Enhance Safety in Aneurysm Surgery: Strategies for Prevention of Intraoperative Vascular Complications

Overview

Journal Acta Neurochir Suppl

Specialty Neurosurgery

Date 2023 Aug 7

PMID 37548724

Authors

Uwe Spetzger

Affiliations

Soon will be listed here.

Abstract

Complications during surgery for intracranial aneurysms can be devastating. Notorious pitfalls include premature rupture, parent vessel occlusion, local cerebral injury and brain contusion, and incomplete neck obliteration. These unfavorable intraoperative events can result in major neurological deficits with permanent morbidity and even mortality. Herein, the author highlights the relevant surgical strategies used in his daily practice of aneurysm surgery (e.g., aneurysm clipping with adenosine-induced temporary cardiac arrest), application of which may help prevent vascular complications and enhance surgical safety through reduction of the associated risks, thus allowing improvement of postoperative outcomes. Overall, all described methods and techniques should be considered as small pieces in the complex puzzle of prevention of vascular complications during aneurysm surgery.

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