Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report-
Background The transvenous approach to the treatment of cerebral arteriovenous malformation (AVM) is difficult and requires strict blood pressure and blood flow control; however, the cure rate is very high. Appropriate blood pressure control techniques can greatly benefit these patients. Case A 55-y...
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Korean Society of Anesthesiologists
2025-02-01
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Series: | Korean Journal of Anesthesiology |
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Online Access: | http://ekja.org/upload/pdf/kja-24508.pdf |
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author | Zijian Zhao Hang Wang Xinxu Min Zheng Li Feng Feng |
author_facet | Zijian Zhao Hang Wang Xinxu Min Zheng Li Feng Feng |
author_sort | Zijian Zhao |
collection | DOAJ |
description | Background The transvenous approach to the treatment of cerebral arteriovenous malformation (AVM) is difficult and requires strict blood pressure and blood flow control; however, the cure rate is very high. Appropriate blood pressure control techniques can greatly benefit these patients. Case A 55-year-old male patient was found to have an aneurysm complicated with a cerebral AVM (length: 2.0 cm, width: 1.6 cm, height: 1.2 cm). Aneurysm embolization was considered for the first-stage surgery and transvenous AVM embolization for the second-stage surgery. Rapid ventricular pacing (RVP) provided a stable blood flow environment for the surgery, which was completed successfully. Conclusions RVP can thus provide an ideal condition for the embolization of cerebral AVM through the transvenous approach and can be a viable surgical option. |
format | Article |
id | doaj-art-c919d5ab8f67480fa18d3be8651a0a01 |
institution | Kabale University |
issn | 2005-6419 2005-7563 |
language | English |
publishDate | 2025-02-01 |
publisher | Korean Society of Anesthesiologists |
record_format | Article |
series | Korean Journal of Anesthesiology |
spelling | doaj-art-c919d5ab8f67480fa18d3be8651a0a012025-02-03T08:32:46ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632025-02-01781798410.4097/kja.245089014Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report-Zijian Zhao0Hang Wang1Xinxu Min2Zheng Li3Feng Feng4 Department of Anesthesia and Perioperative Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China Department of Anesthesiology, Qingdao Hospital, University of Health and Rehabilitation Sciences, Qingdao, China Department of Anesthesia and Perioperative Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China Department of Anesthesia and Perioperative Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaBackground The transvenous approach to the treatment of cerebral arteriovenous malformation (AVM) is difficult and requires strict blood pressure and blood flow control; however, the cure rate is very high. Appropriate blood pressure control techniques can greatly benefit these patients. Case A 55-year-old male patient was found to have an aneurysm complicated with a cerebral AVM (length: 2.0 cm, width: 1.6 cm, height: 1.2 cm). Aneurysm embolization was considered for the first-stage surgery and transvenous AVM embolization for the second-stage surgery. Rapid ventricular pacing (RVP) provided a stable blood flow environment for the surgery, which was completed successfully. Conclusions RVP can thus provide an ideal condition for the embolization of cerebral AVM through the transvenous approach and can be a viable surgical option.http://ekja.org/upload/pdf/kja-24508.pdfanesthesiaarteriovenous malformationartificial cardiac pacingcontrolled hypotensionneuroprotectionneurosurgical proceduresorgan preservation |
spellingShingle | Zijian Zhao Hang Wang Xinxu Min Zheng Li Feng Feng Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report- Korean Journal of Anesthesiology anesthesia arteriovenous malformation artificial cardiac pacing controlled hypotension neuroprotection neurosurgical procedures organ preservation |
title | Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report- |
title_full | Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report- |
title_fullStr | Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report- |
title_full_unstemmed | Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report- |
title_short | Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report- |
title_sort | controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation a case report |
topic | anesthesia arteriovenous malformation artificial cardiac pacing controlled hypotension neuroprotection neurosurgical procedures organ preservation |
url | http://ekja.org/upload/pdf/kja-24508.pdf |
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