Proven, durable treatment for brain aneurysms using advanced surgical precision to eliminate rupture risk and preserve healthy brain function.
Microsurgical clipping is a highly effective surgical procedure used to treat brain aneurysms by permanently sealing them off from blood flow. Unlike endovascular approaches, this technique involves performing a craniotomy, which is an opening in the skull, to directly access the aneurysm and place a small titanium clip at its base, preventing blood from entering the aneurysm sac.
Dr. Parham Yashar is a fellowship-trained, board-certified neurosurgeon with extensive experience in microsurgical aneurysm clipping. He uses high-resolution operating microscopes and image-guided navigation surgery to maximize precision while minimizing trauma to surrounding brain tissue.
Microsurgical clipping remains the gold standard for certain aneurysms, particularly those with wide necks, unusual shapes, or those that are not ideal candidates for endovascular treatment.
Dr. Yashar may recommend microsurgical clipping if:
Common aneurysm types treated with clipping include:
The procedure begins under general anesthesia. You will be monitored closely throughout surgery to ensure brain protection and optimal surgical conditions.
Dr. Yashar makes a small, tailored opening in the skull to access the aneurysm site.
Using advanced neuronavigation and operating microscopes, Dr. Yashar identifies the aneurysm while avoiding nearby critical vessels and brain structures.
A tiny titanium clip is carefully applied to the neck of the aneurysm, permanently sealing it off from blood flow while preserving the parent artery.
The skull is closed with specialized plating, and the scalp is sutured for healing.
Microsurgical clipping typically requires a longer recovery time than endovascular treatment, but it offers excellent long-term protection against aneurysm rupture.
Typical recovery timeline:
Dr. Yashar and his team provide thorough postoperative care and follow-up to support your recovery every step of the way.
For certain aneurysms, yes. Microsurgical clipping offers a permanent solution with the lowest recurrence rates. It’s especially preferred for wide-neck, complex, or MCA aneurysms that aren’t suitable for endovascular coiling.
As with any brain surgery, risks include infection, bleeding, or neurological deficits. However, with Dr. Yashar’s expertise and the use of intraoperative image guidance, these risks are minimized.
Dr. Yashar uses meticulous, minimally disruptive incisions. Scarring is typically minimal and hidden within the hairline, and permanent hair loss is rare.
The clip is permanent and does not degrade over time. It is MRI-safe and typically requires no further attention once placed.
If you’re facing a brain aneurysm diagnosis, you deserve care from a neurosurgeon who offers the full spectrum of treatment options, from endovascular coiling and flow diversion to advanced microsurgical clipping.
Dr. Parham Yashar, board-certified and fellowship-trained, is recognized as one of the top neurosurgeons in Los Angeles for brain aneurysm treatment. With his dual training in open and minimally invasive techniques, he provides highly personalized care based on your unique anatomy, risk factors, and treatment goals.
Contact us today to learn if a consultation with the best microsurgical clipping surgeon for brain aneurysms in Los Angeles is the right path for you.
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