脳動脈瘤クリッピング手術の基本

抄録

We describe the basic methods of clipping of cerebral aneurysms in our hospital, as follows:
1) Examine the cerebral angiography carefully and practice the procedures in advance before operations.
2) Prepare various monitoring procedures such as motor evoked potential (MEP), ICG video-angiography, and vascular Doppler to support safe and accurate operations.
3) Perform the very precise microscopic technique under magnification while also remaining aware of the whole operative field.
4) Develop the necessary operative field with dissecting vessels which to belong.
5) Prepare steps to deal with aneurysmal rupture at all times throughout operations.
6) Dissect branches and perforators adhered to the aneurysm as thoroughly as possible.
7) Master the skill of anastomosis in case of neck tearing or direct revascularization.