{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:36:37Z","timestamp":1786739797831,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Cerebral ischemia following clipping of cerebral aneurysms constitutes major cause of morbidity and mortality. Clip-related injury to vessel, postoperative clip rotation, prolonged temporary occlusion, intraoperative rupture, and vasospasm are some etiological factors compromising forward flow in parent or branch vessel. On suspicion of compromised forward flow, immediate intraoperative evaluation is done to detect the cause of vascular compromise and further management is done by microsurgical or endovascular means. We describe a case of ruptured distal anterior cerebral artery (ACA) aneurysm complicated by occlusion of ACA after surgical clipping. The patient was managed by endovascular means by combined technique of intra-arterial nimodipine, antiplatelet infusion, and mechanical clot disruption using J-tip microwire.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/bc.bc_58_20","type":"journal-article","created":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T14:54:43Z","timestamp":1629989683000},"page":"207-210","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Mechanical clot dissolution technique for surgical clip-related occlusions"],"prefix":"10.4103","volume":"7","author":[{"given":"Chirag","family":"Jain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Choudhary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Bhatia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20240830","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1007\/s00701-015-2408-6","article-title":"Results of re-exploration because of compromised distal blood flow after clipping unruptured intracranial aneurysms","volume":"157","author":"Park","year":"2015","journal-title":"Acta Neurochir (Wien"},{"key":"R2-9-20240830","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4103\/0028-3886.279675","article-title":"Impact of postoperative infarcts in determining outcome after clipping of anterior communicating artery aneurysms","volume":"68","author":"Gupta","year":"2020","journal-title":"Neurol India"},{"key":"R3-9-20240830","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1159\/000490375","article-title":"Delayed branching artery occlusion caused by clip rotation after intracranial aneurysm clippings","volume":"10","author":"Kim","year":"2018","journal-title":"Case Rep Neurol"},{"key":"R4-9-20240830","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.3171\/2015.2.JNS142655","article-title":"Reversal of intraoperative arterial thrombosis with a fibrinolytic agent when treating large and giant partially thrombosed aneurysms of the middle cerebral artery","volume":"124","author":"Eliava","year":"2016","journal-title":"J Neurosurg"},{"key":"R5-9-20240830","first-page":"895","article-title":"Application of nicardipine prolonged-release implants: Analysis of 97 consecutive patients with acute subarachnoid hemorrhage","volume":"56","author":"Kasuya","year":"2005","journal-title":"Neurosurgery"},{"key":"R6-9-20240830","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/j.nec.2014.04.008","article-title":"Cerebral vasospam","volume":"25","author":"Baggott","year":"2014","journal-title":"Neurosurg Clin N Am"},{"key":"R7-9-20240830","first-page":"2039","article-title":"Intraarterial administration of Abciximab for thromboembolic events occurring during aneurysm coil placement","volume":"24","author":"Mounayer","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"R8-9-20240830","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3174\/ajnr.A4066","article-title":"Rescue treatment of thromboembolic complications during endovascular treatment of cerebral aneurysms: A meta-analysis","volume":"36","author":"Brinjikji","year":"2015","journal-title":"AJNR Am J Neuroradiol"},{"key":"R9-9-20240830","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1586\/14737175.5.2.189","article-title":"Advances in revascularization for acute ischemic stroke treatment","volume":"5","author":"Schumacher","year":"2005","journal-title":"Expert Rev Neurother"},{"key":"R10-9-20240830","first-page":"1391","article-title":"Recanalization by mechanical embolus disruption during intra-arterial thrombolysis in the carotid territory","volume":"25","author":"Sorimachi","year":"2004","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["Brain Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/bc.bc_58_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:33:22Z","timestamp":1786736002000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/bc.bc_58_20"}},"subtitle":["An emergent triple-step approach"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/bc.bc_58_20","relation":{},"ISSN":["2394-8108"],"issn-type":[{"value":"2394-8108","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}