• World Neurosurg · Apr 2019

    Place-and-Clip Method for Fixing the Suture Thread in Deep-Brain Vascular Lesions: A Technical Case Report.

    • Shigeomi Yokoya, Akihiko Hino, Tadashi Echigo, and Hideki Oka.
    • Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan. Electronic address: yokoya@ks.kyorin-u.ac.jp.
    • World Neurosurg. 2019 Apr 19.

    BackgroundIntracranial vascular injury incurred during surgery must be repaired as fast as possible. The standard repair procedure is surgical suturing. However, the narrow and deep working space may obstruct creating a knot with the suture thread.Case PresentationResection of an olfactory groove meningioma was performed in a 73-year-old woman via the right lateral supraorbital approach. Tumor retraction caused an injury to the pericallosal artery. After temporary clipping of the vessel, a 10-0 nylon thread was placed on the vascular lesion and the end of the thread was fixed with an aneurysm clip.ConclusionFixing the suture thread with an aneurysm clip can be a rescue technique in suturing procedures on deeply located vascular lesions.Copyright © 2019 Elsevier Inc. All rights reserved.

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