Basilar tip aneurysm - Adenosine induced asystole for the treatment of a basilar tip aneurysm following failure of temporary clipping

Document Type

Article

Abstract

We report on a giant basilar tip aneurysm in a 48-year-old woman that could not be clipped despite temporary occlusion of the basilar trunk. Adenosine induced cardiac asystole reduced the aneurysm's wall tension and coupled with increased exposure resulting from brain relaxation allowed for the aneurysm to be satisfactorily occluded via an extended right pterional craniotomy. In difficult vascular cases, adenosine induced cardiac standstill is a useful technique which may allow for technical success when other methods such as temporary clipping fail. It acts to both reduce aneurysm wall tension and increase operative exposure by reducing vascular, and hence brain volume. © 2007 Springer-Verlag.

Publication Date

5-1-2007

Publication Title

Acta Neurochirurgica

ISSN

00016268

E-ISSN

09420940

Volume

149

Issue

5

First Page

517

Last Page

520

PubMed ID

17370035

Digital Object Identifier (DOI)

10.1007/s00701-007-1128-y

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