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CC BY-NC-ND 4.0 · Asian J Neurosurg 2014; 9(01): 33-35
DOI: 10.4103/1793-5482.131066
CASE REPORT

Rapid ventricular pacing assisted hypotension in the management of sudden intraoperative hemorrhage during cerebral aneurysm clipping

Shariq Khan
1   Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA
2   Anaesthesiology, Singapore General Hospital, Singapore
,
Miles Berger
1   Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA
,
Abhishek Agrawal
3   Department of Surgery (Neurosurgery) and Radiology, Duke University Medical Centre, Durham, North Carolina, USA
,
Mary Huang
4   Department of Surgery (Neurosurgery), Duke University Medical Centre, Durham, North Carolina, USA
,
Isaac Karikari
4   Department of Surgery (Neurosurgery), Duke University Medical Centre, Durham, North Carolina, USA
,
Shahid Nimjee
3   Department of Surgery (Neurosurgery) and Radiology, Duke University Medical Centre, Durham, North Carolina, USA
,
Ali Zomorodi
3   Department of Surgery (Neurosurgery) and Radiology, Duke University Medical Centre, Durham, North Carolina, USA
,
David McDonagh
1   Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA
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Sudden intraoperative hemorrhage during intracranial aneurysm surgery from vascular injury or aneurysmal rupture has been known to dramatically increase the associated morbidity and mortality. We describe the first reported use of rapid ventricular pacing (RVP) assisted hypotension to control sudden intraoperative hemorrhage during intracranial aneurysm surgery where temporary arterial occlusion was not achievable.

Key-words:

Cerebral aneurysm - rapid ventricular pacing - adenosine


Publication History

Article published online:
22 September 2022

© 2014. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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