Large left internal carotid aneurysm

A middle aged lady presented with SAH and Intraventricular haemorrhage. CT angio showed this aneurysm. The aneurysm was clipped through left frontotemporal craniotomy. The left anterior clinoid had to be drilled to expose full neck of aneurysm. What would have been the best option for this aneurysm?

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written by gcaruso.nch, September 26, 2014
I thick that the neck was too large for endovascular procedures. In my opinion surgery was the best option in this case.

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