| Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report- |
Zijian Zhao1 
, Hang Wang2, Xinxu Min1, Zheng Li3, Feng Feng1 |
1Department of Anesthesia and Perioperative Medicine, the First Affiliated Hospital of Nanjing Medical University (Jiangsu Province Hospital), Nanjing, China
2Department of Anesthesiology, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao City, Shandong Province, China
3Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University (Jiangsu Province Hospital), Nanjing, China |
Corresponding author:
Feng Feng, Tel: +86-13814073686,
Email: fengfeng1988@njmu.edu.cn
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Received: 22 July 2024 • Revised: 25 October 2024 • Accepted: 27 October 2024 |
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| Abstract |
Background
The transvenous approach to the treatment of cerebral arteriovenous malformation (AVM) is difficult and requires strict blood pressure and blood flow control; however, the cure rate is very high. Appropriate blood pressure control techniques can greatly benefit these patients.
Case
A 55-year-old male patient was found to have an aneurysm complicated with a cerebral AVM (length: 2.0 cm, width: 1.6 cm, height: 1.2 cm). Aneurysm embolization was considered for the first-stage surgery and transvenous arteriovenous malformation embolization for the second-stage surgery. Rapid ventricular pacing (RVP) provided a stable blood flow environment for the surgery, which was completed successfully.
Conclusion
RVP can thus provide an ideal condition for the embolization of cerebral AVM through the transvenous approach and can be a viable surgical option. |
| Key Words:
Anesthesia management; Arteriovenous malformation; Controlled hypotension; Interventional operation; Neuroprotection; Organ protection; Rapid ventricular pacing |
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