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KMID : 1005420030050020099
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Journal of Cerebrovascular and Endovascular Neurosurgery
2003 Volume.5 No. 2 p.99 ~ p.104
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Surgical Principles and Tactics for Successful Clipping of Intracranial Aneurysms
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Kim Yong-Bae
Huh Seung-Kon
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Abstract
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Microsurgical clipping is a standard treatment modality of cerebral aneurysms. Despite the far advances in surgical technique and craft, aneurysm surgery is still challenge to neurosurgeons. It carries considerable risk of mortality and morbidity to the patient unless the surgeon keeps the basic principles and tactics for accurate placement of aneurysm clip. To attain the goal of complete isolation of aneurysm from the cerebral circulation with concurrent saving parent artery and critical perforators, safe exposure of aneurysm, proper clip selection and accurate placement of the clip should be necessary. From exposure of target aneurysm to the final clip application, the authors will describe notable considerations for the successful clipping of aneurysm based on their own experience and review of literature.
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KEYWORD
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Intracranial aneurysm, Clipping
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