Brain protection for cerebral aneurysm surgery

被引:9
作者
Schievink, WI
Zabramski, JM
机构
[1] Cedars Sinai Med Ctr, Neurol Inst, Los Angeles, CA 90048 USA
[2] St Josephs Hosp, Barrow Neurol Inst, Div Neurol Surg, Sect Cerebrovasc Surg, Phoenix, AZ USA
关键词
D O I
10.1016/S1042-3680(18)30220-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The modern management of patients undergoing surgery for intracranial aneurysm often includes temporary periods of cerebral ischemia to minimize the risks final dissection and clipping or to allow vascular reconstruction. This article reviews the concepts of ischemic thresholds and examines the effects of the physiologic variables that may affect outcome from an ischemic episode. The protective agents presently available and the agents in development that may limit the extent of ischemic injury are reviewed extensively as well.
引用
收藏
页码:661 / +
页数:12
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