Clipopexy: An Anchoring Technique to Avoid Compression of Adjacent Neurovascular Structures by Aneurysm Clip: Report of Two Cases

Rupture of an intracranial aneurysm is a serious neuro-vascular event requiring immediate management to avoid devastating neurological sequelae. Despite the rapid evolution of endovascular techniques, clipping is still a necessary tool in aneurysms with non-optimal dome-to-neck ratio and in younger patients. Occasionally, optimal positioning of an aneurysm clip with optimal obliteration of the aneurysm is not possible without compression of adjacent neurovascular structures. In these cases, the compressed neurovascular structure can be decompressed while maintaining the position of the clip on the aneurysm through an anchoring technique. Here, we describe this technique, in which the aneurysm clip is pulled away from the compressed neurovascular structures by sutures. 

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