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DOI: 10.1055/s-2006-954578
© Georg Thieme Verlag KG · Stuttgart · New York
The “Multi Clip” Method in Unruptured Complex Middle Cerebral Artery Aneurysms - A Case Series
Publication History
Publication Date:
23 February 2007 (online)
Abstract
This study aims to analyze the feasibility, indications and applicability of the “Multi Clip” method for accurate and complete clipping in patients with unruptured complex middle cerebral artery aneurysms. In this series, we achieved precise clipping in all cases without any intraoperative complications. On the basis of our work, we classified the necessity for multi-clipping into 3 categories: 1) precise clipping, 2) perforator preservation, and 3) reconstruction. The outcome in all patients was excellent. In conclusion, the “Multi Clip” method is a safe and an efficient procedure in cases of difficult unruptured middle cerebral artery aneurysms, where optimal neck closure cannot be obtained by single clipping.
Key words
“Multi Clip” method (MCM) - Doppler ultrasound - neuroendoscope - intraoperative angiography
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Correspondence
Yoko KatoM.D.
Department of Neurosurgery·Fujita Health University
Toyoake
Aichi 4701192
Japan
Phone: +81/562/93 92 53
Fax: +81/562/93 31 18
Email: neuron@fujita-hu.ac.jp