title: Temporary clipping in the surgery of endocranial aneurysms.
abstract: The authors' experience in the routine use of temporary clipping procedures in the surgery of endocranial aneurysms is reported. To analyse the validity of such a method we compared the outcome in a series of 153 aneurysms operated according to the traditional procedure (temporary clipping of the afferent vessel only in the case of intraoperative rupture of the aneurysmatic sac) with that of a more recent series of 225 in which the procedure was applied routinely. An unsatisfactory surgical outcome was found in 12.5% and 6.6% of patients respectively, with a corresponding unfavourable outcome in 5.6% and 2.6%.
authors.affiliation: Division of Neurosurgery, Ospedale Maggiore Novara, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Bellotti
authors.forename: G
authors.initials: G
authors.lastname: Oliveri
authors.forename: G
authors.initials: G
authors.lastname: Allegra
authors.forename: M
authors.initials: M
authors.lastname: Arrigoni
authors.forename: F
authors.initials: F
authors.lastname: Regalia
authors.forename: A
authors.initials: A
authors.lastname: Voci
authors.forename: E
authors.initials: E
authors.lastname: Bellotti
mesh_terms: D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D007431:Intraoperative Complications / Q000517:prevention & control; D009493:Neurosurgery / Q000379:methods / Q000639:trends; D011183:Postoperative Complications; D013997:Time Factors; D016896:Treatment Outcome