Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula

Carotid-cavernous fistulas (CCFs) are vascular shunts that allow blood to flow from the carotid artery or its branches into the cavernous sinus. Endovascular embolization is the treatment modality of choice. The trigeminocardiac reflex (TCR) is a vagally mediated reflex that can lead to hemodynamic...

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Autores principales: Coleman, Renee L., Bezinover, Dmitri, Jones, Douglas C., Cockroft, Kevin M., Parekh, Uma R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7803410/
https://www.ncbi.nlm.nih.gov/pubmed/33489381
http://dx.doi.org/10.1155/2021/2342347
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author Coleman, Renee L.
Bezinover, Dmitri
Jones, Douglas C.
Cockroft, Kevin M.
Parekh, Uma R.
author_facet Coleman, Renee L.
Bezinover, Dmitri
Jones, Douglas C.
Cockroft, Kevin M.
Parekh, Uma R.
author_sort Coleman, Renee L.
collection PubMed
description Carotid-cavernous fistulas (CCFs) are vascular shunts that allow blood to flow from the carotid artery or its branches into the cavernous sinus. Endovascular embolization is the treatment modality of choice. The trigeminocardiac reflex (TCR) is a vagally mediated reflex that can lead to hemodynamic instability. It can be activated during embolization procedures due to the proximity of vagal efferent neurovascular structures within the cavernous sinus. This case report describes the intraoperative management of recurrent, profound bradycardia due to TCR during endovascular CCF embolization.
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spelling pubmed-78034102021-01-22 Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula Coleman, Renee L. Bezinover, Dmitri Jones, Douglas C. Cockroft, Kevin M. Parekh, Uma R. Case Rep Anesthesiol Case Report Carotid-cavernous fistulas (CCFs) are vascular shunts that allow blood to flow from the carotid artery or its branches into the cavernous sinus. Endovascular embolization is the treatment modality of choice. The trigeminocardiac reflex (TCR) is a vagally mediated reflex that can lead to hemodynamic instability. It can be activated during embolization procedures due to the proximity of vagal efferent neurovascular structures within the cavernous sinus. This case report describes the intraoperative management of recurrent, profound bradycardia due to TCR during endovascular CCF embolization. Hindawi 2021-01-05 /pmc/articles/PMC7803410/ /pubmed/33489381 http://dx.doi.org/10.1155/2021/2342347 Text en Copyright © 2021 Renee L. Coleman et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Coleman, Renee L.
Bezinover, Dmitri
Jones, Douglas C.
Cockroft, Kevin M.
Parekh, Uma R.
Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula
title Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula
title_full Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula
title_fullStr Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula
title_full_unstemmed Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula
title_short Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula
title_sort intra-arterial lidocaine blunts the trigeminocardiac reflex during endovascular treatment of a carotid-cavernous fistula
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7803410/
https://www.ncbi.nlm.nih.gov/pubmed/33489381
http://dx.doi.org/10.1155/2021/2342347
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