Abstract
Clip slippage is a rare occurrence, and the scissoring or torsional failure of aneurysm clips is rarer still. Titanium clips have been implicated in a few such reported cases. The authors report its occurrence while using a fenestrated cobalt alloy clip for an internal carotid artery aneurysm which was identified by intraoperative angiography and rectified by re-applying a non-fenestrated cobalt alloy clip. The possible mechanism of this complication, and measures that may prevent its occurrence, including meticulous dissection, decompression when possible, proper clip selection, and intraoperative angiogram are described.
| Original language | English |
|---|---|
| Pages (from-to) | 179-182 |
| Number of pages | 4 |
| Journal | Sultan Qaboos University Medical Journal |
| Volume | 13 |
| Issue number | 1 |
| Publication status | Published - Feb 2013 |
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Keywords
- Case report
- Cerebral aneurysm
- Clip failure
- India
- Intra-operative angiogram
ASJC Scopus subject areas
- Medicine(all)
Cite this
Scissoring of a cobalt alloy aneurysm clip causing slippage during cerebral aneurysm surgery : Case report and review of literature. / Kariyattil, Rajeev; Panikar, Dilip.
In: Sultan Qaboos University Medical Journal, Vol. 13, No. 1, 02.2013, p. 179-182.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Scissoring of a cobalt alloy aneurysm clip causing slippage during cerebral aneurysm surgery
T2 - Case report and review of literature
AU - Kariyattil, Rajeev
AU - Panikar, Dilip
PY - 2013/2
Y1 - 2013/2
N2 - Clip slippage is a rare occurrence, and the scissoring or torsional failure of aneurysm clips is rarer still. Titanium clips have been implicated in a few such reported cases. The authors report its occurrence while using a fenestrated cobalt alloy clip for an internal carotid artery aneurysm which was identified by intraoperative angiography and rectified by re-applying a non-fenestrated cobalt alloy clip. The possible mechanism of this complication, and measures that may prevent its occurrence, including meticulous dissection, decompression when possible, proper clip selection, and intraoperative angiogram are described.
AB - Clip slippage is a rare occurrence, and the scissoring or torsional failure of aneurysm clips is rarer still. Titanium clips have been implicated in a few such reported cases. The authors report its occurrence while using a fenestrated cobalt alloy clip for an internal carotid artery aneurysm which was identified by intraoperative angiography and rectified by re-applying a non-fenestrated cobalt alloy clip. The possible mechanism of this complication, and measures that may prevent its occurrence, including meticulous dissection, decompression when possible, proper clip selection, and intraoperative angiogram are described.
KW - Case report
KW - Cerebral aneurysm
KW - Clip failure
KW - India
KW - Intra-operative angiogram
UR - http://www.scopus.com/inward/record.url?scp=84875159976&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875159976&partnerID=8YFLogxK
M3 - Article
VL - 13
SP - 179
EP - 182
JO - Sultan Qaboos University Medical Journal
JF - Sultan Qaboos University Medical Journal
SN - 2075-051X
IS - 1
ER -