Anterior choroidal artery aneurysms(AChAAs) are rare in clinic,accounting for 2% to 5% of all intracranial aneurysms,and the rupture rate is 26.7%. Because of the complex anatomical structure and the relatively smaller diameter of the anterior choroidal artery(AchA),the surgical operation is difficult and high-risked. Often the postoperative complications are present,among which,the most common one is the AChA syndrome caused by the stenosis or obstruction of the AChA. The syndrome can severely affect the post-operative recovery of patients’ neurological functions. Through reviewing the previous literature,this study aimed at making a clue for the inducing factors of clip-induced ischemic compli-cations of AChAAs and their prevention approaches.