Figure 4:

Illustration of operation. Gray blade with blue spring represents fenestrated straight clips while gold blade with violet spring means temporary mini clips. (a) After early bifurcation of middle cerebral artery, the aneurysm was originated from the frontal branch. Superior and inferior divisions of frontal branch are branching out from the aneurysm. (b) Superior division of frontal branch was cut to enable clipping without compromising parent artery. (c) Clipping of main sac was done using multiple fenestrated straight clips. (d) Superior division of frontal branch and distal end of superior temporal artery’s parietal branch (arrowheads, red bar) were anastomosed in end-to-end fashion.