Kinked perforator due to clipping of parent vessel aneurysm: technical note and lessons learned

Jorn Van Der Veken; Michael J. Mulcahy; Timothy J. Harrington; Nazih N. Assaad

doi:10.1016/j.wneu.2019.05.131

Kinked perforator due to clipping of parent vessel aneurysm: technical note and lessons learned

Jorn Van Der Veken^*, Michael J. Mulcahy, Timothy J. Harrington, Nazih N. Assaad

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Adverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately. Methods: This is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm. Results: Complete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine. Conclusion: Use of evoked potentials and intraoperative digital subtraction angiography are recommended and may help in preclinical diagnosis. Knowledge of delayed perforator kinking as a complication may lead to a more rapid diagnosis and management.

Original language	English
Pages (from-to)	473-476
Number of pages	4
Journal	World Neurosurgery
Volume	128
DOIs	https://doi.org/10.1016/j.wneu.2019.05.131
Publication status	Published - 1 Aug 2019

Keywords

Clipping
Kinked
Perforator

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10.1016/j.wneu.2019.05.131

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title = "Kinked perforator due to clipping of parent vessel aneurysm: technical note and lessons learned",

abstract = "Background: Adverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately. Methods: This is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm. Results: Complete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine. Conclusion: Use of evoked potentials and intraoperative digital subtraction angiography are recommended and may help in preclinical diagnosis. Knowledge of delayed perforator kinking as a complication may lead to a more rapid diagnosis and management.",

keywords = "Clipping, Kinked, Perforator",

author = "{Van Der Veken}, Jorn and Mulcahy, {Michael J.} and Harrington, {Timothy J.} and Assaad, {Nazih N.}",

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doi = "10.1016/j.wneu.2019.05.131",

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AU - Van Der Veken, Jorn

AU - Mulcahy, Michael J.

AU - Harrington, Timothy J.

AU - Assaad, Nazih N.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Background: Adverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately. Methods: This is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm. Results: Complete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine. Conclusion: Use of evoked potentials and intraoperative digital subtraction angiography are recommended and may help in preclinical diagnosis. Knowledge of delayed perforator kinking as a complication may lead to a more rapid diagnosis and management.

AB - Background: Adverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately. Methods: This is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm. Results: Complete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine. Conclusion: Use of evoked potentials and intraoperative digital subtraction angiography are recommended and may help in preclinical diagnosis. Knowledge of delayed perforator kinking as a complication may lead to a more rapid diagnosis and management.

KW - Clipping

KW - Kinked

KW - Perforator

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M3 - Article

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VL - 128

SP - 473

EP - 476

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -

Kinked perforator due to clipping of parent vessel aneurysm: technical note and lessons learned

Abstract

Keywords

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