Open AccessDEEP HYPOTHERMIC CIRCULATORY ARREST FOR COMPLEX CEREBRAL ANEURYSMS
Author(s) -
William J. Mack,
Andrew F. Ducruet,
Peter D. Angevine,
Ricardo J. Komotar,
Debra B. Shrebnick,
Niloo M. Edwards,
Craig R. Smith,
Éric Heyer,
Linda Monyero,
E. Sander Connolly,
Robert A. Solomon
Publication year - 2008
Publication title -
neurosurgery/neurosurgery online
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.485
H-Index - 34
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1227/01.neu.0000333796.21468.0f
Subject(s) - medicine , clipping (morphology) , aneurysm , deep hypothermic circulatory arrest , circulatory system , anesthesia , surgery , anterior cerebral artery , cardiopulmonary bypass , revascularization , middle cerebral artery , cardiology , ischemia , cerebral perfusion pressure , cerebral blood flow , philosophy , linguistics , myocardial infarction
Deep hypothermic circulatory arrest is a useful adjunct for treating complex aneurysms. Decreased cerebral metabolism and resultant ischemic tolerance create an environment suitable for devascularizing high-risk lesions. However, the advent of modern imaging modalities, innovative cerebral revascularization strategies, and the emergence of endovascular stenting and coiling limit the number of aneurysms requiring this surgical intervention. We present 66 patients with intracranial aneurysms who underwent surgical clipping under deep hypothermic arrest and attempt to identify patients well-suited for this procedure.