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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Main Authors: Zijian Zhao, Hang Wang, Xinxu Min, Zheng Li, Feng Feng
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2025-02-01
Series:Korean Journal of Anesthesiology
Subjects:
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.
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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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AT xinxumin controlledhypotensionunderrapidventricularpacingtechniqueinpatientswithcerebralarteriovenousmalformationacasereport
AT zhengli controlledhypotensionunderrapidventricularpacingtechniqueinpatientswithcerebralarteriovenousmalformationacasereport
AT fengfeng controlledhypotensionunderrapidventricularpacingtechniqueinpatientswithcerebralarteriovenousmalformationacasereport