Microvascular clipping (MC) is surgery to cut off blood flow to a brain aneurysm. This is done to try to stop bleeding and rupture. This is a complex, open surgery.
MC prevents a brain aneurysm from causing more harm. It is done to make your quality of life better.
An aneurysm is a weakened blood vessel in the brain that collects blood. The bulging, blood-filled pocket can put pressure on parts of the brain, pressing on nearby nerves. This can cause symptoms or cause the blood vessel to rupture (hemorrhage).
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Problems from the procedure are rare, but all procedures have some risk. Your doctor will review possible problems such as:
Your chances of problems are higher for:
If your surgery is not an emergency, your doctor may do:
Leading up to the procedure:
General anesthesia will block pain and keep you asleep.
The technician will cut the hair off of the site on your head.
A small section of the skull will be removed to access the brain. The blood vessel will be found using imaging tools. The aneurysm will be removed from nearby healthy tissue. A clip will be placed to clamp the artery and separate it from the bloodstream. The clip will stay in place to prevent bleeding and rupture in the future.
The skull will be returned. The scalp will be stitched back into place.
You will stay in a care unit for about a day. You may be given medicine for pain or other problems.
3-5 hours, maybe more
Anesthesia will prevent pain during surgery. Medicines will ease pain after.
MC is done in a hospital. You will stay there for 4-6 days. If you have problems, you may need to stay longer.
During your stay, the healthcare staff will take steps to lower your chances of infection such as:
There are also steps you can take to lower your chance of infection such as:
When you get home, you may have to make changes while you get better. This may take 3-6 weeks. This may mean:
Call your doctor if any of these occur:
Call for emergency medical services right away for:
If you think you have an emergency, call for emergency medical services right away.
Brain Aneurysm Foundation
National Institute of Neurological Disorders and Stroke
Brain Injury Canada
Heart and Stroke Foundation
Cerebral aneurysm. American Association of Neurological Surgeons website. Available at: http://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Cerebral-Aneurysm. Accessed July 18, 2018.
Cerebral aneurysms fact sheet. National Institute of Neurological Disorders and Stroke website. Available at: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Updated July 6, 2018. Accessed July 18, 2018.
Subarachnoid hemorrhage. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T116453/Subarachnoid-hemorrhage. Updated June 6, 2018. Accessed July 18, 2018.
Treatment of brain aneurysm. The Aneurysm and AVM Foundation website. Available at: http://www.taafonline.org/conditions/aneurysm/treatment. Accessed July 18, 2018.
Williams LN, Brown RD Jr. Management of unruptured aneurysms. Neurol Clin Pract. 2013;3(2):99-108.
Last reviewed June 2018 by EBSCO Medical Review Board Michael Fucci, DO, FACC Last Updated: 7/18/2018