İntrakraniyal anevrizma cerrahisi sırasında kan akımının geçici olarak durdurulması yöntemleri

Yasemin Güneş; Demet Laflı Tunay

doi:10.17827/aktd.1451398

İntrakraniyal anevrizma cerrahisi sırasında kan akımının geçici olarak durdurulması yöntemleri

Öz

Yüksek morbidite ve mortalite oranına sahip serebral anevrizmaların tek etkili tedavisi endovasküler veya cerrahi onarımdır. Bu girişimler, anevrizmaya sekonder subaraknoid kanamayı (SAK) tedavi etmede, daha fazla morbiditeyi engellemede ve aynı zamanda henüz rüptüre olmamış anevrizmalarda SAK’ı önlemede kullanılır. Serebral anevrizmaların, mikrocerrahi teknik ile anevrizmanın boynuna bir klip yerleştirilerek uygulanan cerrahi tedavisi etkili ve güvenli prosedürler olmakla birlikte belirli zorlukları da içerir. Özellikle de büyük yapılı, kritik serebral ve vasküler yapılara yakın ve derin yerleşimli anevrizmalarda klipaj aşaması oldukça kritiktir. Cerrahi anevrizma tedavisiyle ilişkili riskler arasında beyin retraksiyonu, geçici arteriyel tıkanıklık ve intraoperatif kanamanın neden olduğu yeni veya kötüleşen nörolojik defisitler yer alır. Bu riskleri azaltmak için, anevrizma boynunun klipajı aşamasında kan akımını geçici olarak durdurmada veya azaltmada kullanılan çeşitli yöntemler tanımlanmıştır. Bunlar arasında, hızlı ventriküler pacing (RVP), derin hipotermik kardiyak arrest (DHCA) ve adenozin kaynaklı hipotansiyon ve asistoli yer almaktadır. Anahtar sözcükler: Adenozin-ilişkili kardiyak arrest, intrakraniyal anevrizma cerrahisi, geçici kalp durması, kan akımı

Anahtar Kelimeler

Adenozin-ilişkili kardiyak arrest , intrakraniyal anevrizma cerrahisi , geçici kalp durması , kan akımı

References

1. Johnston SC, Wilson CB, Halbach VV, Higashida RT, Dowd CF, McDermott MW, et al.. Endovascular and surgical treatment of unruptured cerebral aneurysms: comparison of risks. Ann Neurol. 2000;48(1):11-9. doi: 10.1002/1531-8249(200007)48:1<11::aid-ana4>3.3.co;2-m.
2. Wright JM, Huang CL, Sharma R, Manjila S, Xu F, Dabb B, et al.. Cardiac standstill and circulatory flow arrest in surgical treatment of intracranial aneurysms: a historical review. Neurosurg Focus. 2014;36(4):E10. doi: 10.3171/2014.2.FOCUS13554.
3. Qureshi AI, Janardhan V, Hanel RA, Lanzino G. Comparison of endovascular and surgical treatments for intracranial aneurysms: an evidence-based review. Lancet Neurol. 2007;6(9):816-25. doi: 10.1016/S1474-4422(07)70217-X.
4. Intarakhao P, Thiarawat P, Rezai Jahromi B, Kozyrev DA, Teo MK, Choque-Velasquez J, et al.. Adenosine-induced cardiac arrest as an alternative to temporary clipping during intracranial aneurysm surgery. J Neurosurg. 2018;129(3):684-90. doi: 10.3171/2017.5.JNS162469.
5. Meling TR, Lavé A. What are the options for cardiac standstill during aneurysm surgery? A systematic review. Neurosurg Rev. 2019;42(4):843-52. doi: 10.1007/s10143-019-01183-4.
6. Saldien V, Schepens T, Van Loock K, Vermeersch G, Wildemeersch D, Van Hoof V, et al.. Rapid Ventricular Pacing for Neurovascular Surgery: A Study on Cardiac and Cerebral Effects. World Neurosurg. 2018;119:e71-e77. doi: 10.1016/j.wneu.2018.07.002.
7. Lawton MT, Raudzens PA, Zabramski JM, Spetzler RF. Hypothermic circulatory arrest in neurovascular surgery: evolving indications and predictors of patient outcome. Neurosurgery. 1998;43(1):10-20; discussion 20-1. doi: 10.1097/00006123-199807000-00009.
8. Meling TR, Romundstad L, Niemi G, Narum J, Eide PK, Sorteberg AG, et al.. Adenosine-assisted clipping of intracranial aneurysms. Neurosurg Rev. 2018;41(2):585-92. doi: 10.1007/s10143-017-0896-y.
9. Drew CE. Profound hypothermia in cardiac surgery. British Medical Bulletin. 19611;17(1):37-42.
10. Spencer FC, Bahnson HT. The present role of hypothermia in cardiac surgery. Circulation. 1962;26:292-300. doi: 10.1161/01.cir.26.2.292.

