To evaluate the clinical effectiveness of ventricular intracranial pressure (ICP) monitoring in the treatment of ruptured anterior circulation aneurysms and to explore its impact on intracranial pressure control, postoperative complications, length of hospital stay, and neurological recovery. Methods: A retrospective analysis was conducted on 67 patients who underwent surgical clipping for ruptured anterior circulation aneurysms at Jinjiang Hospital, Fujian Province, between January 2021 and June 2024. The patients were divided into an experimental group (32 patients) and a control group (35 patients). Clinical characteristics, operation time, intraoperative blood loss, postoperative changes in ICP, postoperative complications, length of hospital stay, and neurological recovery were compared between the two groups. Results: No significant differences were found between the experimental and control groups in terms of clinical characteristics, operation time, or intraoperative blood loss (P >
0.05). However, the experimental group showed superior outcomes compared to the control group in postoperative ICP changes, simplified early brain edema score (SEBES) at 72 hours, length of hospital stay, and Glasgow Outcome Scale (GOS) scores at discharge, with statistically significant differences (P <
0.05). Conclusion: Ventricular ICP monitoring during the surgical clipping of ruptured anterior circulation aneurysms is an effective method for controlling intracranial pressure, reducing postoperative complications, shortening the length of hospital stay, and promoting neurological recovery. This approach offers a safer and more efficient monitoring solution with promising clinical applicability.