Hypothermic Circulatory Arrest Procedures for Giant Intracranial Aneurysms

摘要

Surgical management of giant cerebral aneurysms remains a major technical challenge for modern neurosurgeons. Endovascular approaches for giant aneurysms has not provided an acceptable alternative to direct surgical approaches. The use of deep hypothermic circulatory arrest as an adjunct during clipping complex giant aneurysms has shown promise as a cure for otherwise incurable lesions. Patient selection and techniques of circulatory arrest surgery will be discussed.