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| Name | Repair of intraoperative aneurysm neck tear utilizing the cotton-clipping technique |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 02-05-2019 16:51:39 |
| Video Discription | Sam Safavi-Abbasi, M.D., Hai Sun, M.D., Ph.D., Mark E. Oppenlander, M.D., Peter Nakaji, M.D., M. Yashar S. Kalani, M.D., Ph.D., Joseph M. Zabramski, M.D., and Robert F. Spetzler, M.D. Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona 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 References 1. Barrow DL, Spetzler RF: Cotton-clipping technique to repair intraoperative aneurysm neck tear: a technical note. Neurosurgery 68:294–299, 2011 2. Bederson JB, Zabramski JM, Spetzler RF: Treatment of fusiform intracranial aneurysms by circumferential wrapping with clip reinforcement. Technical note. J Neurosurg 77:478–480, 1992 3. Lanzino G, Spetzler RF: Clip wrapping for partial avulsion of the aneurysm neck. Technical note. J Neurosurg 99:931–932, 2003 4. Menovsky T, de Vries J, Grotenhuis JA: Cotton-clipping technique: piece of smashed muscle as an alternative. Neurosurgery 69:E1183–1185, 2011 |
| Category | Education |
| Tags | Clipping (Medical Treatment) | Aneurysm (Disease Or Medical Condition) | AANS | Journal of Neurosurgery | Neurosurgical Focus |
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