| Issue |
J Extra Corpor Technol
Volume 32, Number 2, June 2000
|
|
|---|---|---|
| Page(s) | 79 - 83 | |
| DOI | https://doi.org/10.1051/ject/2000322079 | |
| Published online | 14 August 2023 | |
Original Article
Circulatory Support for Repair of Cerebral Aneurysms Using Heparin-Bonded Bypass Circuits and Low-Dose Heparin
1
Dartmouth-Hitchcock Medical Center, Lebanon, NH
2
Lahey-Hitchcock Clinic, Lebanon, New Hampshire
3
Dartmouth Medical School, Hanover, New Hampshire
Address correspondence to: Gordon R. DeFoe, CCP, O.R. Cardiac, Dartmouth-Hitchcock Medical Center, One Medical Center Drive Lebanon, NH, 03756
Modern advances in neurosurgical technique and improvements in cardiopulmonary bypass technology have facilitated a renewed interest in the ligation of giant cerebral aneurysms utilizing deep hypothermia and low-flow conditions. The widespread introduction of biocompatible heparin-bonded bypass circuits presents perfusionists with the opportunity to curtail sharply the need for heparin and protamine in these patients. We briefly discuss the merits of this procedure and describe our clinical experience.
Key words: cardiopulmonary bypass / giant cerebral aneurysm / heparin-bonded circuits / heparin management / deep hypothermia / cannulae
© 2000 AMSECT
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