11. Lougheed WM, Sweet WH, Whıte JC, Brewster WR. The use of hypothermia in surgical treatment of cerebral vascular lesions; a preliminary report. J Neurosurg. 1955;12(3):240-55. doi: 10.3171/jns.1955.12.3.0240.
12. Botterell EH, Lougheed WM, Morley TP, Vandewater SL. Hypothermia in the surgical treatment of ruptured intracranial aneurysms. Journal of neurosurgery. 1958;15(1):4-18.
13. Drake CG, Barr HW, Coles JC, Gergely NF. The use of extracorporeal circulation and profound hypothermia in the treatment of ruptured intracranial aneurysm. J Neurosurg. 1964;21:575-81. doi: 10.3171/jns.1964.21.7.0575.
14. Gissen AJ, Matteo RS, Housepian EM, Bowman FO Jr. Elective circulatory arrest during neurosurgery for basilar artery aneurysms. JAMA. 1969;207(7):1315-8.
15. Housepian EM, Bowman FO Jr, Gissen AJ. Elective circulatory arrest in intracranial surgery. Successful treatment of an aneurysm of the basilar artery with a method of open-chest circulatory arrest. J Neurosurg. 1967;26(6):594-7. doi: 10.3171/jns.1967.26.6.0594.
16. McMurtry JG, Housepian EM, Bowman FO Jr, Matteo RS. Surgical treatment of basilar artery aneurysms. Elective circulatory arrest with thoracotomy in 12 cases. J Neurosurg. 1974;40(4):486-94. doi: 10.3171/jns.1974.40.4.0486.
17. McMurtry JG 3rd. Management of difficult basilar artery aneurysms. J Neurosurg. 1989;70(3):503-4. doi: 10.3171/jns.1989.70.3.0503a.
18. Spetzler RF, Hadley MN, Rigamonti D, Carter LP, Raudzens PA, Shedd SA, et al. Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection. J Neurosurg. 1988;68(6):868-79. doi: 10.3171/jns.1988.68.6.0868.
19. Kumar VRR, Subramaniam SB, Murugan ABG, Bapu KRS. Endovascular pulmonary artery inflatable balloon-induced hypotension: A novel technique for clipping giant intracranial aneurysms. Neurol India. 2017;65(3):566-9. doi: 10.4103/neuroindia.NI_301_16.
20. Konczalla J, Platz J, Fichtlscherer S, Mutlak H, Strouhal U, Seifert V. Rapid ventricular pacing for clip reconstruction of complex unruptured intracranial aneurysms: results of an interdisciplinary prospective trial. J Neurosurg. 2018;128(6):1741-52. doi: 10.3171/2016.11.JNS161420.
21. Saldien V, Menovsky T, Rommens M, Van der Steen G, Van Loock K, Vermeersch G, et al. Rapid ventricular pacing for flow arrest during cerebrovascular surgery: revival of an old concept. Neurosurgery. 2012;70(2 Suppl Operative):270-5. doi: 10.1227/NEU.0b013e318236d84a.
22. Singh S, McKintosh R. Adenosine. [Updated 2023 Aug 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519049/#
23. Lloyd HG, Fredholm BB. Involvement of adenosine deaminase and adenosine kinase in regulating extracellular adenosine concentration in rat hippocampal slices. Neurochem Int. 1995;26(4):387-95. doi: 10.1016/0197-0186(94)00144-j.
24. Borea PA, Gessi S, Merighi S, Vincenzi F, Varani K. Pharmacology of Adenosine Receptors: The State of the Art. Physiol Rev. 2018;98(3):1591-625. doi: 10.1152/physrev.00049.2017.
25. Man S, Lu Y, Yin L, Cheng X, Ma L. Potential and promising anticancer drugs from adenosine and its analogs. Drug Discov Today. 2021;26(6):1490-500. doi: 10.1016/j.drudis.2021.02.020.
