Microsurgical removal of previously placed aneurysm clips and application of new clips for recurrent cerebral aneurysms. Technical note.

Abstract:

:A technique is described for removing previously placed aneurysm clips and applying new aneurysm clips for the treatment of regrown or reruptured cerebral aneurysms in patients more than 10 years after the original clipping of the aneurysm neck. The adherent tissue covering previously placed clips is cut just on and alongside the clips themselves using a small scalpel. Using the clip applicator, gentle pressure is applied to open the clip blade as little as possible. The aneurysm clip is carefully slid out along the line where the clip blade has resided, and a new aneurysm clip is applied. The procedure was successfully accomplished in four patients. Whereas three of these patients had an uneventful postoperative course, the remaining patient experienced transient right oculomotor nerve palsy and left-sided motor weakness. The present technique is a useful procedure for treatment of regrown or reruptured cerebral aneurysms occurring a significantly long time after initial clipping of an aneurysm neck.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Kashimura H,Ogasawara K,Kubo Y,Otawara Y,Ogawa A

doi

10.3171/JNS-07/10/0881

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

881-3

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

107

pub_type

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