DOI: 10.3171/jns.1988.68.6.0868. Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection

Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection

10.3171/jns.1988.68.6.0868

Crossref journal-article

Journal of Neurosurgery Publishing Group (JNSPG)

Journal of Neurosurgery (1754)

Abstract

✓ Complete circulatory arrest, deep hypothermia, and barbiturate cerebral protection are efficacious adjuncts in the surgical treatment of selected giant intracranial aneurysms. These techniques were utilized in seven patients, one with a large and six with giant basilar artery aneurysms; four had excellent results, one had a good result, one had a fair outcome, and one died. The rationale for the use of complete cardiac arrest with extracorporeal circulation, hypothermia, and barbiturate cerebral protection is outlined. The surgical and anesthetic considerations are reviewed. The perioperative morbidity and long-term results support the use of these techniques in selected patients with complex intracranial vascular lesions.

Bibliography

Spetzler, R. F., Hadley, M. N., Rigamonti, D., Carter, L. P., Raudzens, P. A., Shedd, S. A., & Wilkinson, E. (1988). Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection. Journal of Neurosurgery, 68(6), 868â879.

Authors 7

Robert F. Spetzler (first)
Mark N. Hadley (additional)
Daniele Rigamonti (additional)
L. Philip Carter (additional)
Peter A. Raudzens (additional)
Steven A. Shedd (additional)
Elizabeth Wilkinson (additional)

References 56 Referenced 247

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Dates

Type	When
Created	16 years, 3 months ago (May 8, 2009, 12:14 p.m.)
Deposited	3 years, 3 months ago (May 14, 2022, 1:19 a.m.)
Indexed	1 hour, 3 minutes ago (Aug. 29, 2025, 5:33 a.m.)
Issued	37 years, 2 months ago (June 1, 1988)
Published	37 years, 2 months ago (June 1, 1988)
Published Print	37 years, 2 months ago (June 1, 1988)

Funders 0

None

BibTeX

@article{Spetzler_1988, title={Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection}, volume={68}, ISSN={0022-3085}, url={http://dx.doi.org/10.3171/jns.1988.68.6.0868}, DOI={10.3171/jns.1988.68.6.0868}, number={6}, journal={Journal of Neurosurgery}, publisher={Journal of Neurosurgery Publishing Group (JNSPG)}, author={Spetzler, Robert F. and Hadley, Mark N. and Rigamonti, Daniele and Carter, L. Philip and Raudzens, Peter A. and Shedd, Steven A. and Wilkinson, Elizabeth}, year={1988}, month=jun, pages={868–879} }

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