26. Guo M, Li T. Adenosine Dysfunction in Epilepsy and Associated Comorbidities. Curr Drug Targets. 2022;23(4):344-57. doi: 10.2174/1389450122666210928145258.
27. Kotadia ID, Williams SE, O'Neill M. Supraventricular tachycardia: An overview of diagnosis and management. Clin Med (Lond). 2020;20(1):43-7. doi: 10.7861/clinmed.cme.20.1.3.
28. Verani MS. Pharmacological stress with adenosine for myocardial perfusion imaging. Semin Nucl Med. 1991;21(3):266-72. doi: 10.1016/s0001-2998(05)80045-5.
29. Rangel-Castilla L, Russin JJ, Britz GW, Spetzler RF. Update on transient cardiac standstill in cerebrovascular surgery. Neurosurg Rev. 2015;38(4):595-602. doi: 10.1007/s10143-015-0637-z.
30. Bebawy JF, Gupta DK, Bendok BR, Hemmer LB, Zeeni C, Avram MJ, et al.. Adenosine-induced flow arrest to facilitate intracranial aneurysm clip ligation: dose-response data and safety profile. Anesth Analg. 2010;110(5):1406-11. doi: 10.1213/ANE.0b013e3181d65bf5.
31. Bebawy JF, Zeeni C, Sharma S, Kim ES, DeWood MS, Hemmer LB, et al.. Adenosine-induced flow arrest to facilitate intracranial aneurysm clip ligation does not worsen neurologic outcome. Anesth Analg. 2013;117(5):1205-10. doi: 10.1213/ANE.0b013e3182a6d31b.
32. Bendok BR, Gupta DK, Rahme RJ, Eddleman CS, Adel JG, Sherma AK, et al.. Adenosine for temporary flow arrest during intracranial aneurysm surgery: a single-center retrospective review. Neurosurgery. 2011;69(4):815-20; discussion 820-1. doi: 10.1227/NEU.0b013e318226632c.
33. Sai Kiran NA, Mohan D, Sivaraju L, Raj V, Vidyasagar K, Hegde AS. Adenosine-Induced transient asystole during surgical treatment of basilar artery aneurysms. Neurol India. 2020;68(2):419-26. doi: 10.4103/0028-3886.284353.
34. Sollevi A, Lagerkranser M, Irestedt L, Gordon E, Lindquist C. Controlled hypotension with adenosine in cerebral aneurysm surgery. Anesthesiology. 1984;61(4):400-5. doi: 10.1097/00000542-198410000-00007.
35. Groff MW, Adams DC, Kahn RA, Kumbar UM, Yang BY, Bederson JB. Adenosine-induced transient asystole for management of a basilar artery aneurysm. Case report. J Neurosurg. 1999;91(4):687-90. doi: 10.3171/jns.1999.91.4.0687.
36. Guinn NR, McDonagh DL, Borel CO, Wright DR, Zomorodi AR, Powers CJ, et al.. Adenosine-induced transient asystole for intracranial aneurysm surgery: a retrospective review. J Neurosurg Anesthesiol. 2011;23(1):35-40. doi: 10.1097/ANA.0b013e3181ef2b11.
37. Lee SH, Kwun BD, Kim JU, Choi JH, Ahn JS, Park W, et al.. Adenosine-induced transient asystole during intracranial aneurysm surgery: indications, dosing, efficacy, and risks. Acta Neurochir (Wien). 2015;157(11):1879-86; discussion 1886. doi: 10.1007/s00701-015-2581-7.
38. Hashimoto T, Young WL, Aagaard BD, Joshi S, Ostapkovich ND, Pile-Spellman J. Adenosine-induced ventricular asystole to induce transient profound systemic hypotension in patients undergoing endovascular therapy. Dose-response characteristics. Anesthesiology. 2000;93(4):998-1001. doi: 10.1097/00000542-200010000-00021.
