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Year : 1996  |  Volume : 44  |  Issue : 1  |  Page : 1--5

Effect of temporary vascular occulsion during surgery of cerebral aneurysms.


Department of Neurosurgery, SCTIMST, Trivandrum - 695 011, India

Correspondence Address:
D Rout
Department of Neurosurgery, SCTIMST, Trivandrum - 695 011
India
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Source of Support: None, Conflict of Interest: None


PMID: 29542646

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Temporary vascular occulsion during surgery for cerebral aneurysms has been slow to gain acceptance as an elective procedure. This study presents the outcome in 115 cases in whom temporary vascular occulsion was needed during aneurysmal surgery. Elective temporary clipping was used in 55 cases and emergency temporary vascular occulsion was performed in 60 cases. Judicious use of temporary clips did not increase the overall morbidity or mortality. Rescue temporary clipping as an emergency measure inthe face of intraoperative rupture has a deleterious effect as against elective use on the immediate as well as long term outcome of the patient. Use of elective temporary clipping in conjunction with adequate cerebral protective measures in advocated indifficult cases to facilitate definitive clipping of the aneurysm in order to improve the overall outcome.






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Online since 20th March '04
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