Document Detail


Temporary clipping during early operation for ruptured aneurysm: preliminary report.
MedLine Citation:
PMID:  6866234     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Temporary arterial occlusion was performed in 16 patients undergoing early aneurysm operation. Ten patients had a ruptured middle cerebral artery (MCA) aneurysm, and 6 had a ruptured anterior communicating artery aneurysm. Premature aneurysm rupture during operation necessitated temporary arterial occlusion in 10 patients. In 5 patients, temporary arterial occlusion was performed to facilitate dissection of the aneurysm. In 1 patient with a large MCA aneurysm, temporary occlusion was performed to provoke collapse of the completely exposed aneurysm sac, thus making clipping of the base possible. The results do not indicate that temporary occlusion by the standard aneurysm clips now in general use leads to angiographically detectable arterial wall changes or increased thromboembolic complications. Temporary clipping of the MCA proximal to the perforating arteries may be well tolerated for up to 20 minutes during early aneurysm operation. Temporary occlusion of one or both anterior cerebral arteries or temporary pericallosal clipping need not unconditionally lead to disastrous consequences if rendered necessary during aneurysm operations performed in the acute stage.
Authors:
B Ljunggren; H Säveland; L Brandt; E Kågström; S Rehncrona; P E Nilsson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  12     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1983 May 
Date Detail:
Created Date:  1983-08-11     Completed Date:  1983-08-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  525-30     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebral Angiography
Cerebral Arterial Diseases / surgery
Constriction
Female
Humans
Intracranial Aneurysm / radiography,  surgery*
Male
Middle Aged
Rupture, Spontaneous
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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