Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report-
- Author:
Zijian ZHAO
1
;
Hang WANG
;
Xinxu MIN
;
Zheng LI
;
Feng FENG
Author Information
- Publication Type:Case Report
- From:Korean Journal of Anesthesiology 2025;78(1):79-84
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
Conclusion:RVP can thus provide an ideal condition for the embolization of cerebral AVM through the transvenous approach and can be a viable surgical option.
