Repair of intraoperative aneurysm neck tear utilizing the cotton-clipping technique

Authors

Sam Safavi-Abbasi, Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Hai Sun
Mark E. Oppenlander
Peter Nakaji
M Yashar KalaniFollow
Joseph M. Zabramski
Robert F. Spetzler

Document Type

Article

Abstract

Intraoperative rupture of an intracranial aneurysm is a potentially devastating but controllable complication. The authors have successfully used the previously described cotton-clip technique to repair tears at the necks of aneurysms. (1-4) A tear on the neck of the aneurysm is covered with a piece of cotton and held in place with a suction device. The cotton is then clipped onto the tear with an aneurysm clip, using the cotton as a bolster. This simple, effective method has been useful in repairing a partial avulsion of the neck of an aneurysm. (1 , 3) The video can be found here: http://youtu.be/nT86RYVQWpc .

Medical Subject Headings

Aneurysm, Ruptured (surgery); Cerebral Angiography; Humans; Intraoperative Complications (surgery); Microsurgery; Subarachnoid Hemorrhage (etiology, surgery); Surgical Instruments

Publication Date

1-1-2015

Publication Title

Neurosurgical focus

E-ISSN

1092-0684

Volume

38

Issue

VideoSuppl1

First Page

Video14

PubMed ID

25554836

Digital Object Identifier (DOI)

10.3171/2015.V1.FOCUS14556

Recommended Citation

Safavi-Abbasi, Sam; Sun, Hai; Oppenlander, Mark E.; Nakaji, Peter; Kalani, M Yashar; Zabramski, Joseph M.; and Spetzler, Robert F., "Repair of intraoperative aneurysm neck tear utilizing the cotton-clipping technique" (2015). Neurosurgery. 1640.
https://scholar.barrowneuro.org/neurosurgery/1640