Journal of Cerebrovascular and Endovascular Neurosurgery  2016;18(3):281-285

doi:10.7461/jcen.2016.18.3.281

Incomplete Clipping Resulting from Scissoring of the Clip Blades during Treatment of a Large Atheromatous Aneurysm.

Jin Seong KIM 1 ; Seung Hwan LEE ; Hak Cheol KO ; Hee Sup SHIN ; Jun Seok KOH

Affiliations

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Keywords

Intracranial aneurysm; Atheroma; Surgical clip; Treatment failure

Country

Republic of Korea

Language

English

Abstract

The cerebral aneurysm 'clip scissoring' phenomenon resulting from clip blade twisting is an unpredictable surgical complication. Additionally, incomplete clipping resulting from the presence of an atherosclerotic wall in the neck of the aneurysm can also cause unforeseen problems. Here, the authors present an unusual case of incomplete clipping of a large, atheromatous aneurysm resulting from clip scissoring, which was treated with additional endovascular coiling.