Combined suture and clipping for the reconstruction of a ruptured blister-like aneurysm

被引：7
|
作者：
Kantelhardt, Sven R. [1 ]
Archavlis, Eleftherios [1 ]
Giese, Alf [1 ]
机构：
[1] Johannes Gutenberg Univ Mainz, Dept Neurosurg, Univ Med Ctr, Langenbeckstr 1, D-55129 Mainz, Germany
来源：
ACTA NEUROCHIRURGICA | 2016年 / 158卷 / 10期
关键词：
Blister-like aneurysms; Rupture; Surgery; SAH; Clipping; Micro-suture; INTERNAL CAROTID-ARTERY; ANTERIOR COMMUNICATING ARTERY; STRATEGIES; BYPASS;
D O I：
10.1007/s00701-016-2919-9
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Blister-like aneurysms of the internal carotid artery (ICA) present a severe therapeutical challenge. While several reconstructive techniques are in use in case of acute rupture sacrifice of the parent vessel may be required. We present a combined technique of micro-sutures and clip application to repair the parent vessel in an intraoperatively ruptured blister-like aneurysm. Following temporary trapping of an intraoperatively ruptured 7-mm blister-like aneurysm four 8-0 nylon sutures were applied to adapt the vessel walls and support the branches of subsequently applied mini-clips. The combination of micro-sutures and mini-clips might be a valuable alternative to direct clipping or suturing in some cases with intraoperative rupture of blister-like aneurysms.
引用
收藏
页码：1907 / 1911
页数：5
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