Scissoring of a cobalt alloy aneurysm clip causing slippage during cerebral aneurysm surgery: Case report and review of literature

Rajeev Kariyattil, Dilip Panikar

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish
Pages (from-to)179-182
Number of pages4
JournalSultan Qaboos University Medical Journal
Volume13
Issue number1
Publication statusPublished - Feb 2013

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Intracranial Aneurysm
Cobalt
Surgical Instruments
Aneurysm
Angiography
Internal Carotid Artery
Decompression
Titanium
Dissection

Keywords

  • Case report
  • Cerebral aneurysm
  • Clip failure
  • India
  • Intra-operative angiogram

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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