Enhanced catheter propagation with hypercapnia during superselective cerebral catherisation.

Autor: Djurberg, H. G., Tjan, G. T., Al Moutaery, K. R.
Zdroj: Neuroradiology; Jul1998, Vol. 40 Issue 7, p466-468, 3p
Abstrakt: During arterial catherisation of a cerebral arteriovenous malformation it may be difficult or impossible to access the nidus of the malformation through its small, tortuous feeding vessels due to microcatheter impaction. Carbon dioxide, a most potent cerebral vasodilator, was temporarily added to the inspired gases of two anaesthetised patients undergoing superselective embolisation of an arteriovenous malformation, when the microcatheter had been impacted for a considerable time. Successful propagation of the microcatheter into the malformation was achieved in both patients after a relatively short period of hypercapnia. [ABSTRACT FROM AUTHOR]
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