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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
13.7K
Clipping aneurysms via a fully endoscopic transcranial approach.
Zhengxing Xie1,2, Yan Zhuang3,4, Jieping Liu3,4
1Department of Neurosurgery, The Affiliated Hospital of Jiangsu University, Zhenjiang, China. hayvip@163.com.
Scientific Reports
|December 31, 2024
Summary
Fully endoscopic aneurysm clipping is a safe and feasible technique. This initial experience shows promising outcomes for patients undergoing this minimally invasive procedure for various cerebral aneurysms.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
- Cerebrovascular Surgery
Background:
- Aneurysm clipping remains a crucial treatment for cerebral aneurysms.
- Advancements in endoscopic technology offer potential for improved surgical approaches.
- Evaluating novel techniques is essential for enhancing patient outcomes.
Purpose of the Study:
- To assess the safety and feasibility of fully endoscopic aneurysm clipping.
- To report the initial clinical experience with this technique.
- To analyze early postoperative outcomes and patient recovery.
Main Methods:
- Retrospective single-center study of 7 patients undergoing fully endoscopic aneurysm clipping.
- Data collection included patient records, neuroimaging, and surgical variables.
- Postoperative follow-up involved neurological exams and CT/CTA imaging.
Main Results:
- No intraoperative aneurysm rupture occurred.
- Complete aneurysm occlusion and preservation of parent/branching vessels were confirmed.
- No post-clipping cerebral infarction or mortality was observed; 71.4% excellent/good recovery.
Conclusions:
- Fully endoscopic aneurysm clipping is a safe and effective minimally invasive option.
- This technique provides valuable intraoperative information and aids decision-making.
- Accumulated experience and technological progress enhance the potential of endoscopic aneurysm clipping.