39. Powers CJ, Wright DR, McDonagh DL, Borel CO, Zomorodi AR, Britz GW. Transient adenosine-induced asystole during the surgical treatment of anterior circulation cerebral aneurysms: technical note. Neurosurgery. 2010;67(2 Suppl Operative):461-70. doi: 10.1227/NEU.0b013e3181f7ef46.
40. Andrade-Barazarte H, Luostarinen T, Goehre F, Kivelev J, Jahromi BR, Ludtka C, et al.. Transient cardiac arrest induced by adenosine: A tool for contralateral clipping of internal carotid artery-ophthalmic segment aneurysms. World Neurosurg. 2015;84(6):1933-40. doi: 10.1016/j.wneu.2015.08.038.
41. Heppner PA, Ellegala DB, Robertson N, Nemergut E, Jaganathan J, Mee E. Basilar tip aneurysm - adenosine induced asystole for the treatment of a basilar tip aneurysm following failure of temporary clipping. Acta Neurochir (Wien). 2007;149(5):517-20; discussion 520-1. doi: 10.1007/s00701-007-1128-y.
42. Verani MS. Pharmacological stress with adenosine for myocardial perfusion imaging. Semin Nucl Med. 1991;21(3):266-72. doi: 10.1016/s0001-2998(05)80045-5.
43. Bernhardt P, Steffens M, Kleinertz K, Morell R, Budde R, Leischik R, et al.. Safety of adenosine stress magnetic resonance imaging using a mobile cardiac magnetic resonance system. J Cardiovasc Magn Reson. 2006;8(3):475-8. doi: 10.1080/10976640600575270.
44. Cerqueira MD, Verani MS, Schwaiger M, Heo J, Iskandrian AS. Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry. J Am Coll Cardiol. 1994;23(2):384-9. doi: 10.1016/0735-1097(94)90424-3.
45. Al-Mousa A, Bose G, Hunt K, Toma AK. Adenosine-assisted neurovascular surgery: initial case series and review of literature. Neurosurg Rev. 2019;42(1):15-22. doi: 10.1007/s10143-017-0883-3.
46. Kahn RA, Moskowitz DM, Marin ML, Hollier LH, Parsons R, Teodorescu V, et al.. Safety and efficacy of high-dose adenosine-induced asystole during endovascular AAA repair. J Endovasc Ther. 2000;7(4):292-6. doi: 10.1177/152660280000700406.
47. Benech CA, Perez R, Faccani G, Trompeo AC, Cavallo S, Beninati S, et al.. Adenosine-induced cardiac arrest in complex cerebral aneurysms surgery: an Italian single-center experience. J Neurosurg Sci. 2014;58(2):87-94.

Details

Primary Language

Turkish

Subjects

Surgery (Other)

Journal Section

Review

Authors

Yasemin Güneş
0000-0001-9148-3041
Türkiye

Demet Laflı Tunay ^*
0000-0002-7984-1800
Türkiye

Publication Date

June 30, 2024

Submission Date

March 12, 2024

Acceptance Date

June 13, 2024

Published in Issue

Year 1970 Volume: 33 Number: 2

DOI

https://doi.org/10.17827/aktd.1451398

IZ

https://izlik.org/JA84ML84LX

AMA

1.Güneş Y, Laflı Tunay D. İntrakraniyal anevrizma cerrahisi sırasında kan akımının geçici olarak durdurulması yöntemleri. Arşiv Kaynak Tarama Dergisi. 2024;33(2):77-85. doi:10.17827/aktd.1451398

This journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

İntrakraniyal anevrizma cerrahisi sırasında kan akımının geçici olarak durdurulması yöntemleri

Öz

Anahtar Kelimeler

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite