CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2020; 9(02): 075-079
DOI: 10.1055/s-0039-3402625
Original Article

Evaluation of Ischemia Following Clipping of Anterior Circulation Aneurysms with Respect to Temporary Clipping Using Diffusion-Weighted Magnetic Resonance Imaging: A Prospective Study

Pankaj Kumar
1  Department of Neurosurgery, Dr. Ram Manohar Lohia Hospital Hospital, New Delhi, India
,
Shaam Bodeliwala
2  Department of Neurosurgery, G.B. Pant Institute of Postgraduate Education and Research (GIPMER), New Delhi, India
,
Rajender Aher
3  Medipulse Hospital, Basni Phase II, Jodhpur, Rajasthan, India
,
Anita Jagetia
2  Department of Neurosurgery, G.B. Pant Institute of Postgraduate Education and Research (GIPMER), New Delhi, India
,
Arvind Kumar Srivastava
2  Department of Neurosurgery, G.B. Pant Institute of Postgraduate Education and Research (GIPMER), New Delhi, India
,
Daljit Singh
2  Department of Neurosurgery, G.B. Pant Institute of Postgraduate Education and Research (GIPMER), New Delhi, India
,
Pragati Ganjoo
2  Department of Neurosurgery, G.B. Pant Institute of Postgraduate Education and Research (GIPMER), New Delhi, India
› Author Affiliations
Disclosure of Funding The authors do not have any conflict of interest, commercial associations, or financial support/grants from any organization for this study.
  

Abstract

Temporary vessel occlusion enables a surgeon dissect aneurysm and clip with a lower risk of intraoperative hemorrhage with the associated risk of ischemia. There are studies on permissible time of occlusion of the parent artery using temporary clip; however, the actual incidence of silent ischemic events in patients with aneurysms treated with microsurgical clipping is not well documented. We are trying to look for the association between temporary clipping and incidence of ischemia through this study. The study concluded the statistically significant association between the maximum time of single clip application and ischemia. Intermittent multiple temporary clippings can prevent ischemia instead of a single clipping of longer duration.



Publication History

Publication Date:
17 February 2020 (online)

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