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KMID : 1155520120070010055
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Anesthesia and Pain Medicine
2012 Volume.7 No. 1 p.55 ~ p.58
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Transient adenosine-induced asystole in the surgical treatment of intracranial aneurysms -A report of two cases-
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Kim Ji-Yeon
Lee Yu-Mi
Kim Chong-Wook
Moon Young-Jin
Song Jun-Gol
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Abstract
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Advances in anesthetic and surgical management, such as deep hypothermic circulatory arrest and temporary clipping, have improved outcomes for intracranial aneurysm patients. However, these techniques are associated with significant risks. We report on two cases in which adenosine administration was used to induce transient periods of cardiac asystole during intracranial aneurysm surgery. This asystole resulted in profound hypotension and collapse of the aneurysm, which facilitated its safe clipping.
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KEYWORD
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Adenosine, Aneurysm, Asystole
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