Permanent Usage of Fenestrated Temporary Aneurysm Clip Throughout Intracranial Vascular Surgery

Objective: To report a novel surgical technique for the purpose of marking proximal and distal parts of an aneurysm and clipping these arteries in case of necessity more rapidly than a standard method by using fenestrated temporary clips during intracerebral aneurysm surgery.

Methods: For safe and effective aneurysm surgery, exposure of proximal and distal parts of aneurysm is critical for cutting off the blood flow by using temporary clips to prevent intraoperative rupture. After visualization of aneurysm and its feeding arteries, fenestrated temporary clips are inserted to these feeding arteries from their fenestrated parts allowing blood flow. In case of an intraoperative rupture during dissection of aneurysm, these previously inserted fenestrated clips were reopened and pulled backward to close the arteries.

Results: This method has been used in 20 patients for controlling distal and control of 26 aneurysms as an effective and rapid means of marking and clipping these arteries in case of necessity.

Conclusion: Due to the usage of temporary clips in case of aneurysmal rupture, this method prevents unnecessary and long-term temporary clip related complications.