脑动静脉畸形患者快速心室起搏技术下的控制性低血压——病例报告
Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report.
作者信息
Zhao Zijian, Wang Hang, Min Xinxu, Li Zheng, Feng Feng
机构信息
Department of Anesthesia and Perioperative Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Department of Anesthesiology, Qingdao Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
出版信息
Korean J Anesthesiol. 2025 Feb;78(1):79-84. doi: 10.4097/kja.24508. Epub 2024 Oct 28.
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 AVM embolization for the second-stage surgery. Rapid ventricular pacing (RVP) provided a stable blood flow environment for the surgery, which was completed successfully.
CONCLUSIONS
RVP can thus provide an ideal condition for the embolization of cerebral AVM through the transvenous approach and can be a viable surgical option.
背景
经静脉途径治疗脑动静脉畸形（AVM）难度较大，需要严格控制血压和血流；然而，治愈率很高。适当的血压控制技术可使这些患者受益匪浅。
病例
一名55岁男性患者被发现患有动脉瘤并伴有脑AVM（长：2.0厘米，宽：1.6厘米，高：1.2厘米）。一期手术考虑进行动脉瘤栓塞，二期手术进行经静脉AVM栓塞。快速心室起搏（RVP）为手术提供了稳定的血流环境，手术顺利完成。
结论
因此，RVP可为经静脉途径栓塞脑AVM提供理想条件，且可作为一种可行的手术选择。
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