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BMC Surgery
Published in: BMC Surgery 1/2009

Open Access 01-12-2009 | Commentary

Intraoperative angiography should be standard in cerebral aneurysm surgery

Authors: Jonathan A Friedman, Ravi Kumar

Published in: BMC Surgery | Issue 1/2009

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Abstract

Intraoperative angiography (IOA) has proven to be a safe and effective adjunct to surgical repair of cerebral aneurysms. Substantial practice variation exists regarding use of this modality in different centers, including use of IOA routinely, selectively, or rarely. In this editorial, we discuss our experience and review the existing literature to develop an argument for routine use of IOA during cerebral aneurysm surgery.
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Literature
1.
Kivisaari RP, Porras M, Ohman J, Siironen J, Ishii K, Hernesniemi J: Routine cerebral angiography after surgery for saccular aneurysms: is it worth it?. Neurosurgery. 2004, 55 (5): 1015-1024. 10.1227/01.NEU.0000141043.07303.60.CrossRefPubMed
2.
Hauck EF, Wohlfeld B, Welch BG, White JA, Samson D: Clipping of very large or giant unruptured intracranial aneurysms in the anterior circulation: an outcome study. J Neurosurg. 2008, 109 (6): 1012-1018. 10.3171/JNS.2008.109.12.1012.CrossRefPubMed
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Tang G, Cawley CM, Dion JE, Barrow DL: Intraoperative angiography during aneurysm surgery: a prospective evaluation of efficacy. J Neurosurg. 2002, 96 (6): 993-999.CrossRefPubMed
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Chiang VL, Gailloud P, Murphy KJ, Rigamonti D, Tamargo RJ: Routine intraoperative angiography during aneurysm surgery. J Neurosurg. 2002, 96 (6): 988-992.CrossRefPubMed
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Alikhani PLS, Friedman JA: Implementing Intraoperative Angiography for Aneurysm Surgery – Lessons Learned and Practical Considerations. Congress of Neurological Surgeons (CNS). San Diego, CA. 2007
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Klopfenstein JD, Spetzler RF, Kim LJ, Feiz-Erfan I, Han PP, Zabramski JM, Porter RW, Albuquerque FC, McDougall CG, Fiorella DJ: Comparison of routine and selective use of intraoperative angiography during aneurysm surgery: a prospective assessment. J Neurosurg. 2004, 100 (2): 230-235.CrossRefPubMed
Metadata
Title
Intraoperative angiography should be standard in cerebral aneurysm surgery
Authors
Jonathan A Friedman
Ravi Kumar
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2009
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-9-7

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