Abstract
For safe and reliable cerebral aneurysm clipping surgery, clean bloodless operative fields combined with stable and precise micro scissor manipulation are necessary. The surgeon must use both hands simultaneously and constantly visualize the best angle before proceeding.
One of the most basic and important things to know is that the tips of the clip should be kept in sight continuously until the clips are closed. Accordingly, we propose a “blading technique” to visualize clip blade tips by 3-dimensional applier—where clip movement to keep in touch with the aneurysm is performed in combination with the complementary movement of the suction device in the opposite hand. Before trying to detach adhering vessels to the aneurysm, the surgeon should think through the necessity, because clipping is frequently accomplished using various manipulation techniques while vessel adhesion remains intact. Finally, we show basic clipping manipulation techniques.
