2005•Clinical neurosurgeryRequires access
Prevention and management of aneurysm rupture during operation
Chen Sabrina Tan
Open publisher page 0 citations
Abstract
Objective To discuss the prevention and management of aneurysm rupture during operation. Methods To reduce blood presure 9. 3-12. 0 kPa(70-90 mmHg). The aneurysms of 56 cases were clipped, the parent artery of 6 cases were occluded and 2 cases with detachable balloons. Rusults 10 cases died postoperatively . The mortality rate was 15. 5%, and the morbidity rate was 18. 18%. Conclusions Intraoperative aneurysmal rupture usually occurred in time which were predissection and during dissection of the aneurysms and clip application. It seems possible to reduce incidence of intraoperative aneurysmal rupture and promote a good outcome by utilizing microsurgical technique, exposing proximal parent vessels of aneurysm early and applying the temporary clip reasonably.