Microsurgical aneurysm clipping
This is a surgery performed to treat aneurysms of the brain. As the aneurysm grows in size, its wall can become so thin that even minor changes in blood pressure can cause it to rupture, releasing blood into the space around the brain (subarachnoid hemorrhage). The volume of the hemorrhage determines the severity of the patient’s condition.
Purpose of the operation
The goal is to isolate, “disconnect” the aneurysm from normal blood circulation, without blocking the nearby small perforating arteries.
Operation
Under general anesthesia, the neurosurgeon performs a craniotomy (a small opening in the skull with the removal of a flap). Under a microscope, the vessels are carefully separated from the brain with the release of the aneurysm sac. Then, a titanium clip (a tiny spring clip) is placed on the neck of the aneurysm. Its blades tightly clamp the neck of the aneurysm, isolating it from normal vessels. After the clip is applied, the aneurysm is dissected, and if necessary, its walls are partially removed. The clip remains on the aneurysm permanently.
Cerebral aneurysms vary in shape and size. Saccular aneurysms have a narrow neck, body, and fundus. These are the most amenable aneurysms to surgery, with the neck being relatively easy to clip.
Some aneurysms have a wide, irregular neck, a spindle-shaped structure, which requires the use of several clips of different shapes, curvatures and lengths of blades, or the imposition of vascular anastomoses.
Factors for surgery
The choice of the type of operation (clipping or endovascular embolization ) is made individually in each case and depends on many factors:
- the severity of the patient’s condition,
- type of aneurysm,
- presence of hemorrhage,
- concomitant diseases,
- severity of brain edema according to MSCT data.
Leontiev Alexey
neurosurgeon of the highest category
The information provided in this article has been verified by neurosurgeon of the highest category Leontiev Alexey. It is of a general informational nature and does not replace specialist advice. For recommendations on diagnosis and treatment, a doctor's consultation is required.
Str. Troleybusna, 14, Ternopil
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Examination by a neurosurgeon is a key step in determining an accurate diagnosis and planning treatment for diseases of the brain and nervous system.
A professional neurosurgeon uses modern methods: MRI, CT, PET and others, which allow you to obtain detailed information about the structure and functions of the brain. Cognitive functions are also assessed.
The main goal is to detect pathology in a timely manner and begin effective treatment. The success of the recovery and the patient's quality of life in the future depend on this.
Neurosurgery is a complex field where surgical intervention requires millimeter precision. Any imprecise movement can lead to serious neurological disorders.
That is why the neurosurgical operating room must be perfectly adapted to the needs of the procedure. It ensures absolute sterility and protection against infections during open intervention.
Modern equipment systems help the surgeon work as efficiently as possible and guarantee the highest level of safety for both the patient and the medical team.
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