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 Citations (Scopus)

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

Fingerprint

Intracranial Aneurysm
Surgical Instruments
Adenosine
Rupture
Aneurysm
Ruptured Aneurysm
Arteries
Hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Multidose Adenosine Used to Facilitate Microsurgical Clipping of a Cerebral Aneurysm Complicated by Intraoperative Rupture : A Case Report. / Vealey, Ryan; Koht, Antoun; Bendok, Bernard.

In: A & A case reports, Vol. 8, No. 5, 01.03.2017, p. 109-112.

Research output: Contribution to journalArticle

@article{9f992845e485430992c342631cf0432c,
title = "Multidose Adenosine Used to Facilitate Microsurgical Clipping of a Cerebral Aneurysm Complicated by Intraoperative Rupture: A Case Report",
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.",
author = "Ryan Vealey and Antoun Koht and Bernard Bendok",
year = "2017",
month = "3",
day = "1",
doi = "10.1213/XAA.0000000000000438",
language = "English (US)",
volume = "8",
pages = "109--112",
journal = "A&A practice",
issn = "2325-7237",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Multidose Adenosine Used to Facilitate Microsurgical Clipping of a Cerebral Aneurysm Complicated by Intraoperative Rupture

T2 - A Case Report

AU - Vealey, Ryan

AU - Koht, Antoun

AU - Bendok, Bernard

PY - 2017/3/1

Y1 - 2017/3/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85015352878&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85015352878&partnerID=8YFLogxK

U2 - 10.1213/XAA.0000000000000438

DO - 10.1213/XAA.0000000000000438

M3 - Article

C2 - 28079664

AN - SCOPUS:85015352878

VL - 8

SP - 109

EP - 112

JO - A&A practice

JF - A&A practice

SN - 2325-7237

IS - 5

ER -