Document Detail


Wrap-clipping with a Dacron mesh silastic sheet. Technical note.
MedLine Citation:
PMID:  8283276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A technique combining wrapping and clipping using a Silastic sheet coated with Dacron mesh is described for treatment of fusiform or broad-based cerebral aneurysms. This sheet is easily tailored to wrapping the aneurysm base while avoiding involvement of the cranial nerves or branching vessels. The sheet is semitransparent so that the caliber of the newly constructed parent artery is easily adjusted during wrap-clipping. After the aneurysm and the parent artery have been circumferentially wrapped with the sheet, aneurysm clips are applied on the sheet so that the base of the aneurysm is clipped between the two leaves of the sheet. This wrap-clipping technique avoids the risks involved in extracting the aneurysm from the parent artery. The Dacron mesh coating the outer surface and sufficient clip closing pressure are both helpful in preventing the clip blades from sliding. Similar previously reported techniques are reviewed and discussed in detail.
Authors:
K Fujitsu; Y Ishiwata; G Gondo; S Fujii; D D Feng
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  80     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-02-17     Completed Date:  1994-02-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  336-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Yokohama City University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Humans
Intracranial Aneurysm / surgery*
Polyethylene Terephthalates / therapeutic use*
Silicone Elastomers / therapeutic use
Surgical Mesh*
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates; 0/Silicone Elastomers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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