Retrospective evaluation of AVM patients treated with endovascular embolization in Hacettepe University Faculty of Medicine hospitals between 2005-2009 Hacettepe Üni̇versi̇tesi̇ Tip Fakültesi̇ hastaneleri̇nde 2005-2009 yillari arasinda endovasküler emboli̇zasyonla tedavi̇ edi̇len AVM hastalarinin retrospekti̇f olarak i̇ncelenmesi̇

PAMUK A. E., Erden I. A., Yilbaş Ö. S., AKINCI S. B., YAVUZ K., Çekirge S., ...Daha Fazla

Anestezi Dergisi, cilt.18, sa.3, ss.154-158, 2010 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 3
  • Basım Tarihi: 2010
  • Dergi Adı: Anestezi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.154-158
  • Anahtar Kelimeler: Anesthesia, general, Embolization, therapeutic, Onyx copolymer, cerebral arteriovenous malformations
  • Lokman Hekim Üniversitesi Adresli: Evet

Özet

Objective: To investigate perioperative anesthetic properties, possible problems and complications of cerebral AVM embolization with Onyx under general anesthesia was aimed. Method: After ethical commitee approval 100 patients were included and patient information was retrospectively reviewed. Results: There were 41 women and 59 men patients, the mean age was 33.4±12.3 years. Most common symptoms were headache (53%) and seizures (40%). Twenty three patients had preoperative neurological deficit. Motor deficit (65%), sensory deficit (345%) and cerebellar symptoms (26%) were common. During the operation, systolic blood pressure of 46 patients fell under 80 mmHg. Perioperative complications were seen in 3 patients: subarachnoid hemorrhage, intraventricular hemorrhage, cerebral artery trombosis. Thirty four patients were admitted to postanesthetic care unit as entubated for orientation to the intracerebral blood flow and pressure changes. Median staying time was 20 (1-144) hours. Thirty one patients had postoperative neurologic sequela. Motor deficit (58.1%), sensory deficit (28.9%) and visual deficiencies (22.5%) were common. Problems that delay discharge from hospital occured in 26 patients. One patient died because of complications. Conclusion: Perioperative complications and new neurologic sequelas can be seen in patients undergoing endovascular embolization under general anesthesia and the necessity to close monitorization during perioperative period should be considered.