scholarly journals Development of a Virtual Cerebral Aneurysm Clipping Simulator

2015 ◽  
Vol 13 (1) ◽  
pp. 20-26
Author(s):  
Naoyuki SHONO ◽  
Taichi KIN ◽  
Yusuke SAITO ◽  
Toki SAITO ◽  
Nobuhito SAITO ◽  
...  
Keyword(s):  
Cerebral Aneurysm ◽  
Aneurysm Clipping

Adjuvant hyperbaric oxygen treatment of acute brain herniation after microsurgical clipping of a recurring cerebral aneurysm: a case report

2021 ◽  
pp. 373-375
Author(s):  
Yaling Liu ◽  
Keyword(s):  
Case Report ◽  
Cerebral Aneurysm ◽  
Hyperbaric Oxygen ◽  
Ct Images ◽  
Left Middle Cerebral Artery ◽  
Brain Herniation ◽  
Hyperbaric Oxygen Treatment ◽  
Aneurysm Clipping ◽  
Oxygen Treatment ◽  
Bifurcation Aneurysm

Introduction: Acute brain herniation is a life-threatening neurological condition that occasionally develops due to severe complications following cerebral aneurysm clipping. Strategies for managing acute brain herniation have not improved substantially during the past decade. Hyperbaric oxygen treatment (HBOT) may alleviate harmful effects of cerebral hypoxia, which is one of the most important pathophysiological features of acute brain herniation and, therefore, may be useful as an adjuvant therapy for acute brain herniation. A case treated with adjuvant HBOT is reported. Case report: A 60-year-old asymptomatic man presented with a recurring left middle cerebral artery bifurcation aneurysm with previous stent-assisted embolisation. After craniotomy for surgical clipping of the aneurysm, disturbance of consciousness and right hemiplegia occurred. Computed tomography (CT) images suggested simultaneous cerebral ischaemia and intracranial haemorrhage. Pharmacologic treatment resulted in no improvement. A CT scan acquired five days after surgery showed uncal and falcine herniation. HBOT was administered five days after surgery, and the patient’s condition dramatically improved. He became conscious, and his hemiplegia improved following seven sessions of HBOT. Simultaneously, CT images showed regression of the acute brain herniation. Conclusions: The patient had recovered completely at one year post-treatment. HBOT may be effective in the treatment of acute brain herniation following cerebral aneurysm clipping.

Diagnostic Value of Somatosensory-Evoked Potential Monitoring During Cerebral Aneurysm Clipping: A Systematic Review

2016 ◽  
Vol 89 ◽  
pp. 672-680 ◽  
Author(s):  
Parthasarathy D. Thirumala ◽  
Reshmi Udesh ◽  
Aditya Muralidharan ◽  
Karthy Thiagarajan ◽  
Donald J. Crammond ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Aneurysm ◽  
Evoked Potential ◽  
Diagnostic Value ◽  
Somatosensory Evoked Potential ◽  
Aneurysm Clipping ◽  
Evoked Potential Monitoring ◽  
Potential Monitoring

Minimal invasive supra-orbital incision for cerebral aneurysm clipping: results over a 5 years period

2009 ◽  
Vol 72 (5) ◽  
pp. 520
Author(s):  
J. Wuyts ◽  
C. De Deyne ◽  
D. Peuskens ◽  
J. Deckers ◽  
K. Engelborghs ◽  
...  
Keyword(s):  
Cerebral Aneurysm ◽  
Minimal Invasive ◽  
Aneurysm Clipping

Usefulness and limitation of cerebral aneurysm clipping using titanium clips

1997 ◽  
Vol 99 ◽  
pp. S50 ◽  
Author(s):  
Shugo Takikawa ◽  
Kiyohiro Houkin ◽  
Hisatoshi Itsaka ◽  
Hiroshi Saitoh ◽  
Hiroshi Abe
Keyword(s):  
Cerebral Aneurysm ◽  
Aneurysm Clipping ◽  
Titanium Clips

