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Temporary Clip Application

Last Updated: August 1, 2018

Figure 1: Distal temporary clipping is used as part of the retrograde suction decompression technique for clip ligation of a large posterior communicating artery aneurysm (left). Remarkable aneurysm deflation facilitates safe and effective permanent clip application (right).

The Application of Temporary Clipping for Decompression of the Aneurysm Sac and Effective Clip Ligation of a Large ACoA Aneurysm

Temporary clip ligation is no longer a last-resort approach only for controlling intraoperative rupture. In fact, I have a low threshold for using short periods of proximal arterial occlusion to decrease the turgor of the aneurysm; this maneuver significantly facilitates neck dissection, resulting in a very efficient and desirable clip construct of the afferent and efferent vessels whil...