A New Clip Generation for Microsurgical Treatment of Intracranial Aneurysms—The First Case Series
Teping F, Fischer G, Huelser M, Sippl C, Linsler S, Knosp E, Wadiura L, Oertel J (2019)
Publication Type: Journal article
Publication year: 2019
Journal
Book Volume: 130
Pages Range: e160-e165
DOI: 10.1016/j.wneu.2019.06.023
Abstract
Objective: Considerable effort has been made in order to reduce surgical invasiveness while maintaining optimal exploiting of the operative space in aneurysm surgery. One aspect of this evolution is represented by the Lazic (Peter Lazic GmbH, Tuttlingen, Germany) aneurysm clip system. The purpose of this study was to illustrate the new generation clip system in practiced aneurysm surgery. Methods: A retrospective analysis of all aneurysm surgeries in our departments between December 2015 and January 2018 using the new D-Clip system was performed. Evaluation included standardized retrospective review of the main surgeon, the nursing staff, as well as an analysis of surgical video documentation by objective reviewers. Results: Forty-five patients with 50 intracranial aneurysms underwent surgical clipping using the D-Clip system. A total of 64 permanent and 19 temporary D-Clips were applied. Nine clips needed to be replaced. All aneurysms could be occluded totally. Surgeons considered handling and manoeuvrability of clip application as feasible and good in all cases (100%), even under impaired visibility circumstances (14%). Objective video analysis revealed comparable results. Nursing staff scored handling and practicability of D-Clips equivalent to the preceding L-Clip generation. There were no intraoperative complications. Surgery-related postoperative morbidity was 6.7%. Conclusions: The new D-Clip system combines an attenuated design for minimally invasive clipping procedures with traditional mechanisms of common clip systems. It therefore appears to be highly versatile in the context of variable different aneurysm morphologies and locations while maintaining high standard surgical safety and efficacy.
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Involved external institutions
Germany (DE)
Austria (AT)How to cite
APA:
Teping, F., Fischer, G., Huelser, M., Sippl, C., Linsler, S., Knosp, E.,... Oertel, J. (2019). A New Clip Generation for Microsurgical Treatment of Intracranial Aneurysms—The First Case Series. World Neurosurgery, 130, e160-e165. https://dx.doi.org/10.1016/j.wneu.2019.06.023
MLA:
Teping, Fritz, et al. "A New Clip Generation for Microsurgical Treatment of Intracranial Aneurysms—The First Case Series." World Neurosurgery 130 (2019): e160-e165.
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