Adenosin-induzierter Herz- stillstand zur endovaskulären Rekonstruktion von thorakalen Aortenaneurysmen
| Autor: | H. Schumacher, Hubert J. Bardenheuer, J. R. Allenberg, M. A. Wigand |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Vascular disease business.industry medicine.medical_treatment Stent General Medicine Critical Care and Intensive Care Medicine medicine.disease Surgery surgical procedures operative Anesthesiology and Pain Medicine Aneurysm Bolus (medicine) Anesthesia Angioplasty medicine.artery Emergency Medicine medicine Thoracic aorta Asystole Systole business |
| Zdroj: | AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie. 34:372-375 |
| ISSN: | 1439-1074 0939-2661 |
| DOI: | 10.1055/s-1999-191 |
| Popis: | INTRODUCTION Endovascular stent-graft repair is a less invasive technique than traditional open aortic reconstruction for strictly selected patients with descending thoracic aortic aneurysms. To prevent distal migration of the device as a result of the propulsive flow during systole, it is helpful to induce temporary asystole for > or = 20 s while the stent-graft is placed in the thoracic aorta. CASE STUDY We report here a case study of a patient who was given a bolus dose of 60 mg of adenosine to induce temporary asystole. Placement of the stent-graft was successfully performed during the temporary asystole. After 45 s the patient returned to normal sinus rhythm. He was extubated 4 h after the conclusion of surgery and was discharged after 1 week. CONCLUSION Induction of temporary asystole with bolus adenosine to facilitate placement of stent-grafts in the thoracic aorta is a simple, easy and effective method of avoiding distal device migration. |
| Databáze: | OpenAIRE |
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