Neurosurgery
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of endovascular and surface cooling during unruptured cerebral aneurysm repair.
To compare endovascular versus surface methods for the induction and reversal of hypothermia during neurosurgery in a multicenter, prospective, randomized study. ⋯ Endovascular cooling provided superior induction, maintenance, and reversal of hypothermia compared with the surface blanket, without an increase in complications. Endovascular cooling may have clinical benefit for patients undergoing cerebrovascular surgery, as well as patients with acute stroke, head injury, or acute myocardial infarction.