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Extracorporeal circuit design considerations for giant intracranial aneurysm repair

Clinical Perfusion Services, University Campus, London Health Science Centre, London, Ontario

Andrew G Cleland

Clinical Perfusion Services, University Campus, London Health Science Centre, London, Ontario

Richard L Mayer

Clinical Perfusion Services, University Campus, London Health Science Centre, London, Ontario

Mark J Henderson

Clinical Perfusion Services, University Campus, London Health Science Centre, London, Ontario

Clinical perfusionists must be able to modify the existing extracorporeal circuit in order to accommodate a specific surgical pathology. The clipping of a giant intracranial middle cerebral artery aneurysm, unapproachable with conventional neurosurgical techniques, required the use of a modified closed cardiopulmonary bypass circuit combined with deep hypothermia and total circulatory arrest. In-hospital discussions with anaesthesia, cardiac surgery, neurosurgery, and cardiology enabled an informed team approach directed towards the successful treatment of this complex neurosurgical lesion.

Perfusion, Vol. 12, No. 3, 193-196 (1997)
DOI: 10.1177/026765919701200308


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