Rapid Ventricular Pacing for Neurovascular Surgery: A Study on Cardiac and Cerebral Effects
| Autor: | Marcel Vercauteren, Tom Schepens, Davina Wildemeersch, Tomas Menovsky, Frank De Belder, Vera Saldien, Viviane Van Hoof, Katrin Van Loock, Gaelle Vermeersch, Johan Bosmans |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Ischemia 030204 cardiovascular system & hematology Statistics Nonparametric Young Adult 03 medical and health sciences 0302 clinical medicine Aneurysm Internal medicine medicine Humans cardiovascular diseases Intraoperative Complications Craniotomy Aged Retrospective Studies medicine.diagnostic_test business.industry Cardiac Pacing Artificial Brain Magnetic resonance imaging Perioperative Middle Aged Subarachnoid Hemorrhage medicine.disease Magnetic Resonance Imaging Troponin Cerebrovascular Disorders Logistic Models Blood pressure Cardiology Female Surgery Human medicine Neurology (clinical) Neurosurgery Hypotension business Cerebrovascular surgery 030217 neurology & neurosurgery |
| Zdroj: | World neurosurgery |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2018.07.002 |
| Popis: | BACKGROUND AND OBJECTIVE: Intraoperative rupture of a cerebral aneurysm during neurosurgery can be a devastating event that increases perioperative morbidity and mortality. Rapid ventricular pacing (RVP) is a technique to obtain flow arrest for short periods of time during dissection or rupture of the aneurysm. The objective of this study was to evaluate the neurological and cardiac effects of repetitive periods of RVP during cerebrovascular surgery. METHODS: Data from patients who underwent repetitive RVP during craniotomy for cerebrovascular disorders were retrospectively analyzed from a single-center medical records database (Cegeka Medical Health Care Systems). We compared preoperative and postoperative troponin levels (cTnl) to assess cardiac ischemia. Preoperative and postoperative magnetic resonance imaging (MRI) results were screened for RVP-induced infarcts by evaluating diffusion restriction in the hemisphere contralateral to the operated side and the fossa posterior. RESULTS: A total of 37 patients were analyzed. An immediate decrease of systolic arterial blood pressure ( |
| Databáze: | OpenAIRE |
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