ABSTRACT
Brain retraction, aneurysm dissection, and proper neck clipping without compromise of perforating vessel are essential procedures for successful aneurysm surgery. One method of facilitating aneurysm dissection and preventing premature aneurysmal rupture is temporary occlusion of the parent artery. This review included a variety of intraoperative electrophysiological and hemodynamic monitoring related to mainly temporary vessel occlusion during aneurysm surgery.
Subject(s)
Humans , Aneurysm , Arteries , Brain , Electroencephalography , Hemodynamics , Intracranial Aneurysm , Middle Cerebral Artery , Monitoring, Intraoperative , Neck , Parents , RuptureABSTRACT
Five patients with symptomatic carotid artery stenosis were treated with microsurgical carotid endarterectomy from January 1988 to December 1990. All patients but one case with major stroke have been improved remarkably after surgery. During the surgery, the use of surgical microscope and electroencephalographic recording seemed to be very useful and beneficial not only for meticulous surgical procedure but also for monitoring of cerebral tolerance in carotid artery cross clamping.