Circulatory Arrest With Profound Hypothermia During the Surgical Treatment of Large Internal Carotid Artery Aneurysm: —Case Report—

Waro Taki, Nobuyuki Sakai, Ichiro Nakahara, Haruhiko Kikuchi, Naohiro Osaka, Takaaki Koshiji, Katsuhiko Matsuda, Yasujiro Enoki

研究成果: ジャーナルへの寄稿学術論文査読

13 被引用数 (Scopus)

抄録

A 43-year-old male presented with a cerebral aneurysm manifesting as right facial paresthesia, without neurological deficit. Angiography revealed a large aneurysm (22 mm) of the left internal carotid artery. Intravascular treatment using placement of a detachable coil was attempted, but the coil did not stay in the aneurysmal cavity and the procedure was abandoned. The patient did not tolerate the transient balloon occlusion test of the left internal carotid artery. Therefore, the aneurysm was clipped through an open craniotomy with profound hypothermia (20°C) cardiac arrrest (24 minutes). The aneurysmal dome was collapsed, allowing easy dissection of the posterior communicating artery. The closed chest method was used during the extracorporeal cardiopulmonary bypass. Postoperative angiography revealed complete neck clipping with preservation of carotid blood flow. The patient recovered well and resumed his employment. Circulatory arrest with hypothermia provides several benefits for the surgical treatment of large and giant aneurysms.

本文言語英語
ページ(範囲)725-729
ページ数5
ジャーナルneurologia medico-chirurgica
38
11
DOI
出版ステータス出版済み - 1998
外部発表はい

All Science Journal Classification (ASJC) codes

  • 外科
  • 臨床神経学

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