Safe time thresholds for temporary artery occlusion and surgical approach side strategy in ACOM aneurysm surgery

The study establishes TAO's safety and efficacy in ACOM aneurysm surgeries, identifying a maximum safe TAO duration and highlighting ischemic risks. Prophylactic unilateral TAO substantially reduces intraoperative rupture risk regardless of A1 dominance or chosen side. Surgical approach and arterial dominance did not significantly influence outcomes, emphasizing the need for judicious TAO application and contributing to refined surgical practices.

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Publication Details

Journal
Scientific Reports
Published
2025-10-14
DOI
https://doi.org/10.1038/s41598-025-16602-4
Primary Topic
Intracranial Aneurysms: Treatment and Complications
Type
article
Field-Weighted Citation Impact
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article

Safe time thresholds for temporary artery occlusion and surgical approach side strategy in ACOM aneurysm surgery

Martin Ortler, Lucie Petrová, Ondra Petr, Philipp Geiger et al.
Scientific Reports
Intracranial Aneurysms: Treatment and Complications
article

Safe time thresholds for temporary artery occlusion and surgical approach side strategy in ACOM aneurysm surgery

Martin Ortler, Lucie Petrová, Ondra Petr, Philipp Geiger, Christian Preuß-Hernandez, Aleksandrs Krigers, Claudius Thomé
article en

Abstract

The study establishes TAO's safety and efficacy in ACOM aneurysm surgeries, identifying a maximum safe TAO duration and highlighting ischemic risks. Prophylactic unilateral TAO substantially reduces intraoperative rupture risk regardless of A1 dominance or chosen side. Surgical approach and arterial dominance did not significantly influence outcomes, emphasizing the need for judicious TAO application and contributing to refined surgical practices.

Scientific ReportsVol. 15(1)
Innsbruck Medical University (AT), Health University of Applied Sciences Tyrol (AT), Wiener Krankenanstaltenverbund (AT), Military University Hospital Prague (CZ)
Openalex Percentile: Top 59%
Intracranial Aneurysms: Treatment and Complications
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