Clipping Cerebral Aneurysm

Sato, Taku; Suzuki, Koichi; Sakuma, Jun; Saito, Kiyoshi

doi:10.1007/978-3-030-38092-2_4

Cited by 1 publication

(2 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(3) Another pitfall of such intricate surgery is the possibility of residual aneurysmal flow from inadequate clip placement, which is difficult, if not possible, to be evaluated with direct vision alone. (5,6) Clipping is an established therapeutic approach utilized to manage aneurysms, in which a small metal clip is positioned across the neck, or base, of the protrusion. By effectively obstructing blood flow, the aneurysm is prevented from rupture or the loss of blood into the brain.…”

Section: Discussionmentioning

confidence: 99%

“…(3) Open surgery primarily involves clipping the aneurysm through a craniotomy and navigation through the cisterns and natural subarachnoid corridors of the brain. (4,5) The fundamental challenge of aneurysm clipping is to secure a complete neck occlusion while preserving both parent and their subsequent branch arteries along with the surrounding perforators. Thus, Intraoperative evaluation become a particularly important adjunct in aneurysm surgery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative Assessment Using Indocyanine Green Versus Sodium Fluorescein in Aneurysm Clipping: Review of Cases and Literature

Niryana,

Agung Surya Kencana,

Putra

et al. 2024

International Journal of Scientific Advances

View full text Add to dashboard Cite

Introduction: The fundamental challenge of aneurysm clipping is to secure a complete neck occlusion while preserving both parent and their subsequent branch arteries along with the surrounding perforators. Indocyanine Green Video angiography (ICG-VA) and Fluorescein Sodium Angiography (FNa-VA) are microscope-integrated fluorescence that offer a more affordable intraoperative evaluation of the cerebral vasculature. We present our experience in using intraoperative ICG-VA and FNa-VA in aneurysm clipping cases along with the literature review to compare both fluorescence techniques. Case Series: Two patients with subarachnoid arachnoid hemorrhage caused by a ruptured aneurysm were involved, and surgical clipping of the aneurysm was done. Intraoperative assessment of cerebral vasculature was performed using both ICG-VA and FL-VA. Conclusion: Both ICG-VA and FL-VA each have their own advantages and disadvantages and are safe and effective in routine use for intraoperative evaluation in aneurysm clipping surgery.

show abstract

Section: Discussionmentioning

confidence: 99%