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

Renee L. Coleman; Dmitri Bezinover; Douglas C. Jones; Kevin M. Cockroft; Uma R. Parekh

doi:10.1155/2021/2342347

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

Renee L. Coleman, Dmitri Bezinover, Douglas C. Jones, Kevin M. Cockroft, Uma R. Parekh

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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.

Original language	English (US)
Article number	2342347
Journal	Case Reports in Anesthesiology
Volume	2021
DOIs	https://doi.org/10.1155/2021/2342347
State	Published - 2021

All Science Journal Classification (ASJC) codes

Anesthesiology and Pain Medicine

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

abstract = "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.",

author = "Coleman, {Renee L.} and Dmitri Bezinover and Jones, {Douglas C.} and Cockroft, {Kevin M.} and Parekh, {Uma R.}",

note = "Publisher Copyright: {\textcopyright} 2021 Renee L. Coleman et al.",

year = "2021",

doi = "10.1155/2021/2342347",

language = "English (US)",

volume = "2021",

journal = "Case Reports in Anesthesiology",

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T1 - Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula

AU - Coleman, Renee L.

AU - Bezinover, Dmitri

AU - Jones, Douglas C.

AU - Cockroft, Kevin M.

AU - Parekh, Uma R.

PY - 2021

Y1 - 2021

N2 - 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.

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

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