Effectiveness and Validity of Temporary Vessel Occlusion under Mild Hypothermia in Intracranial Aneurysmal Surgery

Temporary vessel occlusion is an effective technique used by neurosurgeons to facilitate dissection and permanent clipping of cerebral aneurysms. However, there are certain questions regarding the overall safety and risk of this technique. In the 1980s, mild hypothermia at the core temperature of 33...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Japanese Journal of Neurosurgery 1998/12/20, Vol.7(12), pp.737-744
Hauptverfasser: Ikawa, Fusao, Kiya, Katsuzo, Yuki, Kiyoshi, Nakao, Miwako, Kiura, Yoshihiro, Sasaki, Tomohiro, Arita, Kazunori, Kurisu, Kaoru, Uozumi, Tohru
Format: Artikel
Sprache:eng ; jpn
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Temporary vessel occlusion is an effective technique used by neurosurgeons to facilitate dissection and permanent clipping of cerebral aneurysms. However, there are certain questions regarding the overall safety and risk of this technique. In the 1980s, mild hypothermia at the core temperature of 33-35℃ was demonstrated to have a brain-protecting in a global cerebral ischemic model, and this technique is currently being applied clinically. We operated intracranial aneurysms using the temporary vessel occlusion technique in 15 out of 46 cases under mild hypothermia for intracranial aneurysms. We obtained the following results: 1. There were no adverse effects and complications intraoperatively; 2. Mild hypothermia prolonged neither the operating nor anesthetizing time; 3. There was no permanent neurological deficit after using temporary occlusion under mild hypothermia in all cases, including 6 cases in which the occlusion time exceeded 20 minutes. The present review discuss the effectiveness and validity of temporary vessel occlusion under mild hypothermia in the surgery of intracranial aneurysms.
ISSN:0917-950X
2187-3100
DOI:10.7887/jcns.7.737