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KMID : 0359819730020010009
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Journal of Korean Neurosurgical Society
1973 Volume.2 No. 1 p.9 ~ p.19
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On the Surgical Treatment of Ruptured Intracranial Aneurysms with Deliberate Hypotensive Anesthesia
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Abstract
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13 cases of intracranial Aneurysm- were obliterated intracranially with Heifetz clip under Halothane /02 Deliberate Hypotensive anesthesia.
Deliberate hypotension in the surgery of intracranial aneurysm is used to diminish bleeding and render an aneurysmal sac slack to make clipping easy.
Herein is presented a review of clinical experience of deliberate hypotension in conjunction with postural drainage. Clinical investigation has shown that this method offers a wider margin of safety.
All factors stressed again the needs for careful, adequate and ideal clippage of the neck of aneurysm´ preferably with the use of Heifetz clip. Deliberate hypotension and adequate clippage of ´the neck of aneurysm subsequently allowed a favorable clinical result with an operative mortality by 7.7%.
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