{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:29:17Z","timestamp":1773829757715,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T00:00:00Z","timestamp":1603756800000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Treatment of complex and giant aneurysms remains challenging despite modern endovascular and microsurgical techniques. We report the first case of microsurgical clipping of a complex basilar tip aneurysm under circulatory arrest and hypothermia performed in Greece. A 52-year-old patient presented with a Hunt and Hess Grade 4 subarachnoid hemorrhage. The digital subtraction angiography revealed a complex basilar tip aneurysm. Due to aneurysm complexity, we decided for microsurgical clipping under hypothermia and circulatory arrest. We performed a right pterional craniotomy with orbitozygomatic osteotomy. The patient was then put on heart\u2013lung-machine. Following hypothermia and circulatory arrest, the aneurysm was clipped with its complete occlusion. The patient was discharged with no neurological deficits. Clipping of complex aneurysms under hypothermia and cardiac arrest performed by experienced team is a safe alternative when endovascular therapy or bypass technique is not feasible.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa262","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T13:59:39Z","timestamp":1593179979000},"source":"Crossref","is-referenced-by-count":1,"title":["Clipping of a basilar tip aneurysm using hypothermia and circulatory arrest: a case report"],"prefix":"10.1093","volume":"2020","author":[{"given":"Ntenis","family":"Nerntengian","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Democritus University of Thrace Medical School, University Hospital of Alexandroupolis, Alexandroupolis, Greece"},{"name":"Department of Neurosurgery, Georg August University of G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grigorios","family":"Gkasdaris","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Democritus University of Thrace Medical School, University Hospital of Alexandroupolis, Alexandroupolis, Greece"},{"name":"Department of Clinical Neurosciences, Service of Neurosurgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodosios","family":"Birbilis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Democritus University of Thrace Medical School, University Hospital of Alexandroupolis, Alexandroupolis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"key":"2020102704404171400_ref1","doi-asserted-by":"crossref","first-page":"489","DOI":"10.3171\/jns.1989.70.3.0489","article-title":"Profund hypothermia and circulatory arrest for aneurysm surgery","volume":"70","author":"Chyatte","year":"1989","journal-title":"J Neurosurg"},{"key":"2020102704404171400_ref2","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/978-3-642-83171-3_9","volume-title":"Giant Intracranial Aneurysms","author":"Keravel","year":"1988"},{"key":"2020102704404171400_ref3","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3171\/jns.1981.55.3.0337","article-title":"Hypothermia and cardiac arrest in the treatment of giant aneurysms of the cerebral circulation and hemangioblastoma of the medulla","volume":"55","author":"Silverberg","year":"1981","journal-title":"J Neurosurg"},{"key":"2020102704404171400_ref4","first-page":"24","article-title":"Circulatory arrest and hypothermia in the surgical treatment (clipping) of a basilar artery aneurysm. A case report","volume":"24","author":"Birbilis","year":"2015","journal-title":"N\u03b5\u03c5\u03c1\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 [Neurology]"},{"key":"2020102704404171400_ref5","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/0033-0620(72)90027-8","article-title":"Complete correction of cardiovascular malformations in the first year of life","volume":"15","author":"Barratt-Boyes","year":"1972","journal-title":"Prog Cardiovasc Dis"},{"key":"2020102704404171400_ref6","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/S0003-4975(10)65062-X","article-title":"Deep hypothermia in cardiovascular surgery","volume":"17","author":"Rittenhouse","year":"1974","journal-title":"Ann Thorac Surg"},{"key":"2020102704404171400_ref7","doi-asserted-by":"crossref","first-page":"868","DOI":"10.3171\/jns.1988.68.6.0868","article-title":"Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection","volume":"68","author":"Spetzler","year":"1988","journal-title":"J Neurosurg"},{"key":"2020102704404171400_ref8","first-page":"242","article-title":"Reappraisal of cardiopulmonary bypass with deep hypothermia and circulatory arrest for complex neurosurgical operations","volume":"94","author":"Baumgartner","year":"1983","journal-title":"Surgery"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa262\/34037498\/rjaa262.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa262\/34037498\/rjaa262.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T08:40:58Z","timestamp":1603788058000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa262\/5892306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa262","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,10,1]]},"article-number":"rjaa262"}}