J Cerebrovasc Endovasc Neurosurg.  2016 Sep;18(3):281-285. 10.7461/jcen.2016.18.3.281.

Incomplete Clipping Resulting from Scissoring of the Clip Blades during Treatment of a Large Atheromatous Aneurysm

Affiliations
  • 1Department of Neurosurgery, Stroke and Neurological Disorders Centre, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea. toast2000@hanmail.net

Abstract

The cerebral aneurysm 'clip scissoring' phenomenon resulting from clip blade twisting is an unpredictable surgical complication. Additionally, incomplete clipping resulting from the presence of an atherosclerotic wall in the neck of the aneurysm can also cause unforeseen problems. Here, the authors present an unusual case of incomplete clipping of a large, atheromatous aneurysm resulting from clip scissoring, which was treated with additional endovascular coiling.

Keyword

Intracranial aneurysm; Atheroma; Surgical clip; Treatment failure

MeSH Terms

Aneurysm*
Intracranial Aneurysm
Neck
Plaque, Atherosclerotic
Surgical Instruments
Treatment Failure
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