AIM: To evaluate the use of indocyanine green (ICG) videoangiography in surgical clipping of paraclinoid aneurysms.

MATERIAL and METHODS: Intraoperative ICG videoangiography was used as a surgical adjunct in 60 patients with 65 paraclinoid aneurysms. The findings on ICG videoangiography were compared with postoperative imaging.

RESULTS: All 65 paraclinoid aneurysms were clearly identified by intraoperative ICG videoangiography and obliteration was documented in each case. Findings on ICG videoangiography matched with postoperative angiography.

CONCLUSION: ICG videoangiography is a useful adjunct to the surgical management of paraclinoid aneurysms.