快速心室节奏用于剪切内动脉瘤:一个单中心的回顾案例系列
Malavan Ragulojan1, Gregory Krolczyk2, Safa Al Aufi2
1Division of Neurosurgery, Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada.
Journal of neurosurgical anesthesiology
|August 27, 2024
概括
快速心室节奏 (RVP) 通过诱导低血压来帮助复杂的动脉瘤剪切. 虽然它可以引起暂时的升,但RVP与神经外科手术中罕见的术后心脏并发症有关.
科学领域:
- 神经外科 神经外科
- 心血管生理学心血管生理学
- 医疗器械 医疗器械
背景情况:
- 内动脉瘤的微手术剪切需要精确的操纵.
- 控制的短暂低血压可以促进动脉瘤解剖和剪切.
- 快速心室节奏 (RVP) 是一种诱导低血压的技术.
研究的目的:
- 报告术内RVP的指示和结果,用于剪切复杂的破裂和未破裂的内动脉瘤.
- 评估RVP在动脉瘤手术中的安全性和有效性.
主要方法:
- 对40名接受RVP促进动脉瘤切割的成年患者的回顾性审查 (2016-2023年).
- 在手术期间,RVP在每分钟150-200次通过静脉穿的节奏电线.
- 收集手术,节奏和外科手术期间的心脏/神经外科数据.
主要成果:
- 每名患者的RVP中位数为8次,达到37mmHg的中位数MAP.
- 一例手术内广泛复杂的心动减速症,通过心脏转变得到解决.
- 42%的患者患有术后高血红素水平;一个患有缺血和出血.
结论:
- 对于复杂的动脉瘤剪切,RVP似乎有效,提供短暂的低血压.
- 与暂时的托罗邦素升高相关,但罕见的术后心脏事件.
- 表明RVP在精选的神经外科病例中是一个可行的辅助.
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