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- Ryan Vealey, Antoun Koht, and Bernard R Bendok.
- From the *Northwestern University Feinberg School of Medicine, Chicago, Illinois; and †Mayo Clinic, Phoenix, Arizona.
- A A Case Rep. 2017 Mar 1; 8 (5): 109-112.
AbstractIn some cases of cerebral aneurysm clipping, direct clip application to the aneurysm neck may be difficult or the aneurysm may rupture unexpectedly. In these cases, a clip may be temporarily applied to the parent artery to reduce aneurysmal wall tension, facilitate permanent clip placement, or control bleeding if the aneurysm ruptures. In certain circumstances, even applying a temporary clip may be challenging. We present a case in which the aneurysm ruptured and IV administration of adenosine was required to facilitate clipping. This case suggests that administering multiple consecutive precalculated doses of adenosine may be a safe method to manage aneurysmal rupture.
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