Selection of the Proper Clips for Aneurysm Surgery Utilizing Sugita and Yasargil clips

Abstract

We performed a comparative study in the utilization of aneurysm clips, using Sugita and Yasargil clips.
Preoperative selection of the proper clips for aneurysm surgery is very important. The presence of knowledgeable neurosurgeons familiar with the various clips and their uses is also necessary in clip selection during an operation, in order to avoid rebleeding after the clipping operation.
We analysed 108 cases (134 ans). we can summarize our findings as to the techniques of clip selection as follows:
Sugita clips are most useful for aneurysms of the internal carotid artery, and for posterior circulation aneurysms.
Yasargil's mini-size clips are most useful for smaller-sized aneurysms; Yasargil's slightly curved clips are also useful for aneurysms of the anterior communicating artery.