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KMID : 1005420160180030281
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Journal of Cerebrovascular and Endovascular Neurosurgery
2016 Volume.18 No. 3 p.281 ~ p.285
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Incomplete Clipping Resulting from Scissoring of the Clip Blades during Treatment of a Large Atheromatous Aneurysm
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Kim Jin-Seong
Lee Seung-Hwan
Ko Hak-Cheol
Shin Hee-Sup
Koh Jun-Seok
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Abstract
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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.
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KEYWORD
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Intracranial aneurysm, Atheroma, Surgical clip, Treatment failure
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