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1 results

  • Aneurysm Tears Caused by an Aneurysm Clip Springing from the Clip Applier

  • Yasuo Murai, Kazutaka Shirokane, Takao Kitamura, Fumihiro Matano, Akio Morita
  • Journal:
    Canadian Journal of Neurological Sciences / Volume 44 / Issue 3 / May 2017
    Published online by Cambridge University Press:
    02 February 2017, pp. 326-328
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  • We experienced two cases in which aneurysm clips sprang from the applier. In case 1, a subdural haematoma from a ruptured anterior cerebral artery aneurysm was detected. When the clip was opened for final positioning, it suddenly sprang from the applier and ruptured the aneurysm. In case 2, the clip suddenly sprang from the applier as the surgeon opened the applier to clip an unruptured anterior cerebral aneurysm. These accidental phenomena are rare but dangerous. We present these cases to help prevent similar occurrences in the future. Video recordings of actual procedures can point to potential mechanisms and help reduce the incidence of this complication.