Flow Arrest in Cerebrovascular Surgery

Book Section

Certain neurovascular lesions like complex aneurysms are difficult to treat using conventional neurosurgical techniques due to their size, vascular connections, morphology, or inaccessible location. In these cases, the ability to stop or reduce blood flow through the parent artery allows for reduction of intralesional turgor and subsequent clipping or excision. With recent advances in interventional neuroradiological technology, many of these complex lesions are detected earlier and treated endovascularly. As a result, the use of flow arrest-assisted neurosurgery to treat complex lesions like aneurysms has declined significantly in the past decade. There are institutional and personal variations to anesthestic techniques, with no clear evidence supporting any particular protocol or technique. In this chapter, we present our opinion on techniques and solutions to commonly encountered problems.

Full Text

Duke Authors

Cited Authors

  • James, ML; Babi, MA; Khan, SA

Published Date

  • March 28, 2017

Book Title

  • Essentials of Neuroanesthesia

Start / End Page

  • 367 - 374

International Standard Book Number 13 (ISBN-13)

  • 9780128052990

Digital Object Identifier (DOI)

  • 10.1016/B978-0-12-805299-0.00021-X

Citation Source

  • Scopus