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Risk of intraoperative aneurysm clip slippage: a new experience with titanium clips
M N Carvi y Nievas1, H G Höllerhage
1Department of Neurosurgery, Städtische Kliniken, Frankfurt am Main Höchst, Germany. MCNievas@t-online.de
Journal of Neurosurgery
|March 4, 2000
Abstract:
Slippage of an aneurysm clip as a result of insufficient clip-closing force cannot be predicted, even when using force-testing devices. Descriptions of intraoperative clip slippages are rarely found in the literature. The authors summarize four unusual cases in which titanium aneurysm clips slipped by a scissorslike mechanism during surgery. They analyze the possible factors implicated in such a dangerous situation and discuss corrective choices.