Stereotactic, angiography-guided clipping of a distal, mycotic intracranial aneurysm using the Cosman-Roberts-Wells system: technical note

Neurosurgery. 1992 Mar;30(3):408-11. doi: 10.1227/00006123-199203000-00016.


We describe the use of stereotactic, angiographic guidance for localization and clipping of a small, distal intracranial bacterial aneurysm. The technique uses the commercially available Suetens-Gybels-Vandermeulen angiographic localizer with the widely used Cosman-Roberts-Wells stereotactic system. This method is simple and easy to use and significantly decreased the operative time. It may be quite useful for surgically treating mycotic and other peripheral aneurysms.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aneurysm, Infected / complications
  • Aneurysm, Infected / diagnostic imaging
  • Aneurysm, Infected / surgery*
  • Cerebral Angiography* / instrumentation
  • Endocarditis, Bacterial / complications
  • Enterococcus faecalis*
  • Female
  • Gram-Positive Bacterial Infections / complications*
  • Hematoma / etiology
  • Hematoma / surgery
  • Humans
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / surgery*
  • Stereotaxic Techniques / instrumentation*
  • Subarachnoid Hemorrhage / etiology