A técnica de clip-wrap: uma revisão de literatura

RESUMO A tecnica de clip-wrap e utilizada quando o neurocirurgiao e confrontado com aneurismas que nao podem ser clipados pelas tecnicas tradicionais, por causa de colo largo, calcificacao, placas ateroscleroticas, aneurismas fusiformes ou quando ha vasos oriundos do corpo do aneurisma. Diversos tipos de materiais podem ser utilizados, incluindo algodao, gaze de musselina, musculo, cola de fibrina e cianoacrilato. Nesta revisao de literatura, os autores destacam os resultados obtidos por esses diferentes materiais, assim como as complicacoes e a eficacia em relacao as taxas de ressangramento e ruptura no pos- operatorio. Conclui-se, portanto, que a tecnica de clip-wrap e segura e eficaz, associada com uma baixa taxa de complicacoes pos-operatorias. O metodo pode impedir ressangramento e representa melhoria quando comparado com a historia natural da doenca. PALAVRAS-CHAVE ABSTRACT The clip-wrap technique: a literature review The clip-wrap technique is used when the neurosurgeon is confronted with aneurysms that cannot be cut by means of traditional techniques, due to a wide neck, calcification, atherosclerotic plaques, fusiforms aneurysms or when there are vessels from the aneurysm body. Various types of materials can be used, including cotton, gauze muslin, muscle, fibrin glue and cyanoacrylate. In this review, the authors highlight the results obtained by these different materials as well as the complications and efficacy in relation to the rates of rebleeding and rupture in the postoperative period. Therefore, the clip-wrap technique is safe and effective, associated with a low rate of postoperative complications. The method can prevent rebleeding and represents an improvement compared with the natural history of disease.