title: Repair of intraoperative aneurysm neck tear utilizing the cotton-clipping technique.
abstract: Intraoperative rupture of an intracranial aneurysm is a potentially devastating but controllable complication. The authors have successfully used the previously described cotton-clip technique to repair tears at the necks of aneurysms. (1-4) A tear on the neck of the aneurysm is covered with a piece of cotton and held in place with a suction device. The cotton is then clipped onto the tear with an aneurysm clip, using the cotton as a bolster. This simple, effective method has been useful in repairing a partial avulsion of the neck of an aneurysm. (1 , 3) The video can be found here: http://youtu.be/nT86RYVQWpc .
authors.affiliation: Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
authors.forename: Sam
authors.initials: S
authors.lastname: Safavi-Abbasi
authors.forename: Hai
authors.initials: H
authors.lastname: Sun
authors.forename: Mark E
authors.initials: ME
authors.lastname: Oppenlander
authors.forename: Peter
authors.initials: P
authors.lastname: Nakaji
authors.forename: M Yashar S
authors.initials: MY
authors.lastname: Kalani
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Zabramski
authors.forename: Robert F
authors.initials: RF
authors.lastname: Spetzler
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery*; D002533:Cerebral Angiography; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008866:Microsurgery; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery*; D013525:Surgical Instruments
keywords: aneurysm repair; aneurysm rupture; cotton-clip technique