Abnormal effect of absolute ethanol sclerotherapy for arteriovenous malformations on hemodynamics

Abstract

Abstract: PURPOSE:To observe and analyze the abnormal effect of ethanol sclerotherapy for arteriovenous malformations on hemodynamics. METHODS:Twelve cases of arteriovenous malformations who received absolute ethanol sclerotherapy were chosen. The heart rate, blood pressure, SPO2 and ETCO2 at different times were recorded and analyzed. RESULTS: Obvious change of HR and BP were observed before and after injection of absolute ethanol into arteriovenous malformation. HR changed from preoperational (82.8±11.5)bpm to the highest (98.8±13.5)bpm, While BP changed from preoperational (98.6±6.5)mmHg/(53.1±3.3)mmHg to the lowest (73.7±6.3)mmHg/(39.3±4.8)mmHg. No change of SPO2 and PETCO2 was observed. CONCLUSIONS: Absolute ethanol sclerotherapy for arteriovenous malformation can result in obvious S-shaped change of HR and BP. The actual cause is unknown, but we should pay more attention to the abnormal changes and manage accordingly.

Key words: Arteriovenous malformation, Absolute ethanol, Sclerotherapy, Hemodynamics, General anesthesia

CLC Number:

R622

JIANG Jue, HUANG Yan, XU Hui, JIANG Hong. Abnormal effect of absolute ethanol sclerotherapy for arteriovenous malformations on hemodynamics[J]. Shanghai Journal of Stomatology, 2014, 23(3): 346-349.

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