Zero-Delay Mechanical Thrombectomy for Distal Large Vessel Occlusion Detected on Intraoperative Angiogram After Microsurgical Clipping of a Posterior Communicating Artery Aneurysm: Value of Hybrid Operating Room

Intraoperative cerebral angiography after open surgical clipping of intracranial aneurysms gives real-time actionable data that can affect intraoperative decision making. This can be accomplished without a hybrid OR by using fluoroscopic equipment, but suboptimal imaging conditions may lead to unfavorable outcomes.