Aneurysmal subarachnoid hemorrhage leads to a sharp increase in intracranial pressure, which causes the risks of cerebral vascular spasm (CVS), delayed cerebral ischemia, and neurological deficits. Intracranial aneurysm clipping is a primary method in the treatment of aneurysms. Intraoperative surgical procedures and perioperative management are closely associated with the neurological prognosis of patients. Anesthesiologists should take appropriate perioperative blood pressure management measures according to the corresponding treatment stages to maintain hemodynamic stability of patients and avoid the occurrence of complications related to aneurysm surgery. This review aims to summarize perioperative recommendations of blood pressure management in the order of preoperative preparation, anesthesia induction, before and after aneurysm clipping, the postoperative period, as well as neurological prognosis of intracranial aneurysm clipping. This review also aims to provide a theoretical basis and clinical reference for blood pressure management in perioperative aneurysm clipping procedures so as to enhance patient prognosis.