title: Extracorporeal circuit design considerations for giant intracranial aneurysm repair.
abstract: 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.
authors.affiliation: Clinical Perfusion Services, London Health Science Centre, Ontario, Canada.
authors.forename: J L
authors.initials: JL
authors.lastname: MacDonald
authors.forename: A G
authors.initials: AG
authors.lastname: Cleland
authors.forename: R L
authors.initials: RL
authors.lastname: Mayer
authors.forename: M J
authors.initials: MJ
authors.lastname: Henderson
mesh_terms: D002406:Catheterization, Peripheral; D004867:Equipment Design; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D005263:Femoral Artery; D005268:Femoral Vein; D006801:Humans; D007036:Hypothermia, Induced; D002532:Intracranial Aneurysm / Q000601:surgery*