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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Related Experiment Video

Updated: Apr 25, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
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Tailoring fenestrated aneurysm clips intraoperatively: Instant solution for a difficult problem.

Pinar Eser1, Ismail Seckin Kaya1, Oguz Altunyuva1

  • 1Bursa Uludag University Faculty of Medicine, Department of Neurosurgery, 16120 Bursa, Turkey.

Neurocirugia (English Edition)
|July 4, 2024
PubMed
Summary

Intraoperative clip modification is an effective technique for safely clipping complex anterior communicating artery aneurysms when standard clips are too long. This method ensures successful aneurysm occlusion and protects vital parent arteries.

Keywords:
Anterior communicating arteryArteria comunicante anteriorClip modificationClipaje microquirúrgicoClips de aneurisma fenestradoFenestrated aneurysm clipsMicrosurgical clippingModificación de clip

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Area of Science:

  • Neurosurgery
  • Vascular Neurology

Background:

  • Anterior communicating artery (AcoA) aneurysms present significant surgical complexity due to intricate anatomy and narrow surgical corridors.
  • Traditional techniques like extended craniotomies and specialized clips are used, but may not always suffice.

Observation:

  • This study retrospectively analyzed two patients requiring intraoperative clip modification for ruptured AcoA aneurysms.
  • In both cases, standard fenestrated clips were too long, risking compromise of the parent A2 arteries.

Findings:

  • Intraoperative clip modification, involving shortening and smoothing clip tips, enabled safe and successful clipping of AcoA aneurysms.
  • Post-clipping imaging confirmed complete aneurysm occlusion and maintained patency of the parent arteries in both patients.

Implications:

  • Clip modification offers a viable and effective solution for challenging AcoA aneurysm clipping when clip length is a limiting factor.
  • This technique enhances surgical safety and improves outcomes for complex cerebrovascular cases.