6533b854fe1ef96bd12af538

RESEARCH PRODUCT

Avoiding Complications in Aneurysm Ligation: Operative Tips and Tricks

Giovanni GrassoFabio TorregrossaAaron A. Cohen-gadol

subject

Indocyanine GreenMicrosurgeryPostoperative ComplicationsClipping Surgery Complications Intracranial aneurysmClippingAngiographyHumansEndoscopyIntracranial AneurysmSurgeryNeurology (clinical)ComplicationCerebral Angiography

description

Preventing possible complications during brain aneurysm surgery is mandatory to ensure a better outcome for patients. Currently, it is possible to rely on some technologic innovations such as motor evoked potential, endoscope-assisted surgery, dye with indocyanine green, and video angiography capable of supporting the surgeon's work. The innovation process has mainly assisted the endovascular technique compared with surgery. The latter, apart from some new technical expedients, always requires anatomic knowledge and optimal technical preparation. A careful patient selection, adequate surgical exposure, use of microsurgical techniques in expert hands, and meticulous postoperative management represent the key to success for the surgical treatment of cerebral aneurysms.

https://doi.org/10.1016/j.wneu.2021.10.181