Cortical thermal clearance monitoring in surgery for a giant middle cerebral artery aneurysm

Cortical thermal clearance monitoring in surgery for a giant middle cerebral artery aneurysm

Cortical thermal clearance was used during surgery for clipping of a giant middle cerebral artery (MCA) aneurysm. During prolonged continuous proximal MCA occlusion thermal clearance remained normal, indicating sufficient collateral blood supply. Postoperatively the patient had no neurological defic...

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Veröffentlicht in:British journal of neurosurgery 1993, Vol.7 (6), p.673-676
Hauptverfasser: Choksey, Munchi S., Chambers, Iain R., Jenkins, Alistair, Mendelow, A. David, Sengupta, Robin P.
Format: Artikel
Sprache:eng
Schlagworte:
Biological and medical sciences
Cerebral Arteries
Cerebral Cortex - blood supply
Clearance monitoring
Constriction
Female
giant aneurysm
Humans
Intracranial Aneurysm - physiopathology
Intracranial Aneurysm - surgery
MCA occlusion
Medical sciences
Middle Aged
Monitoring, Intraoperative - instrumentation
Monitoring, Intraoperative - methods
Neurology
Regional Blood Flow
Thermal Conductivity
Vascular diseases and vascular malformations of the nervous system
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Zusammenfassung:Cortical thermal clearance was used during surgery for clipping of a giant middle cerebral artery (MCA) aneurysm. During prolonged continuous proximal MCA occlusion thermal clearance remained normal, indicating sufficient collateral blood supply. Postoperatively the patient had no neurological deficit. This monitoring technique is a useful guide to the safety of temporary clipping during aneurysm surgery.
ISSN:0268-8697
1360-046X
DOI:10.3109/02688699308995097