Asystole during onyx embolisation of a dural AV fistula: The trigeminocardiac reflex.
Central Nervous System Vascular Malformations
/ diagnostic imaging
Cerebral Angiography
Dimethyl Sulfoxide
/ adverse effects
Embolization, Therapeutic
/ adverse effects
Heart Arrest
/ chemically induced
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Polyvinyls
/ adverse effects
Reflex, Trigeminocardiac
/ drug effects
Cardiac arrest
Onyx
dAVF
embolisation
haemodynamic instability
Journal
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
ISSN: 2385-2011
Titre abrégé: Interv Neuroradiol
Pays: United States
ID NLM: 9602695
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
pubmed:
20
9
2018
medline:
6
8
2019
entrez:
20
9
2018
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 30227807
doi: 10.1177/1591019918800801
pmc: PMC6448378
doi:
Substances chimiques
Onyx copolymer
0
Polyvinyls
0
Dimethyl Sulfoxide
YOW8V9698H
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
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