Intraoperative microvascular Doppler ultrasonography in cerebral aneurysm surgery
نویسندگان
چکیده
منابع مشابه
Intraoperative microvascular Doppler ultrasonography in cerebral aneurysm surgery.
OBJECTIVES Outcome of surgical treatment of cerebral aneurysms may be severely compromised by local cerebral ischaemia or infarction resulting from the inadvertent occlusion of an adjacent vessel by the aneurysm clip, or by incomplete aneurysm closure. It is therefore mandatory to optimise clip placement in situ to reduce the complication rate. The present study was performed to investigate the...
متن کاملIntraoperative angiography should be standard in cerebral aneurysm surgery
Intraoperative angiography (IOA) has proven to be a safe and effective adjunct to surgical repair of cerebral aneurysms. Substantial practice variation exists regarding use of this modality in different centers, including use of IOA routinely, selectively, or rarely. In this editorial, we discuss our experience and review the existing literature to develop an argument for routine use of IOA dur...
متن کاملRoutine intraoperative angiography during aneurysm surgery.
OBJECT The routine use of intraoperative angiography as an aid in the surgical treatment of aneurysms is uncommon. The advantages of the ability to visualize residual aneurysm or unintended occlusion of parent vessels intraoperatively must be weighed against the complications associated with repeated angiography and prolonged vascular access. The authors reviewed the results of their routine us...
متن کاملIntraoperative management of aortic aneurysm surgery.
Managing the anesthesia of patients undergoing open aortic surgical repair is a great challenge. The anesthesiologist's role in myocardial,renal, and neurologic protection is crucial to the patient's overall outcome.Each case presents different challenges, and there is no one right way to manage the patient intraoperatively.
متن کاملComparing routine versus selective use of intraoperative cerebral angiography in aneurysm surgery: a prospective study.
INTRODUCTION While the use of intraoperative angiography (IA) has been shown to be a useful adjunct in aneurysm surgery, its routine use remains controversial. OBJECTIVE We wished to determine if IA is required in all patients undergoing aneurysm surgery (ie, routine IA) or if intraoperative assessment can reliably predict the need for IA (ie, select IA). METHODS We prospectively evaluated ...
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ژورنال
عنوان ژورنال: Journal of Neurology, Neurosurgery & Psychiatry
سال: 2000
ISSN: 0022-3050
DOI: 10.1136/jnnp.68.1.29