Cardiac standstill

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Even with modern endovascular techniques, very large or giant complex posterior circulation aneurysms represent formidable treatment challenges. In the present issue of the Journal of Neurosurgery, the group from the Barrow Neurological Institute5 presents their updated experience with 105 cardiac standstill procedures in 103 patients with very large or giant aneurysms. More than 90% of these procedures were performed for posterior circulation aneurysms.

While cardiocirculatory arrest provides a bloodless field, softens the aneurysm, and facilitates isolation of the neck and separation from critical perforators, this procedure adds incredible complexities, which relate mostly to the high level

Article Information

Please include this information when citing this paper: published online October 15, 2010; DOI: 10.3171/2010.7.JNS091578.

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