Development of Three-Dimensional Hollow Elastic Model for Cerebral Aneurysm Clipping Simulation Enabling Rapid and Low Cost Prototyping

2015 ◽  
Vol 83 (3) ◽  
pp. 351-361 ◽  
Author(s):  
Toshihiro Mashiko ◽  
Keisuke Otani ◽  
Ryutaro Kawano ◽  
Takehiko Konno ◽  
Naoki Kaneko ◽  
...  
Keyword(s):  
Cerebral Aneurysm ◽  
Low Cost ◽  
Three Dimensional ◽  
Elastic Model ◽  
Aneurysm Clipping

Training in Cerebral Aneurysm Clipping Using Self-Made 3-Dimensional Models

2017 ◽  
Vol 74 (4) ◽  
pp. 681-689 ◽  
Author(s):  
Toshihiro Mashiko ◽  
Naoki Kaneko ◽  
Takehiko Konno ◽  
Keisuke Otani ◽  
Rie Nagayama ◽  
...  
Keyword(s):  
Cerebral Aneurysm ◽  
3 Dimensional ◽  
Aneurysm Clipping ◽  
Dimensional Models

scholarly journals Unruptured cerebral aneurysm clipping: association of combined open and endovascular expertise with outcomes

2015 ◽  
Vol 8 (9) ◽  
pp. 977-981 ◽  
Author(s):  
Kimon Bekelis ◽  
Dan Gottlieb ◽  
George Bovis ◽  
Yin Su ◽  
Stavropoula Tjoumakaris ◽  
...  
Keyword(s):  
Propensity Score ◽  
Cerebral Aneurysm ◽  
Readmission Rate ◽  
Cerebral Aneurysms ◽  
Postoperative Mortality ◽  
Fee For Service ◽  
Aneurysm Clipping ◽  
Unruptured Cerebral Aneurysm ◽  
Procedural Volume ◽  
Unruptured Cerebral Aneurysms

BackgroundIt is often questioned if one physician can conduct both open and endovascular techniques successfully and safely.ObjectiveTo investigate the association of combined open and endovascular expertise with the outcomes of unruptured cerebral aneurysm clipping.MethodsWe performed a cohort study of 100% of Medicare fee-for-service claims data for elderly patients who underwent surgical clipping for unruptured cerebral aneurysms between 2007 and 2012. To control for confounding we used propensity score conditioning, and controlled for clustering at the physician level.ResultsDuring the study, 3247 patients underwent clipping for unruptured cerebral aneurysms, and met the inclusion criteria. Of these, 766 (23.6%) underwent treatment by hybrid neurosurgeons, and 2481 (76.4%) by proceduralists, who performed only clipping. Multivariable regression analysis with propensity score adjustment demonstrated a lack of association of combined practice with 1-year postoperative mortality (OR=0.81; 95% CI 0.51 to 1.28), discharge to rehabilitation (OR=0.95; 95% CI 0.72 to 1.25), length of stay (adjusted difference 0.85 days; 95% CI −0.31 to 2.00), or 30-day readmission rate (OR=1.05; 95% CI 0.80 to 1.39). Higher procedural volume was independently associated with improved outcomes.ConclusionsIn a cohort of Medicare patients with unruptured aneurysms, we did not demonstrate a difference in mortality, discharge to rehabilitation, or readmission rate between hybrid neurosurgeons and surgeons performing only clipping.

The Hemodynamic Effects of Nimodipine in Patients Anesthetized for Cerebral Aneurysm Clipping

1985 ◽  
Vol 62 (3) ◽  
pp. 346-347 ◽  
Author(s):  
Edward H. Stullken ◽  
Francis J. Balestrieri ◽  
Donald S. Prough ◽  
J. M. McWhorter
Keyword(s):  
Cerebral Aneurysm ◽  
Hemodynamic Effects ◽  
Aneurysm Clipping
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