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Temporary clipping in aneurysm surgery: technique and results.
F T Charbel1, J I Ausman, F G Diaz
1Henry Ford Neurosurgical Institute, Detroit, Michigan 48202.
Surgical Neurology
|August 1, 1991
Summary
Temporary clipping is a safe and effective neurosurgical technique for treating brain aneurysms. This study shows that 92% of patients achieved good outcomes, with minimal complications attributed to the clipping procedure itself.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Neurology
Background:
- Temporary clipping is a standard technique in aneurysm surgery.
- This study reviews experience with 62 consecutive patients undergoing aneurysm treatment.
Purpose of the Study:
- To evaluate the safety and efficacy of temporary clipping in aneurysm surgery.
- To assess the incidence of new postoperative deficits related to temporary clipping.
Main Methods:
- Retrospective review of 62 consecutive patients treated for brain aneurysms.
- Analysis of operative protocols, patient demographics, aneurysm locations, and clinical outcomes.
- Assessment of temporary clipping's role in postoperative neurological deficits.
Main Results:
- 92% of patients achieved good to excellent outcomes following temporary clipping.
- Only 2% of new postoperative deficits were definitively attributed to temporary clipping.
- Mortality rate was 3%, and morbidity rate was 5% in the study cohort.
Conclusions:
- Temporary clipping is a safe and valuable procedure in aneurysm surgery.
- The technique significantly contributes to favorable patient outcomes.
- Risks associated with temporary clipping are low, with most deficits unrelated to its use.