Pulmonary Edema Caused by Massive Intraarterial Infusion and Flushing of Heparinized Saline during the Endovascular Embolization in a Patient with a Cerebral Aneurysm − A case report −

作者: Jun Rho Yoon , Tae Kwan Kim , Min Gyu Lee , Yong Ju Oh

DOI: 10.4097/KJAE.2007.53.6.810

关键词:

摘要: Here we report, along with a review of the literature, our experience patient suffering from cerebral aneurysm and developed volume overloading pulmonary edema during endovascular coiling. A 51-year-old female who had an in basilar artery tip subarachnoid hemorrhage was scheduled for embolization under general anesthesia. She procedure. Coiling failed so neurosurgeon performed aneurysmal clipping The massive intraarterial infusion flushing heparinized saline may have triggered edema. We monitored diuresis hemodynamics following surgery, as high degree vigilance, including monitoring arterial blood gas electrolyte evaluation, patients undergoing prolonged receiving many intra-arterial fluids help recovery. (Korean J Anesthesiol 2007; 53: 810~4)

参考文章(25)
Jack L. Westcott, Marilyn Goske Rudick, Cardiopulmonary Effects of Intravenous Fluid Overload: Radiologic Manifestations Radiology. ,vol. 129, pp. 577- 585 ,(1978) , 10.1148/129.3.577
M. Matejovic, A. Krouzecky, R. Rokyta, I. Novak, Fluid challenge in patients at risk for fluid loading‐induced pulmonary edema Acta Anaesthesiologica Scandinavica. ,vol. 48, pp. 69- 73 ,(2004) , 10.1111/J.1399-6576.2004.00270.X
William F. Marx, David F. Kallmes, Harry J. Cloft, Michael J. Workman, Jacques E. Dion, Frank C. Tong, Mary E. Jensen, Thrombus formation at the neck of cerebral aneurysms during treatment with Guglielmi detachable coils. American Journal of Neuroradiology. ,vol. 23, pp. 1568- 1576 ,(2002)
J Carlos Ayus, James M Wheeler, Allen I Arieff, None, Postoperative Hyponatremic Encephalopathy in Menstruant Women Annals of Internal Medicine. ,vol. 117, pp. 891- 897 ,(1992) , 10.7326/0003-4819-117-11-891
Robert J. Singer, Alexander M. Norbash, Interventional neuroradiology: techniques, applications, and clinical issues. International Anesthesiology Clinics. ,vol. 34, pp. 161- 178 ,(1996) , 10.1097/00004311-199603440-00012
Jee Jian See, Pirjo H Manninen, Anesthesia for neuroradiology. Current Opinion in Anesthesiology. ,vol. 18, pp. 437- 441 ,(2005) , 10.1097/01.ACO.0000174964.35877.4F
Joseph G. Verbalis, , A. Julio Martinez, Neurological and neuropathological sequelae of correction of chronic hyponatremia Kidney International. ,vol. 39, pp. 1274- 1282 ,(1991) , 10.1038/KI.1991.161
Julien F. Biebuyck, William L. Young, John Pile-Spellman, Anesthetic Considerations for Interventional Neuroradiology Anesthesiology. ,vol. 80, pp. 427- 456 ,(1994) , 10.1097/00000542-199402000-00023