Clipping of a basilar tip aneurysm using hypothermia and circulatory arrest: a case report

xloma.fota13 shared this article with you from Inoreader Clipping of a basilar tip aneurysm using hypothermia and circulatory arrest: a case report Via Journal of Surgical Case Reports - current issue Abstract Treatment of complex and giant an eurysms remains challenging despite modern endovascular and microsurgical techniques. We report the first case of microsurgical clipping of a complex basilar tip aneurysm under circulatory arrest and hypothermia performed in Greece. A 52-year-old patient presented with a Hunt and Hess Grade 4 subarachnoid hemorrhage. The digital subtraction angiography revealed a complex basilar tip aneurysm. Due to aneurysm complexity, we decided for microsurgical clipping under hypothermia and circulatory arrest. We performed a right pterional craniotomy with orbitozygomatic osteotomy. The patient was then put on heart–lung-machine. Following hypothermia and circulatory arrest, the aneurysm was clipped with its complete occlusion. The patient was discharged with no neurological deficits. Clipping of complex aneurysms under hypothermia and cardiac arrest performed by experienced team is a safe alternative when endovascular therapy or bypass technique is not feasible. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.