J Neurol Surg A Cent Eur Neurosurg 2020; 81(03): 261-263
DOI: 10.1055/s-0039-1698387
Technical Note
Georg Thieme Verlag KG Stuttgart · New York

Treatment of Recurrent Intracranial Aneurysms: Gore-Tex Interposition Method for Prevention of Galvanic Corrosion at the Clips

Shigeomi Yokoya
1   Saiseikai Shiga Hospital, Imperial Gift Foundation Inc. – Neurosurgery, Ritto, Shiga, Japan
,
Akihiko Hino
1   Saiseikai Shiga Hospital, Imperial Gift Foundation Inc. – Neurosurgery, Ritto, Shiga, Japan
,
Hideki Oka
1   Saiseikai Shiga Hospital, Imperial Gift Foundation Inc. – Neurosurgery, Ritto, Shiga, Japan
› Institutsangaben
Weitere Informationen

Publikationsverlauf

16. Januar 2019

26. März 2019

Publikationsdatum:
27. Februar 2020 (online)

Abstract

We describe a new method for preventing galvanic corrosion induced by contact between old and new clips of different materials during clipping for recurrent intracranial aneurysms. After applying a new clip to the aneurysm neck close to the old clip, a Gore-Tex (GORE PRECLUDE; W.L. Gore & Associates, Inc., Newark, Delaware, United States) sheet is interposed to prevent contact between the old and new clip. The procedure was used successfully in three cases. The present technique is beneficial for the treatment of recurrent intracranial aneurysms to prevent galvanic corrosion when encountering difficulty in removing a previously placed clip.

 
  • Reference

  • 1 Kashimura H, Ogasawara K, Kubo Y, Otawara Y, Ogawa A. Microsurgical removal of previously placed aneurysm clips and application of new clips for recurrent cerebral aneurysms. Technical note. J Neurosurg 2007; 107 (04) 881-883
  • 2 Giannotta SL, Litofsky NS. Reoperative management of intracranial aneurysms. J Neurosurg 1995; 83 (03) 387-393
  • 3 Matsugaki A, Nakano T. In vivo corrosion environment and biomaterials [in Japanese]. Zairyo-to-Kankyo 2014; 63 (05) 290-294
  • 4 el-Beltagy M, Muroi C, Roth P, Fandino J, Imhof HG, Yonekawa Y. Recurrent intracranial aneurysms after successful neck clipping. World Neurosurg 2010; 74 (4–5): 472-477