HYPOTHERMIC CARDIAC STANDSTILL FOR CEREBRAL ANEURYSM SURGERY

Surgical management of giant cerebral aneurysms remains a major techni cal challenge for modern neurosurgeons. Endovascular approaches for gi ant aneurysms does not provide an acceptable alternative to direct sur gical approaches. The use of deep hypothermic circulatory arrest as an adjunct during clipping of complex giant aneurysms shows promise as a treatment for otherwise incurable lesions. Patient selection and tech niques of circulatory arrest surgery are discussed.