Anesthetic management for clipping a giant basilar artery aneurysm with moderate hypothermia, extracorporeal circulation assistance, and propofol infusion

Journal of Neurosurgical Anesthesiology

Volumn 15, Issue 3, 2003, Pages 274-277

  Yamada, Makiko ^a   Nishikawa, Koichi ^a   Kawahara, Fuminori ^a   Yoshikawa, Daisuke ^a   Saito, Shigeru ^a   Goto, Fumio ^a  

^a GUNMA UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

Author keywords

Basilar artery aneurysm; Cardiopulmonary bypass; Cerebral protection; Hypothermia; Motor evoked potentials

Indexed keywords

DOPAMINE; NORADRENALIN; PROPOFOL;

AGED; ANEURYSM CLIP; ARTICLE; BASILAR ARTERY; CASE REPORT; DRUG INFUSION; EXTRACORPOREAL CIRCULATION; FEMALE; FEMORAL VEIN; FEMOROFEMORAL BYPASS; GENERAL ANESTHESIA; HEMODYNAMICS; HUMAN; INDUCED HYPOTHERMIA; INTRAOPERATIVE PERIOD; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SURGICAL RISK; VEIN BLOOD FLOW;

AGED; ANESTHESIA, GENERAL; ANESTHETICS, INTRAVENOUS; EXTRACORPOREAL CIRCULATION; FEMALE; HUMANS; HYPOTHERMIA, INDUCED; INFUSIONS, INTRAVENOUS; INTRACRANIAL ANEURYSM; PROPOFOL; TOMOGRAPHY, X-RAY COMPUTED;

EID: 0037707391     PISSN: 08984921     EISSN: None     Source Type: Journal    
DOI: 10.1097/00008506-200307000-00018     Document Type: Article

References (16)

1. Hacein-Bey L, Connolly ES Jr, Mayer SA, et al. Complex intracranial aneurysms: combined operative and endovascular approaches. Neurosurgery. 1998;43:1304-12.
2. Drake CG, Barr HWK, Coles JC, et al. The use of extracorporeal circulation and profound hypothermia in the treatment of ruptured intracranial aneurysm. J Neurosurg. 1964;21:575-81.
3. Baumgartner WA, Silverberg GD, Ream AK, et al. Reappraisal of cardiopulmonary bypass with deep hypothermia and circulatory arrest for complex neurosurgical operations. Surgery. 1983;94:242-9.
4. Thomas AN, Anderton JM, Harper NJ. Anaesthesia for the treatment of a giant cerebral aneurysm under hypothermic circulatory arrest. Anaesthesia. 1990;45:383-5.
5. Spetzler RF, Hadley MN, Rigamonti D, et al. Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection. J Neurosurg. 1988;68:868-79.
6. Young WL, Lawton MT, Gupta DK, et al. Anesthetic management of deep hypothermic circulatory arrest for cerebral aneurysm clipping. Anesthesiology. 2002;96:497-503.
7. Nussmeier NA, Arlund C, Slogoff S. Neuropsychiatric complications after cardiopulmonary bypass: cerebral protection by a barbiturate. Anesthesiology. 1986;64:165-70.
8. Spetzler RF, Martin N, Hadley MN, et al. Microsurgical endarterectomy under barbiturate protection: a prospective study. J Neurosurg. 1986;65:63-73.
9. Zhan RZ, Qi S, Wu C, et al. Intravenous anesthetics differentially reduce neurotransmission damage caused by oxygen-glucose deprivation in rat hippocampal slices in correlation with N-methyl-D-aspartate receptor inhibition. Crit Care Med. 2001;29:808-13.
10. Kahveci FS, Kahveci N, Alkan T, et al. Propofol versus isoflurane anesthesia under hypothermic conditions: effects on intracranial pressure and local cerebral blood flow after diffuse traumatic brain injury in the rat. Surg Neurol. 2001;56:206-14.
11. Hindman BJ, Todd MM, Gelb AW, et al. Mild hypothermia as a protective therapy during intracranial aneurysm surgery: a randomized prospective pilot trial. Neurosurgery. 1999;44:23-32.
12. Karibe H, Zarow GJ, Graham SH, et al. Mild intraischemic hypothermia reduces postischemic hyperperfusion, delayed postischemic hypoperfusion, blood-brain barrier disruption, brain edema, and neuronal damage volume after temporary focal cerebral ischemia in rats. J Cereb Blood Flow Metab. 1994;14:620-7.
13. Clifton GL. Systemic hypothermia in treatment of severe brain injury. J Neurosurg Anesthesiol. 1995;7:152-6.
14. Groff MW, Adams DC, Kahn RA, et al. Adenosine-induced transient asystole for management of a basilar artery aneurysm: case report. J Neurosurg. 1999;91:687-90.
15. Johnston SC, Wilson CB, Halbach VV, et al. Endovascular and surgical treatment of unruptured cerebral aneurysms: comparison of risks. Ann Neurol. 2000;48:11-9.
16. Lai YC, Manninen PH. Anesthesia for cerebral aneurysms: a comparison between interventional neuroradiology and surgery. Can J Anaesth. 2001;48:391-5.