Atrial fibrillation with hemodynamic instability after the use of the third dose of adenosine during surgery for 7 intracranial aneurysms: case report
Keywords:
Atrial Fibrillation, Adenosine, Intracranial Aneurysm, Case Reports, Neurosurgery
Abstract
Adenosine-induced asystole is a technique that prevents and controls the intraoperative rupture of cerebral aneurysm, facilitating temporary, and/or definitive clipping of the aneurysm. This is the case of a 58-year-old woman who underwent clipping of 7 intracranial aneurysms, who was induced asystole with adeno-sine 3 times and developed atrial fibrillation with hemodynamic instability after the last dose. Adenosine has been shown to be useful and safe, however, its use should be planned and possible cardiological complications should be considered.
References
1. Fridriksson S, Saveland H, Jakobsson KE, et al. Intraoperative complications in aneurysm surgery: a prospective national study. J Neurosurg 2002;96:515-522.
2. Tummala RP, Chu RM, Madison MT, et al. Outcomes after aneurysm rupture during endovascular coil embolization. Neurosurgery 2001;49:1059-1066.
3. Schuette AJ, Barrow DL, Cohen-Gadol AA. Strategies to minimize complications during intraoperative aneurysmal hemorrhage: a personal experience. World Neurosurg 2015;83: 620-626.
4. Ferch R, Pasqualin A, Pinna G, et al. Temporary arterial occlusion in the repair of ruptures intracranial aneurysms: an analysis of risk factors for stroke. J Neurosurg 2002;97:836-842.
5. Lee SH, Kwun BD, Kim JU, et al. Adenosine-induced transient asystole during intracranial aneurysm surgery: indications, dosing, efficacy, and risks. Acta Neurochir 2015;157:1879-1886.
6. Chowdhury T, Petropolis A, Wilkinson M, et al. Controversies in the anesthetic management of intraoperative rupture of intracranial aneurysm. Anesth Res Pract 2014;2014:595837.
7. Khan SA, Nimjee SM, Guinn NN, et al. The use of adenosine in cerebral aneurysm clipping: a review. Curr Anesthesiol Rep 2013;3:210-213.
8. Choque-Velasquez J, Colasanti R, Fotakopoulos G, et al. Seven cerebral aneurysms: a challenging case from the Andean slopes managed with 1-stage surgery. World Neurosurg 2017;97:565-570.
9. Layland J, Carrick D, Lee M, et al. Adenosine: physiology, pharmacology, and clinical applications. JACC Cardiovasc Interv 2014;7:581-591.
10. Bebawy JF, Gupta DK, Bendok BR, et al. Adenosine-induced flow arrest to facilitate intracranial aneurysm clip ligation: dose-response data and safety profile. Anesth Analg 2010; 110:1406-1411.
11. Guinn NR, McDonagh DL, Borel CO, et al. Adenosine-induced transient asystole for intracranial aneurysm surgery. A restrospective review. J Neurosurg Anesthesiol 2011;23:35-40.
12. Bendok BR, Gupta DK, Rahme RJ, et al. Adenosine for temporary flow arrest during intracranial aneurysm surgery: a single-center retrospective review. Neurosurgery 2011;69: 815-820.
13. Luostarinen T, Takala RS, Niemi TT, et al. Adenosine-induced cardiac arrest during intraoperative cerebral aneurysm rupture. Word Neurosurg 2010;73:79-83.
14. Khan SA, McDonagh DL, Adogwa O, et al. Perioperative cardiac complications and 30-day mortality in patients undergoing intracranial aneurysmal surgery with adenosine-induced flow arrest: a retrospective comparative study. Neurosurgery 2014; 74:267-271.
15. Groff MW, Adams DC, Kahn RA, et al. Adenosine-induced transient asystole for management of a basilar artery aneurysm. Case report. J Neurosurg 1999;91:687-690.
16. Heppner PA, Ellegala DB, Robertson N, et al. Basilar tip aneurysm - adenosine induced asystole for the treatment of a basilar tip aneurysm following failure of temporary clipping. Acta Neurochir (WIen) 2007;149:517-520.
17. Deb K, Ghosh J, Jain H, et al. Adenosine in difficult aneurysm surgeries: report of two cases. J Neuroanaesthesiol Crit Care 2014;1:66-68.
18. Mallet M. Proarrhythmic effects of adenosine: a review of the literature. Emerg Med J 2004;21:408-410.
19. Kahn RA, Moskowitz DM, Marin ML, et al. Safety and efficacy of high-dose adenosine-induced asystole during endovascular AAA repair. J Endovasc Ther 2000;7:292-296.
