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"Picket Fence" clipping technique for large and complex aneurysms

  • University of California at San Francisco

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

The "picket fence" clipping technique is a method for clipping large aneurysms when conventional clipping across the neck is not feasible, either due to complex anatomy, atherosclerosis, calcification, or compromise of branch origins. This has also been described as a dome fenestration tube. Parallel straight clips, simple and/or fenestrated, are stacked vertically from dome to neck with the tips reconstructing the neck. In this video, the "picket fence" clipping technique is demonstrated on a large middle cerebral artery (MCA) aneurysm. A total of 14 clips reconstructed the neck, completely occluding the aneurysm and preserving outflow in all branch vessels.

Original languageEnglish
Article numberV17
JournalNeurosurgical Focus
Volume39
DOIs
StatePublished - 2015

Keywords

  • "Picket Fence" clipping technique
  • Aneurysm
  • Clipping
  • Dome fenestration tube
  • Video

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