Evaluation of Ischemia Following Clipping of Anterior Circulation Aneurysms with Respect to Temporary Clipping Using Diffusion-Weighted Magnetic Resonance Imaging: A Prospective Study

被引：0
|
作者：
Kumar, Pankaj [1 ]
Bodeliwala, Shaam [2 ]
Aher, Rajender [3 ]
Jagetia, Anita [2 ]
Srivastava, Arvind Kumar [2 ]
Singh, Daljit [2 ]
Ganjoo, Pragati [2 ]
机构：
[1] Dr Ram Manohar Lohia Hosp Hosp, Dept Neurosurg, New Delhi, India
[2] GB Pant Inst Postgrad Educ & Res GIPMER, Dept Neurosurg, New Delhi, India
[3] Medipulse Hosp, Basni Phase 2, Jodhpur, Rajasthan, India
来源：
INDIAN JOURNAL OF NEUROSURGERY | 2020年 / 9卷 / 02期
关键词：
aneurysm; cerebral infarction; intraoperative hemorrhage; RISK-FACTORS; INTRACRANIAL ANEURYSMS; ARTERIAL-OCCLUSION; HYPERTENSION; SURGERY;
D O I：
10.1055/s-0039-3402625
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Temporary vessel occlusion enables a surgeon dissect aneurysm and clip with a lower risk of intraoperative hemorrhage with the associated risk of ischemia. There are studies on permissible time of occlusion of the parent artery using temporary clip; however, the actual incidence of silent ischemic events in patients with aneurysms treated with microsurgical clipping is not well documented. We are trying to look for the association between temporary clipping and incidence of ischemia through this study. The study concluded the statistically significant association between the maximum time of single clip application and ischemia. Intermittent multiple temporary clippings can prevent ischemia instead of a single clipping of longer duration.
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页码：75 / 79
页数：5
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