Abstract
hen faced with a potentially catastrophic intraoperative rupture while clipping an aneurysm, the W unprepared surgeon has only one option—suction and temporary artery occlusion (TAO). More options, which demand a greater degree of involvement with the anesthesia team, are available to the well-prepared surgeon (6). The incidence of intraoperative rupture ranges from 7%e35% in various published reports and depends on aneurysm location, morphology, previous or recent rupture, surgical technique, and surgeon experience (2, 9, 12, 17, 18, 29). The occurrence of an intraoperative rupture does not always result in a poor prognosis, but lack of preparation, inadequate management, and panic during surgery make a poor outcome more likely (2, 29).
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