Clipping is a procedure to cure an aneurysm — a bulge in an artery wall, like a balloon. When an aneurysm occurs it may become so thin that it spills or splits and releases blood in the brain’s spaces. Neurosurgery (craniotomy) opens the skull and holds a small clip around the aneurysm’s neck to stop or prevent it from bleeding.
The purpose of a surgical cut is to separate an aneurysm without blocking any minor perforating arteries in its vicinity from natural circulation. An opening called craniotomy is performed under general anesthesia in the brain. To find the aneurysm the brain is retracted. A small clip on the base or neck of the aneurysm is positioned to inhibit regular blood flow. The clip acts as a small spindle-spring clothes-spin, in which the clip blades stay closed securely before the pressure is put on to open the blades. Titanium clips are rendered and hang forever on the artery.
Clipping is an open process to close the aneurysm of the neck and thus avoid blood coming into it. Brain aneurysm clipping beats endovascular treatment which offers impressive long-term outcomes. Titanium clips have been widely used in recent years. They are MRI-compatible and do not set metal detectors alarms.
Blood substitution is seldom appropriate for a patient having aneurysm surgery. Blood from the blood supply is used when possible. Before the operation, you should donate your own blood or make a donation for family members. This surgery is conducted under general anesthesia and patients consult with an anesthesiologist before the operation. The cutting operation is carried out by a doctor team headed by neurosurgery. This is an open procedure, which breaks the skull and does microsurgery.
A portion of your hair on your head could be part of the surgical planning. Depending on the position of the aneurysm, the neurosurgery makes an incision below the hairline or on the back of the head. A bone or bone plate portion is separated from the skull to reveal the brain tissue. In an opening between the skull and brain, the neurosurgeon enters the aneurysm but fails to cross the brain tissue. The aneurysm is closely isolated under a microscope from normal blood vessels and the brain so that the neurosurgery can see it and handle it properly. Then, the aneurysm is closed off by a small-scale unit. The aneurysm is completely screened out with the clip and there is no more blood. This means the bone plate is protected and the injury is closed. Special treatments, including inserting clips on either side of the aneurism or bypassing it, are necessary if aneurysms are very large or require a large part of the blood vessel.
How is it performed in B. P. Poddar?
An opening in the brain called craniotomy is performed under general anesthesia. To find the aneurysm the brain is retracted. A small clip on the base or neck of the aneurysm is positioned to inhibit regular blood flow. The clip acts as a small spindle-spring clothes-spin, in which the clip blades stay closed securely before the pressure is put on to open the blades.
For the following, clipping may be an effective treatment:
- Ruptured Aneurysms explode open and blood spills into the brain-skull space, known as subarachnoid hemorrhage (SAH).
- Unfavorable aneurysms do not cause signs and are normally identified during a routine examination.
Completely clipped aneurysms have very low re-growth risks. However, if an aneurysm is partly cut, it needs frequent angiograms for patients to guarantee the aneurysm does not develop. B.P Poddar Hospital, Kolkata, India has state-of-the-art technology for ruptured aneurysm surgery. Advanced equipment supplements our squad of neurosurgery to have affordable aneurysm cutting surgery. The cost of Aneurysm Clipping Surgery in the B.P Poddar Hospital is one of the lowest in relation to the other centers in Kolkata.