Document Detail


Application of a new fenestrated clip (Yaşargil T-bar clip) for treatment of fusiform M1 aneurysm: Case illustration and technical report.
MedLine Citation:
PMID:  21869719     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND AND IMPORTANCE:: Fusiform intracranial aneurysms (FIA) are challenging to treat by surgical and endovascular means due to their complex morphology and configurations. Various surgical techniques including clip reconstruction, wrapping with or without clip enforcement, and trapping with or without bypass have been extensively described. The objective of this study is to describe the application of a new fenestrated clip (Yaşargil T-bar clip) for the treatment of fusiform intracranial aneurysms (FIA). CLINICAL PRESENTATION:: An FIA on the M1 segment of the middle cerebral artery was diagnosed incidentally in a 23-year-old man. The aneurysm was visualized after wide dissection of the Sylvian fissure. The M1 segment of the MCA, its branches and lenticulostriate arteries were identified and dissected. A single fenestrated T-bar clip was applied to reconstruct this long FIA after one of the lenticulostriate arteries was dissected free of the aneurysm. Postoperative angiography confirmed reconstruction of the M1 segment, as well as obliteration of the aneurysm. CONCLUSION:: Clip reconstruction of an FIA using a fenestrated Yaşargil T-bar clip is a new application option that effectively reconstructs the parent artery. Application of this type of a clip might be advantageous over conventional fenestrated or non-fenestrated clip applications, especially in tight surgical fields, because a single clip might be sufficient to reconstruct the long segment of the artery.
Authors:
Mustafa K Başkaya; Kutluay Uluç
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-19
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin USA 53792.
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