Adenosine-Induced Flow Arrest to Facilitate Intracranial Aneurysm Clip Ligation
Author(s) -
John F. Bebawy,
Dhanesh K. Gupta,
Bernard R. Bendok,
Laura B. Hemmer,
Carine Zeeni,
Michael J. Avram,
H. Hunt Batjer,
Antoun Koht
Publication year - 2010
Publication title -
anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0b013e3181d65bf5
Subject(s) - medicine , anesthesia , remifentanil , adenosine , perioperative , aneurysm , propofol , anesthetic , esmolol , occlusion , blood pressure , cardiology , surgery , heart rate
Adenosine-induced transient flow arrest has been used to facilitate clip ligation of intracranial aneurysms. However, the starting dose that is most likely to produce an adequate duration of profound hypotension remains unclear. We reviewed our experience to determine the dose-response relationship and apparent perioperative safety profile of adenosine in intracranial aneurysm patients.
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