Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic Artery
Retinoblastoma is one of the most common ophthalmic neoplasms affecting children worldwide. Since its recent introduction, superselective ophthalmic artery injection of chemotherapy with melphalan has significantly reduced the need for enucleation in patients with advanced disease and also shown to...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2013/408670 |
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| author | Stephan Klumpp Lydia M. Jorge Mohammed Ali Aziz-Sultan |
| author_facet | Stephan Klumpp Lydia M. Jorge Mohammed Ali Aziz-Sultan |
| author_sort | Stephan Klumpp |
| collection | DOAJ |
| description | Retinoblastoma is one of the most common ophthalmic neoplasms affecting children worldwide. Since its recent introduction, superselective ophthalmic artery injection of chemotherapy with melphalan has significantly reduced the need for enucleation in patients with advanced disease and also shown to have minimal adverse effects on visual acuity as compared to the conventional therapy. Although no severe complications resulting in strokes or deaths have been reported, this treatment modality is not without difficulties. In this case discussion, we describe an event that has occurred to several pediatric patients undergoing superselective angiography of the ophthalmic artery that may be due to an oculopulmonary type reflex causing significant hemodynamic instability and hypoxemia. |
| format | Article |
| id | doaj-art-f48cfdad6f144a4092ded0b0d438927c |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-f48cfdad6f144a4092ded0b0d438927c2025-02-03T05:57:09ZengWileyCase Reports in Anesthesiology2090-63822090-63902013-01-01201310.1155/2013/408670408670Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic ArteryStephan Klumpp0Lydia M. Jorge1Mohammed Ali Aziz-Sultan2Department of Clinical Anesthesia, Jackson Memorial Hospital, University of Miami, Miami, FL 33136, USADepartment of Clinical Anesthesia, Jackson Memorial Hospital, University of Miami, Miami, FL 33136, USADepartment of Clinical Neurologic Surgery, 201 Pope Life Center, University of Miami, Miami, FL 33136, USARetinoblastoma is one of the most common ophthalmic neoplasms affecting children worldwide. Since its recent introduction, superselective ophthalmic artery injection of chemotherapy with melphalan has significantly reduced the need for enucleation in patients with advanced disease and also shown to have minimal adverse effects on visual acuity as compared to the conventional therapy. Although no severe complications resulting in strokes or deaths have been reported, this treatment modality is not without difficulties. In this case discussion, we describe an event that has occurred to several pediatric patients undergoing superselective angiography of the ophthalmic artery that may be due to an oculopulmonary type reflex causing significant hemodynamic instability and hypoxemia.http://dx.doi.org/10.1155/2013/408670 |
| spellingShingle | Stephan Klumpp Lydia M. Jorge Mohammed Ali Aziz-Sultan Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic Artery Case Reports in Anesthesiology |
| title | Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic Artery |
| title_full | Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic Artery |
| title_fullStr | Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic Artery |
| title_full_unstemmed | Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic Artery |
| title_short | Hemodynamic Instability Induced by Superselective Angiography of the Ophthalmic Artery |
| title_sort | hemodynamic instability induced by superselective angiography of the ophthalmic artery |
| url | http://dx.doi.org/10.1155/2013/408670 |
| work_keys_str_mv | AT stephanklumpp hemodynamicinstabilityinducedbysuperselectiveangiographyoftheophthalmicartery AT lydiamjorge hemodynamicinstabilityinducedbysuperselectiveangiographyoftheophthalmicartery AT mohammedaliazizsultan hemodynamicinstabilityinducedbysuperselectiveangiographyoftheophthalmicartery |