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Updated: Aug 30, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Rerupture of intracranial aneurysms during cerebral angiography
Liu Yuguang1, Jia Tao, Liu Meng
1Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China. liuyuguang3000@hotmail.com
Insights
Re-rupture of intracranial aneurysms during cerebral angiography (RIADCA) is a rare complication. This case series reported no mortality, highlighting successful emergency interventions for this critical event.
Area of Science:
- Neurosurgery
- Neuroradiology
- Vascular Neurology
Background:
- Intracranial aneurysms pose significant risks.
- Cerebral angiography is a key diagnostic tool.
- Complications during angiography require prompt management.
Observation:
- Three cases of re-rupture of intracranial aneurysms during cerebral angiography (RIADCA) occurred within a three-month period.
- All patients required immediate surgical intervention.
- Intraoperative removal of blood and contrast was performed.
Findings:
- No mortality was observed in this series of RIADCA cases.
- Emergency craniotomy and aneurysm clipping were effective treatments.
- Early intervention is crucial for managing RIADCA.
Implications:
- Understanding RIADCA risk factors is vital for prevention.
- Further research into minimizing angiography-related rupture is warranted.
- Successful management strategies for RIADCA can be established.
Abstract:
Three cases of re-rupture of intracranial aneurysms during cerebral angiography (RIADCA) between June and September, 2001 are reported. All cases underwent emergency craniotomy and aneurysm clipping. The subarachnoid blood and the extravasating contrast medium were removed intraoperatively as completely as possible. There was no mortality in this series. The incidence, timing, sex, age, inducing factors, risk factors, prevention measures and prognosis are discussed and reviewed in conjunction with the literature.
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