Case Report of Accelerated Idioventricular Rhythm in the Interventional Radiology Suite: A Sticky Situation. Issue 8 (15th April 2019)

• Record Type: Journal Article
• Authors: Sinton, Jamie W.; Iacobas, Ionela; Cleveland, Heather; Pimpalwar, Sheena
• Is Part Of: A & A practice. Volume 12:Issue 8(2019)
• Publication Date: 2019-04-15
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000908
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Embolization is a well-established method of treatment of arteriovenous malformations. Most procedures are performed under general anesthesia due to the painful nature of some sclerosing agents, procedure duration, and need for immobilization to allow precise injection. Familiarity with the possible side effects of these agents is important for the anesthesiologist to facilitate timely and successful management of intra- and postprocedural complications. This case report describes an unusual presentation of systemic migration of glue–lipiodol mixture during embolization of a calf arteriovenous malformation in an adolescent that resulted in accelerated idioventricular rhythm and its successful management leading to complete resolution.