caa a22 4500 477107001 CHVBK 20180405111556.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF01412308 doi (NATIONALLICENCE)springer-10.1007/BF01412308 Deep hypothermia cardiopulmonary bypass and direct surgery of two large aneurysms at the vertebro-basilar junction [Elektronische Daten] [Yoko Kato, H. Sano, J. Zhou, S. Yamaguchi, T. Kawase, T. Yokoyama, T. Kanno] Summary: This paper highlights two interesting cases of radial clipping of large aneurysms at the vertebro-basilar junction accompanied by a vascular anomaly, consisting of fenestration of the split basilar artery at its origin. Description of the inner and outer surface of the aneurysm were obtained pre-operatively, from analysis by 3D CT and 3D CT endoscopy of the form of the neck, parent vessels of the vertebral arteries on both sides, basilar artery and split basilar artery, as well as other details of branching. The neck exhibited a broad base in both cases. The height of the neck extended to the internal acoustic meatus, and it was possible to expose the circumference of the aneurysmal neck, peripheral basilar artery and both vertebral arteries proximally with an anterior transpetrosal approach. Based on the size of the aneurysm and the site being the anterior surface of the brain stem, clipping (consisting of interruption of the occluded portion and reconstruction of the parent vessels) was performed. In the first case it was achieved protecting the brain by hypothermia and barbiturates under deep hypothermia with extracorporal circulation, and in the second case, a state of circulatory arrest was used. This paper documents the report of two cases along with other cases treated so far. Springer-Verlag, 1996 Vertebro-basilar junction nationallicence cerebral aneurysm nationallicence 3-D CT angiography nationallicence hypothermia nationallicence cardiopulmonary bypass nationallicence Kato Yoko Department of Neurosurgery, Fujita Health University, Aichi, Japan aut Sano H. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut Zhou J. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut Yamaguchi S. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut Kawase T. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut Yokoyama T. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut Kanno T. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut Acta Neurochirurgica Springer-Verlag 138/9(1996-09-01), 1057-1066 0001-6268 138:9<1057 1996 138 701 https://doi.org/10.1007/BF01412308 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01412308 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kato Yoko Department of Neurosurgery, Fujita Health University, Aichi, Japan aut NATIONALLICENCE 700 1- Sano H. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut NATIONALLICENCE 700 1- Zhou J. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut NATIONALLICENCE 700 1- Yamaguchi S. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut NATIONALLICENCE 700 1- Kawase T. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut NATIONALLICENCE 700 1- Yokoyama T. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut NATIONALLICENCE 700 1- Kanno T. Department of Neurosurgery, Fujita Health University, Aichi, Japan aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/9(1996-09-01), 1057-1066 0001-6268 138:9<1057 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer