Multidose Adenosine Used to Facilitate Microsurgical Clipping of a Cerebral Aneurysm Complicated by Intraoperative Rupture: A Case Report

Ryan Vealey, Antoun Koht, Bernard Bendok

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

In some cases of cerebral aneurysm clipping, direct clip application to the aneurysm neck may be difficult or the aneurysm may rupture unexpectedly. In these cases, a clip may be temporarily applied to the parent artery to reduce aneurysmal wall tension, facilitate permanent clip placement, or control bleeding if the aneurysm ruptures. In certain circumstances, even applying a temporary clip may be challenging. We present a case in which the aneurysm ruptured and IV administration of adenosine was required to facilitate clipping. This case suggests that administering multiple consecutive precalculated doses of adenosine may be a safe method to manage aneurysmal rupture.

Original languageEnglish (US)
Pages (from-to)109-112
Number of pages4
JournalA & A case reports
Volume8
Issue number5
DOIs
StatePublished - Mar 1 2017

ASJC Scopus subject areas

  • Medicine(all)

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