Name: microsurgical clip obliteration of middle cerebral aneurysm using intraoperative flow assessment
Uploaded: 2009-09-25T15:10:00
Description: Watch this Scientific Journal Video about Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment at JoVE.com

Cerebral aneurysms are abnormal widening or ballooning of a localized segment of an intracranial blood vessel. These lesions typically occur at branch points of the parent vessel as a result of progressive weakening of the arterial wall. Cerebral aneurysms are most commonly detected after the aneurysm ruptures causing subarachnoid hemorrhage. This form of intracranial hemorrhage carries a 45% risk of mortality within the first month after rupture and survivors often experience severe permanent neurologic injury1<...

<ol>
	<li>Johnston, S. C., Selvin, S., Gress, D. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+burden,+trends,+and+demographics+of+mortality+from+subarachnoid+hemorrhage.">The burden, trends, and demographics of mortality from subarachnoid hemorrhage.</a> Neurology. 50, 1413-1418 (1998).</li><li>Alexander, T. D., Macdonald, R. L., Weir, B., Kowalczuk, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intraoperative+angiography+in+cerebral+aneurysm+surgery:+a+prospective+study+of+100+craniotomies.">Intraoperative angiography in cerebral aneurysm surgery: a prospective study of 100 craniotomies.</a> Neurosurgery. 39, 10-17 (1996).</li><li>Tang, G., Cawley, C. M., Dion, J. E., Barrow, D. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intraoperative+angiography+during+aneurysm+surgery:+a+prospective+evaluation+of+efficacy.">Intraoperative angiography during aneurysm surgery: a prospective evaluation of efficacy.</a> Journal of neurosurgery. 96, 993-999 (2002).</li><li>Katz, J. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Is+routine+intraoperative+angiography+in+the+surgical+treatment+of+cerebral+aneurysms+justified?+A+consecutive+series+of+147+aneurysms.">Is routine intraoperative angiography in the surgical treatment of cerebral aneurysms justified? A consecutive series of 147 aneurysms.</a> Neurosurgery. 58, 719-727 (2006).</li><li>Charbel, F. T., Hoffman, W. E., Misra, M., Ostergren, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasonic+perivascular+flow+probe:+technique+and+application+in+neurosurgery.">Ultrasonic perivascular flow probe: technique and application in neurosurgery.</a> Neurological research. 20, 439-442 (1998).</li><li>Fagundes-Pereyra, W. J., Hoffman, W. E., Misra, M., Charbel, F. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clip+readjustment+in+aneurysm+surgery+after+flow+evaluation+using+the+ultrasonic+perivascular+probe:+case+report.+Arquivos+de+neuro-psiquiatria+63.">Clip readjustment in aneurysm surgery after flow evaluation using the ultrasonic perivascular probe: case report. Arquivos de neuro-psiquiatria 63.</a> , 339-344 (2005).</li><li>Amin-Hanjani, S., Meglio, G., Gatto, R., Bauer, A., Charbel, F. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+utility+of+intraoperative+blood+flow+measurement+during+aneurysm+surgery+using+an+ultrasonic+perivascular+flow+probe.">The utility of intraoperative blood flow measurement during aneurysm surgery using an ultrasonic perivascular flow probe.</a> Neurosurgery. 62, 1346-1353 (2008).</li><li>Amin-Hanjani, S., Charbel, F. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Flow-assisted+surgical+technique+in+cerebrovascular+surgery.">Flow-assisted surgical technique in cerebrovascular surgery.</a> Surgical neurology. 68, S4-11 (2007).</li></ol>

microsurgical clip obliteration of middle cerebral aneurysm using intraoperative flow assessment

Cerebral aneurysms are abnormal widening or ballooning of a localized segment of an intracranial blood vessel.  Surgical clipping is an important treatment for aneurysms which attempts to exclude blood from flowing into the aneurysmal segment of the vessel while preserving blood flow in a normal fashion.  Improper clip placement may result in residual aneurysm with the potential for subsequent aneurysm rupture or partial or full occlusion of distal arteries resulting in cerebral infarction.  Here we describe the use of an ultrasonic flow probe to provide quantitative evaluation of arterial flow before and after microsurgical clip placement at the base of a middle cerebral artery aneurysm.  This information helps ensure adequate aneurysm reconstruction with preservation of normal distal blood flow.

Watch this Scientific Journal Video about Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment at JoVE.com

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Description of the surgical obliteration of a cerebral aneurysm utilizing an ultrasonic flow probe to assess arterial flow prior to and after aneurysm clip placement.

Cerebral aneurysms are abnormal widening or ballooning of a localized segment of an intracranial blood vessel.  Surgical clipping is an important ...

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