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- 2019
Clipping on Crossed Wrapping Method for Ruptured Blood Blister-Like Aneurysm of the Internal Carotid Artery: Technical Note and Long-Term ResultsDOI: 10.1016/j.wnsx.2018.100005 Keywords: Blood blister-like aneurysm, Clipping on crossed wrapping, Clipping on wrapping, Direct surgery, Internal carotid artery aneurysm 3D-CTA, Three-dimensional computed tomographic angiography, AchA, Anterior choroidal artery, BBA, Blood blister-like aneurysm, COCW, Clipping on crossed wrapping, COW, Clipping on wrapping, CT, Computed tomography, IC, Internal carotid, ICA, Internal carotid artery, IC-BBAs, BBAs of the ICA, mRS, Modified Rankin Scale, PcomA, Posterior communicating artery, SAH, Subarachnoid hemorrhage Abstract: We have been performing the clipping on crossed wrapping (COCW) method using 2 strips of cotton on patients with an internal carotid artery blood blister-like aneurysm (IC-BLA). This method is reliable in preventing the clips from slipping off and the aneurysm walls from being damaged during clipping, and it enables more appropriate and safer clipping. Here we report the technical details of this method and the long-term outcomes of patients receiving this procedure
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