Introduction: Aneurysm clipping remains a crucial treatment modality for intracranial aneurysms, particularly in resource-limited settings. While endovascular techniques have gained prominence, open aneurysumal clipping continues to offer distinct advantages in selected cases. This study evaluates the outcomes of open surgical clipping for both ruptured and unruptured aneurysms at our institution. We conducted a Methods: retrospective analysis of consecutive patients who underwent microsurgical clipping for intracranial aneurysms between 2023 and 2025. Patient demographics, aneurysm characteristics, surgical variables, and outcomes were analyzed. Primary outcomes included modified Rankin Scale (mRS) scores at discharge and follow-up, while secondary outcomes included complete aneurysm occlusion rates, surgical complications, and mortality. Eight patients underwent open aneurysum clipping during the study period. The study inclu Results: ded ruptured and unruptured aneurysms. Mean age was 54 years (range: 54.1 ± 11.7 years with a female predominance 62.5%. Anterior communicating artery aneurysms were most common 62.5%, followed by Internal carotid artery territory aneurysms25% and ACA aneurysum in 12.5%. Complete aneurysm occlusion was achieved in 25% of cases. Intraoperative rupture occurred in 37.5% of cases. The overall mortality rate was 75%.. Our single- Conclusion: center experience demonstrates that open aneurysumal clipping remains a safe and effective treatment option for carefully selected intracranial aneurysms. The study highlights the importance of proper patient selection and surgical expertise in achieving favorable outcomes, particularly in resource-limited settings.
Ramotra et al. (Tue,) studied this question.