Surgical Experience of the Distal Internal Carotid Artery Aneurysm

Bifucation of the internal carotid artery aneurysms are rare. But they are paticulary difficult to treat surgically because of perforating arteries surrounding and adherent to the aneurysm. In this series, fourteen patients with bifucation of internal carotid artery aneurysms were treated with direct surgery. Tweleve patients of these were treated with clipping, two were treated with coating. 57% of the patients had a good or excellent result and there was a 7% mortality.