Profound hypothermia and circulatory arrest for aneurysm surgery. |
Jun Seuk Chea, Byung Ho Lee, Mee Young Chung, Jin Deuk Joo |
Department of Anesthesiology, College of Medicine, Catholic University, Seoul, Korea. |
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Abstract |
Direct surgical repair of complex intracranial vascular lesions is difficult. Sometimes the neurosurgery is performed under circulatory arrest, profound hypothermia and barbiturates cerebral protection. Total ischemia is tolerated for 30~60 minutes because oxygen requirements of the brain decrease exponentially as body temperature is lowered. We experienced that this technique was successfully used for inoperable basilar artery aneurysm. We reviewed the surgical and anesthetic considerations of basilar artery aneurysm. |
Key Words:
Basilar artery Aneurysm; Circulatory arrest; Profound Hypothermia; Barbiturates cerebral protection |
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