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Acta Neurochirurgica
Published in: Acta Neurochirurgica 10/2016

01-10-2016 | Case Report - Vascular

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

Authors: Sven R. Kantelhardt, Eleftherios Archavlis, Alf Giese

Published in: Acta Neurochirurgica | Issue 10/2016

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Abstract

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.
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Metadata
Title
Combined suture and clipping for the reconstruction of a ruptured blister-like aneurysm
Authors
Sven R. Kantelhardt
Eleftherios Archavlis
Alf Giese
Publication date
01-10-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2919-9

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