Scissoring of a Cobalt Alloy Aneurysm Clip causing Slippage during Cerebral Aneurysm Surgery Case report and review of literature
Journal Title: Sultan Qaboos University Medical Journal - Year 2013, Vol 13, Issue 1
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. Te authors report its occurrence while using a fenestrated cobalt alloy clip for an internal carotid artery aneurysm which was identifed by intraoperative angiography and rectifed by re-applying a non-fenestrated cobalt alloy clip. Te 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.
Authors and Affiliations
Rajeev Kariyattil| Sultan Qaboos University Hospital, Muscat, Oman, Dilip Panikar| Amrita Institute of Medical Sciences, Kochi, Kerala, India
Keywords
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