Abstract：
Complications during surgery for intracranial aneurysms can be devastating. Notorious pitfalls include premature rupture, parent vessel occlusion, local cerebral injury and brain contusion, and incomplete neck obliteration. These unfavorable intraoperative events can result in major neurological deficits with permanent morbidity and even mortality. Herein, the author highlights the relevant surgical strategies used in his daily practice of aneurysm surgery (e.g., aneurysm clipping with adenosine-induced temporary cardiac arrest), application of which may help prevent vascular complications and enhance surgical safety through reduction of the associated risks, thus allowing improvement of postoperative outcomes. Overall, all described methods and techniques should be considered as small pieces in the complex puzzle of prevention of vascular complications during aneurysm surgery.
摘要：
颅内动脉瘤手术期间的并发症可能是毁灭性的。臭名昭著的陷阱包括过早破裂，母血管闭塞，局部脑损伤和脑挫伤，和不完整的颈部闭塞。这些不利的术中事件可导致严重的神经功能缺损,具有永久性发病率和甚至死亡率。在这里，作者重点介绍了他在动脉瘤手术的日常实践中使用的相关手术策略(例如，腺苷诱导的临时心脏骤停动脉瘤夹闭)，其应用可能有助于预防血管并发症，并通过降低相关风险来提高手术安全性，从而改善术后结局。总的来说,所有描述的方法和技术都应被视为动脉瘤手术期间预防血管并发症的复杂难题中的一小部分。
