Document Detail

Cotton-clipping technique to repair intraoperative aneurysm neck tear: A technical note.
MedLine Citation:
PMID:  21368700     Owner:  NLM     Status:  Publisher    
BACKGROUND:: Intraoperative rupture of an intracranial aneurysm is a potentially devastating but avoidable and manageable complication of aneurysm surgery. OBJECTIVE:: To describe a surgical technique that the authors have used successfully to repair a tear at the neck of an intracranial aneurysm. The technique and alternative options for managing this intraoperative complication are discussed. METHODS:: The tear on the neck of the aneurysm is covered with a small piece of free cotton and held in place with a suction device to clear the field of blood. The cotton is then clipped onto the tear with an aneurysm clip using the cotton as a bolster to obliterate the tear. The cotton increases the surface area, allowing the clip to be placed more distally on the neck to preserve patency of the parent artery. Case examples are used to illustrate the technique. RESULTS:: The authors have independently utilized this technique on several occasions to successfully repair tears at the neck of an aneurysm. CONCLUSION:: Intraoperative rupture of an intracranial aneurysm is a potentially devastating complication, particularly if a tear occurs at the neck. This simple yet effective method has been very useful in repairing a partial avulsion or tear of the neck of an aneurysm.
Daniel L Barrow; Robert F Spetzler
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-26
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-3-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA †Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ.
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