yasargil clip and the other with a Sugita clip), a small remnant was visualized when fluorescein videoangiography (FL-VAG) was used. In both cases, the small remnant was clipped with a 3 mm straight miniclip.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nWe should be aware of this drawback when clipping aneurysms using fenestrated clips to ensure a complete obliteration of the aneurysm\u2019s neck.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_374_2023","type":"journal-article","created":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T04:48:16Z","timestamp":1687409296000},"page":"204","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Limitation of fenestrated clips during clipping of middle cerebral artery aneurysm: Technical note"],"prefix":"10.25259","volume":"14","author":[{"given":"Javier","family":"Degollado-Garc\u00eda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9ctor 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