TableĀ 1
IndicationsContraindications*Absolute vs relative contraindication
Large and/or deep aneurysms in narrow corridors where temporary clip ligation is difficult or not possibleSevere reactive airway diseaseAbsolute
In synergy with temporary clipping, especially during intraoperative aneurysmal ruptureSevere coronary artery diseaseAbsolute
Instances in which temporary clipping failsPre-existing cardiac conduction abnormalitiesRelative
To improve visualisation of adjacent perforating arteriesAllergyRelative
Dipyridamole, methylxanthines and nimodipine inhibit adenosine breakdown and uptake and can increase levelsRelative
Calcified or fibrotic aneurysmal wall/domeRelative
  • *Mostly provided as expert opinion by Khan et al.15