Clip-grafts for aneurysm and small vessel surgery.

Part 4: Relative application to various aneurysms and repair of anterior communicationg aneurysms using right-angle clip holder.

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  • 1 Cerebrovascular Clinical Research Center and the Department of Neurologic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota
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✓ Analysis of the use of the clip-graft for intracranial aneurysms indicates that the clip-graft is chiefly applicable to internal carotid and anterior communicating artery aneurysms. The development of the right-angle clip holder has extended its use to anterior communicating artery aneurysms that project posteriorly or superiorly. The dangers of dissection in the septal region are discussed. With few exceptions, the clip-graft is not applicable to the vertebrobasilar system or middle cerebral artery trifurcation aneurysms, although it has been used for aneurysms arising from the trunk of the latter vessel.

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Contributor Notes

Address reprint requests to: Thoralf M. Sundt, Jr., M.D., Mayo Clinic, Rochester, Minnesota 55901.
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  • 2.

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  • 6.

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  • 8.

    Sundt TM Jr, & Nofzinger JD: Clip-grafts for aneurysm and small vessel surgery. Part 2: Clinical applications of clip-grafts to aneurysms; technical considerations. J Neurosurg 27:482489, 1967 Sundt TM Jr, Nofzinger JD: Clip-grafts for aneurysm and small vessel surgery. Part 2: Clinical applications of clip-grafts to aneurysms; technical considerations. J Neurosurg 27:482–489, 1967

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  • 9.

    VanderArk GD, & Kempe LC: Classification of anterior communicating aneurysms as a basis for surgical approach. J Neurosurg 32:300303, 1970 VanderArk GD, Kempe LC: Classification of anterior communicating aneurysms as a basis for surgical approach. J Neurosurg 32:300–303, 1970

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