Repair of intraoperative aneurysm neck tear utilizing the cotton-clipping technique

Sam Safavi-Abbasi, Hai Sun, Mark E. Oppenlander, Peter Nakaji, M. Yashar S. Kalani, Joseph M. Zabramski, Robert F. Spetzler

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Intraoperative rupture of an intracranial aneurysm is a potentially devastating but controllable complication. The authors have successfully used the previously described cotton-clip technique to repair tears at the necks of aneurysms.1-4 A tear on the neck of the aneurysm is covered with a piece of cotton and held in place with a suction device. The cotton is then clipped onto the tear with an aneurysm clip, using the cotton as a bolster. This simple, effective method has been useful in repairing a partial avulsion of the neck of an aneurysm.1,3

Original languageEnglish (US)
Article numberV14
JournalNeurosurgical focus
StatePublished - 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology


  • Aneurysm repair
  • Aneurysm rupture
  • Cotton-clip technique


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