Table 1.
No. | Age | Gender | Preoperative HH | Site | Arterial blood flow after the internal carotid artery was pressed* | Clipping method | Intraoperative rupture and hemorrhage | Intraoperative stenosis of the parent artery | Intraoperative arterial ultrasonography** | Postoperative DSA or CTA of the parent artery | Prognosis |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 46 | Female | II | Dorsal side of the supraclinoid segment | Reduced by 30% | A Single curved clip | No | No | Adequate blood flow | No vascular stenosis | Good |
2 | 51 | Female | II | Internal and inferior side of the supraclinoid segment | Reduced by 20% | A single cross-vascular clip | No | No | Adequate blood flow | No vascular stenosis | Good |
3 | 31 | Male | II | Internal and inferior side of the supraclinoid segment | Reduced by 30% | A single cross-vascular clip | No | Yes | Adequate blood flow | 30% stenosis | Good |
4 | 45 | Female | II | Internal side of the supraclinoid segment | Reduced by 30% | A single straight clip | No | Yes | Adequate blood flow | 20% stenosis | Good |
5 | 48 | Female | III | Dorsal side of the supraclinoid segment | Reduced by 40% | A single curved clip | Yes | No | Adequate blood flow | No vascular stenosis | Good |
6 | 52 | Female | II | Dorsal side of the supraclinoid segment | Reduced by 20% | A single straight clip | No | No | Adequate blood flow | No vascular stenosis | Good |
7 | 50 | Female | III | Dorsal side of the supraclinoid segment | Reduced by 30% | Two curved clips | Yes | Yes | Adequate blood flow | No vascular stenosis | Good |
8 | 57 | Female | II | Internal side of the supraclinoid segment | Reduced by 20% | Two curved clips | Yes | No | Adequate blood flow | No vascular stenosis | Good |
9 | 41 | Female | III | Dorsal and internal side of the supraclinoid segment | Reduced by 30% | A single curved clip | No | Yes | Adequate blood flow | 50% stenosis | Good |
HH: Hunt-Hess classification;
The BBA side of the internal carotid artery was pressed to examine the decrease in blood flow at the BBA side of the middle cerebral artery;
Intraoperative arterial ultrasonography: the blood flow in the parent artery, middle cerebral artery and anterior cerebral artery was examined.