Asystole during onyx embolisation of a dural AV fistula: The trigeminocardiac reflex

Patrick Nicholson; Christopher Hilditch; Waleed Brinjikji; Timo Krings

doi:10.1177/1591019918800801

Asystole during onyx embolisation of a dural AV fistula: The trigeminocardiac reflex

Patrick Nicholson, Christopher Hilditch, Waleed Brinjikji, Timo Krings

Radiology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

There are fewer than 20 published case reports of bradycardia or asystole during intracranial embolisation procedures. These are well described in open neurosurgical procedures, particularly involving the skull base. We present a case of a 59-year-old male patient who presented for elective embolisation of a dural arteriovenous fistula. During the injection of Onyx, the patient experience sudden asystole, which recurred after a second Onyx injection. Following successful treatment, a third injection proceeded without incident.

Original language	English (US)
Pages (from-to)	132-134
Number of pages	3
Journal	Interventional Neuroradiology
Volume	25
Issue number	2
DOIs	https://doi.org/10.1177/1591019918800801
State	Published - Apr 1 2019

Keywords

Cardiac arrest
Onyx
dAVF
embolisation
haemodynamic instability

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Clinical Neurology
Cardiology and Cardiovascular Medicine

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10.1177/1591019918800801

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title = "Asystole during onyx embolisation of a dural AV fistula: The trigeminocardiac reflex",

abstract = "There are fewer than 20 published case reports of bradycardia or asystole during intracranial embolisation procedures. These are well described in open neurosurgical procedures, particularly involving the skull base. We present a case of a 59-year-old male patient who presented for elective embolisation of a dural arteriovenous fistula. During the injection of Onyx, the patient experience sudden asystole, which recurred after a second Onyx injection. Following successful treatment, a third injection proceeded without incident.",

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AU - Nicholson, Patrick

AU - Hilditch, Christopher

AU - Brinjikji, Waleed

AU - Krings, Timo

N1 - Publisher Copyright: © The Author(s) 2018.

PY - 2019/4/1

Y1 - 2019/4/1

N2 - There are fewer than 20 published case reports of bradycardia or asystole during intracranial embolisation procedures. These are well described in open neurosurgical procedures, particularly involving the skull base. We present a case of a 59-year-old male patient who presented for elective embolisation of a dural arteriovenous fistula. During the injection of Onyx, the patient experience sudden asystole, which recurred after a second Onyx injection. Following successful treatment, a third injection proceeded without incident.

AB - There are fewer than 20 published case reports of bradycardia or asystole during intracranial embolisation procedures. These are well described in open neurosurgical procedures, particularly involving the skull base. We present a case of a 59-year-old male patient who presented for elective embolisation of a dural arteriovenous fistula. During the injection of Onyx, the patient experience sudden asystole, which recurred after a second Onyx injection. Following successful treatment, a third injection proceeded without incident.

KW - Cardiac arrest

KW - Onyx

KW - dAVF

KW - embolisation

KW - haemodynamic instability

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Asystole during onyx embolisation of a dural AV fistula: The trigeminocardiac reflex

Abstract

Keywords

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