抄録
We outline a simple and safe method for clipping of small, broad-based and thin-walled aneurysms. Premature rupture during the clipping procedure and slip-out of the applied clip are frustrating when encountered during surgical treatment of these aneurysms. Clipping of such aneurysms with a wrapping technique with a piece of oxcel is a safe and effective method to prevent premature rupture and slip-out of the clip. We report our experiences with operative results of 22 patients treated with this technique.
With regards to GORE-TEX® wrap clip technique, GORE-TEX® sheets can be made with readily available encircling aneurysm clips. The two blades of a conventional angled aneurysm clip are bridged with a folded piece of GORE-TEX® sheet. After the whole circumference of an artery is covered with this thin encircling clip, the artery is firmly wrapped. By selecting the appropriate clip from various types of commercially available clips, fragile, small and broad based aneurysms can be securely wrapped with the parent artery.
In cases where there is injury or perforation during the operative procedure, the usual thin wrapping-clip technique will be adopted. Three cases were treated with this technique.
We will also highlight other previously reported techniques.
