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Clinical experience with the use of a temporary clip for intracranial aneurysm surgery. Analysis of eighteen cases

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Summary

Although the use of a temporary clip in intracranial aneurym surgery has been proposed by several Neurosurgeons in the past, its use today is not generally accepted. Modern surgical techniques have contributed to safer exposure and direct attack on the aneurysm. However, aneurysm surgery continues to be a challenge to the Surgeon and occasionally demands the use of a temporary clip.

Eighteen cases operated on with the use of a temporary clip have been analysed. The occlusion time of the feeding vessel and location of the temporary clip have been related to the outcome. There was no relationship between occlusion time of the feeding vessel and outcome in this material, whereas location of the temporary clip seemed to be of importance for the outcome in cases with aneurysms located in the middle cerebral artery.

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References

  1. Crutchfield, W. G., Instruments for use in treatment of certain intracranial vascular lesions. J. Neurosurg.16 (1959), 471–489.

    PubMed  Google Scholar 

  2. Dujovny, M., Osgood, C. P., Barrionuevo, P. J., Perlin, A., Kossovsky, N., SEM evaluation of endothelial damage following temporary middle cerebral artery occlusion in dogs. J. Neurosurg.48 (1978), 42–48.

    PubMed  Google Scholar 

  3. Elvidge, A. R., Feindel, W. H., Surgical treatment of aneurysm of anterior cerebral and anterior communicating arteries diagnosed by angiography and electroencephalography. J. Neurosurg.7 (1950), 13–28.

    PubMed  Google Scholar 

  4. Hamby, W. B., Multiple intracranial aneurysms: aspects of treatment. J. Neurosurg.16 (1959), 558–564.

    PubMed  Google Scholar 

  5. Hunt, W. E., Hess, R. M., Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J. Neurosurg.28 (1968), 14–20.

    PubMed  Google Scholar 

  6. Krayenbühl, H. A., Yaşargil, M. G., Flamm, E. S., Tew, J. M., Microsurgical treatment of intracranial saccular aneurysms. J. Neurosurg.37 (1972), 678–686.

    PubMed  Google Scholar 

  7. Pool, J. L., Early treatment of ruptured intracranial aneurysms of circle of Willis with special clip technique. Bull N.Y. Acad. Med.35 (1959), 357–369.

    PubMed  Google Scholar 

  8. Pool, J. L., Aneurysms of the anterior communicating artery. Bifrontal craniotomy and routine use of temporary clips. J. Neurosurg.18 (1961), 98–112.

    PubMed  Google Scholar 

  9. Pool, J. L., Potts, D. G., In aneurysms and arteriovenous anomalies of the brain, pp. 204–207. Evanston and London: Hoeber Medical Division. Harper & Row Publ. N.Y. 1965.

    Google Scholar 

  10. Suzuki, J., Kwak, R., Okudaira, Y., The safety time limit of temporary clamping of cerebral arteries in the direct surgical treatment of the intracranial aneurysm under moderate hypothermia. Brain and Nerve (Tokyo, Japan)25 (1973), 407–416.

    Google Scholar 

  11. Yaşargil, M. G., Carter, L. P., Saccular aneurysms of the distal anterior cerebral artery. J. Neurosurg.39 (1974), 218–223.

    Google Scholar 

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Author notes

  1. H. Kourtopoulos

    Present address: Department of Neurosurgery, University Hospital of Umeå, Umeå, Sweden

Authors and Affiliations

  1. Department of Neurosurgery, University Hospital of Umeå, Umeå, Sweden

    K. A. West & H. G. Bolander

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  1. H. Kourtopoulos
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  2. K. A. West
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  3. H. G. Bolander
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Kourtopoulos, H., West, K.A. & Bolander, H.G. Clinical experience with the use of a temporary clip for intracranial aneurysm surgery. Analysis of eighteen cases. Acta neurochir 70, 59–64 (1984). https://doi.org/10.1007/BF01406043

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