{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T08:28:20Z","timestamp":1768552100504,"version":"3.49.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"content-version":"vor","delay-in-days":1104,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>\n          Objectives: The aim of this study is to analyze the effectiveness of our protocol of the use of multimodality tools, namely indocyanine green-dual image video angiography, neuroendoscope, neuromonitoring with motor-evoked potential, micro-Doppler in the microsurgical clipping of unruptured anterior circulation aneurysms, operated at our institute from January 2016 to December 2018. Materials and Methods: We performed a retrospective analysis of all cases of unruptured anterior circulation aneurysms, operated at Fujita Health University Banbuntane-Hotokukai Hospital, Japan, from January 2016 to December 2018. We assessed outcome at immediate postoperative, at discharge, and at 3 months follow-up by defining permanent morbidity as drop in Modified Rankin Scale (MRS) by 1 at 3 months follow-up and transient morbidity as temporary deficit that improved at discharge or follow-up. Postoperative events, namely seizures, infection that did not affect\/change. Preoperative MRS and discharge timing were excluded. We concluded poor outcome as MRS \u22653 and good outcome as MRS &lt; 3 (0\u20132). All patients had a minimum of 3 months follow-up before outcome conclusion. Results: In 2016, a total of 98 cases were operated with no mortality or permanent morbidity (i.e., change in preoperative MRS), only transient morbidity was seen in (two cases) 2.04%. In 2017, a total of 119 cases were operated with no mortality or morbidity. In 2018, a total of 130 cases were operated with no mortality or permanent morbidity, only transient morbidity 0.7%. Summarizing from January 2016 to December 2018, a total of 347 cases of anterior circulation aneurysms were operated. Mostly, in the female sex (73.3%), the most common was middle cerebral artery aneurysm (39.1%). The mean size was 5.3 mm with no mortality or permanent morbidity with only transient morbidity in 0.9%. No poor outcome (MRS \u22653) was seen in our series. Conclusion: In our center for most unruptured anterior circulation aneurysms, microsurgical clipping is the treatment of choice. We believe our protocol of the intra-operative usage of multimodality tools have aided in the safe microsurgical clipping and have consistently resulted in good operative outcomes. Hence, we recommend and continue to use our Fujita-Bantane Protocol in all cases of micro-surgical clipping of aneurysms to consistently achieve good operative outcomes.<\/jats:p>","DOI":"10.4103\/ajns.ajns_65_19","type":"journal-article","created":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T07:25:16Z","timestamp":1565076316000},"page":"773-779","source":"Crossref","is-referenced-by-count":2,"title":["Use of our protocol of multimodality tools to aid in the safe microsurgical clipping of unruptured anterior circulation aneurysms"],"prefix":"10.1055","volume":"14","author":[{"given":"Satish","family":"Kannan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Neurosciences and Spinal Disorders, MGM Health Care, Chennai, Tamil Nadu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyosuke","family":"Miyatani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takao","family":"Teranishi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun","family":"Marathi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Prathima Hospitals, Hyderabad, Telangana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, KIMS, Nellore, Andhra Pradesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsukasa","family":"Kawase","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoko","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,9]]},"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ajns.AJNS_65_19.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T22:41:50Z","timestamp":1662763310000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ajns.AJNS_65_19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,9,9]]},"published-print":{"date-parts":[[2019,9]]}},"URL":"https:\/\/doi.org\/10.4103\/ajns.ajns_65_19","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}