• Neurosurg Focus · Jan 2015

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

    • Sam Safavi-Abbasi, Hai Sun, Mark E Oppenlander, Peter Nakaji, M Yashar S Kalani, Joseph M Zabramski, and Robert F Spetzler.
    • Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
    • Neurosurg Focus. 2015 Jan 1; 38 (VideoSuppl1): Video14.

    AbstractIntraoperative 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 .

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