2. Tummala RP, Chu RM, Madison MT, et al. Outcomes after aneurysm rupture during endovascular coil embolization. Neurosurgery 2001;49:1059-1066.
3. Schuette AJ, Barrow DL, Cohen-Gadol AA. Strategies to minimize complications during intraoperative aneurysmal hemorrhage: a personal experience. World Neurosurg 2015;83: 620-626.
4. Ferch R, Pasqualin A, Pinna G, et al. Temporary arterial occlusion in the repair of ruptures intracranial aneurysms: an analysis of risk factors for stroke. J Neurosurg 2002;97:836-842.
5. Lee SH, Kwun BD, Kim JU, et al. Adenosine-induced transient asystole during intracranial aneurysm surgery: indications, dosing, efficacy, and risks. Acta Neurochir 2015;157:1879-1886.
6. Chowdhury T, Petropolis A, Wilkinson M, et al. Controversies in the anesthetic management of intraoperative rupture of intracranial aneurysm. Anesth Res Pract 2014;2014:595837.
7. Khan SA, Nimjee SM, Guinn NN, et al. The use of adenosine in cerebral aneurysm clipping: a review. Curr Anesthesiol Rep 2013;3:210-213.
8. Choque-Velasquez J, Colasanti R, Fotakopoulos G, et al. Seven cerebral aneurysms: a challenging case from the Andean slopes managed with 1-stage surgery. World Neurosurg 2017;97:565-570.
9. Layland J, Carrick D, Lee M, et al. Adenosine: physiology, pharmacology, and clinical applications. JACC Cardiovasc Interv 2014;7:581-591.
10. Bebawy JF, Gupta DK, Bendok BR, et al. Adenosine-induced flow arrest to facilitate intracranial aneurysm clip ligation: dose-response data and safety profile. Anesth Analg 2010; 110:1406-1411.
11. Guinn NR, McDonagh DL, Borel CO, et al. Adenosine-induced transient asystole for intracranial aneurysm surgery. A restrospective review. J Neurosurg Anesthesiol 2011;23:35-40.
12. Bendok BR, Gupta DK, Rahme RJ, et al. Adenosine for temporary flow arrest during intracranial aneurysm surgery: a single-center retrospective review. Neurosurgery 2011;69: 815-820.
13. Luostarinen T, Takala RS, Niemi TT, et al. Adenosine-induced cardiac arrest during intraoperative cerebral aneurysm rupture. Word Neurosurg 2010;73:79-83.
14. Khan SA, McDonagh DL, Adogwa O, et al. Perioperative cardiac complications and 30-day mortality in patients undergoing intracranial aneurysmal surgery with adenosine-induced flow arrest: a retrospective comparative study. Neurosurgery 2014; 74:267-271.
15. Groff MW, Adams DC, Kahn RA, et al. Adenosine-induced transient asystole for management of a basilar artery aneurysm. Case report. J Neurosurg 1999;91:687-690.
16. Heppner PA, Ellegala DB, Robertson N, et al. Basilar tip aneurysm - adenosine induced asystole for the treatment of a basilar tip aneurysm following failure of temporary clipping. Acta Neurochir (WIen) 2007;149:517-520.
17. Deb K, Ghosh J, Jain H, et al. Adenosine in difficult aneurysm surgeries: report of two cases. J Neuroanaesthesiol Crit Care 2014;1:66-68.
18. Mallet M. Proarrhythmic effects of adenosine: a review of the literature. Emerg Med J 2004;21:408-410.
19. Kahn RA, Moskowitz DM, Marin ML, et al. Safety and efficacy of high-dose adenosine-induced asystole during endovascular AAA repair. J Endovasc Ther 2000;7:292-296.
How to Cite
1.
Quiroz-Murga E, Simon-Scamarone G. Atrial fibrillation with hemodynamic instability after the use of the third dose of adenosine during surgery for 7 intracranial aneurysms: case report. Colomb. J. Anesthesiol. [Internet]. 2019 Apr. 1 [cited 2024 Apr. 26];47(2):124-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/287
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Published
2019-04-01
How to Cite
1.
Quiroz-Murga E, Simon-Scamarone G. Atrial fibrillation with hemodynamic instability after the use of the third dose of adenosine during surgery for 7 intracranial aneurysms: case report. Colomb. J. Anesthesiol. [Internet]. 2019 Apr. 1 [cited 2024 Apr. 26];47(2):124-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/287
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Case Report / Case Series
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