Microsurgical clip reconstruction techniques for aneurysms with significant calcified neck.

Abstract:

:A common surgical complication of clipping aneurysms with a calcified neck is the calcified atheroma compromising the parent arteries after clipping the neck. Clips can slip downward at the calcified neck or cause calcified atheroma encroaching the parent arteries. This video demonstrates a reconstructive clip technique to avoid these issues. A fenes-trated clip is placed first to reconstruct the distal parent artery-aneurysm neck with the fenestrated ring over the thickest calcification. Then, a straight clip reconstructs the proximal artery-aneurysm junction, leaving the thickest point of calcified walls pinching together by themselves to achieve aneurysm occlusion while preserving the parent arteries. The video can be found here: http://youtu.be/9CM3o5_qlNQ.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

H Turkmani A,Day AL,Kim DH,Chen PR

doi

10.3171/2015.7.FocusVid.14615

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

V12

issn

1092-0684

journal_volume

39 Video Suppl 1

pub_type

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