[Temporary vessel occlusion].
In many situations, temporary artery occlusion is an integral component of aneurysm surgery. The use of temporary clip may allow safer and easier aneurysmal dissection and clipping. Several points, concerning the duration and overall risks of temporary occlusion and the method of choice for cerebral function monitoring have to be discussed.


METHODS
Non exhaustive review of neurosurgical literature.


CONCLUSIONS
Temporary clip application decreases the risk of intraoperative aneurysmal rupture. The analysis of data published in the literature showed that several questions remain open concerning the optimal method of neuroprotection and cerebral function monitoring, as well as the limit of occlusion duration. Other clinical trials are needed to assess the efficacy and safety of this technique.
Baussart
B
B
Service de Neurochirurgie, Hôpital de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre Cedex.
Aghakhani
N
N
Tadié
M
M
D002545:Brain Ischemia / Q000209:etiology / Q000517:prevention & control; D003250:Constriction; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D015424:Reperfusion; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods