The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study

Bakdık, Süleyman; Koç, Osman; TUNCER UZUN, SEMA; arican, sule; Tavlan, Aybars; YILMAZ, RESUL; BÜYÜKBEZİRCİ, Gülçin

doi:10.14744/tjtes.2021.00269

The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study

ŞULE ARICAN, (Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

GÜLÇİN HACIBEYOĞLU, (Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

RESUL YILMAZ, (Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

AYBARS TAVLAN, (Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

SEMA TUNCER UZUN, (Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye)

Süleyman BAKDIK, (Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Konya, Türkiye)

Osman KOÇ (Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Konya, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

3 0

Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 200 - 206 Metin Dili: İngilizce DOI: 10.14744/tjtes.2021.00269 İndeks Tarihi: 16-05-2022

The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study

Öz:

BACKGROUND: Cerebral autoregulation is a steady-state of cerebral blood flow despite major changes in arterial blood pressure. Inhalation anesthetics are cerebral vasodilators. In <1 MAC values, the net effect is a moderate decrease in cerebral blood flow and maintenance of responsiveness to carbon dioxide. This study aims to investigate the effects of steady-state sevoflurane anesthesia on hemodynamic and cerebral artery diameter measurements in patients undergoing flow diverter device placement under general anesthesia. METHODS: Forty-six patients aged 18–70 years who underwent flow diverter devices under general anesthesia were included in this study. Routine monitoring was performed on the patients. Mean arterial pressure (MAP) values were recorded. Internal carotid artery, middle cerebral artery and anterior cerebral artery diameter measurements were made from digital subtraction angiography (DSA) images of patients with anterior aneurysms. Baseline artery, right posterior cerebral artery and left posterior cerebral artery diameter measurements were made from DSA images of patients with posterior aneurysms. These measurements were recorded as preoperative measurements. The same measurements were made from the DSA images performed before the Flow diverter device placement procedure performed under steady-state sevoflurane anesthesia for the same patients. These measurements were recorded as peroperative measurements. RESULTS: The average age of the patients was 56.6±15.1. The MAP of the patients before induction was 76.28±5.13 mmHg, MAP after induction was 64.36±3.23 mmHg, and MAP during sevoflurane anesthesia was 68.26±4.30 mmHg, there was a statistically significant difference. There was a statistically significant difference between the preoperative and perioperative values of anterior cerebral artery diameters. There was a strong relationship between the MAP change percentage and the ICA diameter change percentage (p<0.001, p=-0.785) and a moderate relationship between the MCA diameter change percentage (p=0.033, p=-0.338). CONCLUSION: In patients undergoing flow diverter devices, <1 MAC sevoflurane has a hemodynamic effect and creates significant vasodilation in the cerebral artery diameters

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	arican s, BÜYÜKBEZİRCİ G, YILMAZ R, Tavlan A, TUNCER UZUN S, Bakdık S, Koç O (2021). The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. , 200 - 206. 10.14744/tjtes.2021.00269
Chicago	arican sule,BÜYÜKBEZİRCİ Gülçin,YILMAZ RESUL,Tavlan Aybars,TUNCER UZUN SEMA,Bakdık Süleyman,Koç Osman The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. (2021): 200 - 206. 10.14744/tjtes.2021.00269
MLA	arican sule,BÜYÜKBEZİRCİ Gülçin,YILMAZ RESUL,Tavlan Aybars,TUNCER UZUN SEMA,Bakdık Süleyman,Koç Osman The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. , 2021, ss.200 - 206. 10.14744/tjtes.2021.00269
AMA	arican s,BÜYÜKBEZİRCİ G,YILMAZ R,Tavlan A,TUNCER UZUN S,Bakdık S,Koç O The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. . 2021; 200 - 206. 10.14744/tjtes.2021.00269
Vancouver	arican s,BÜYÜKBEZİRCİ G,YILMAZ R,Tavlan A,TUNCER UZUN S,Bakdık S,Koç O The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. . 2021; 200 - 206. 10.14744/tjtes.2021.00269
IEEE	arican s,BÜYÜKBEZİRCİ G,YILMAZ R,Tavlan A,TUNCER UZUN S,Bakdık S,Koç O "The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study." , ss.200 - 206, 2021. 10.14744/tjtes.2021.00269
ISNAD	arican, sule vd. "The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study". (2021), 200-206. https://doi.org/10.14744/tjtes.2021.00269

APA	arican s, BÜYÜKBEZİRCİ G, YILMAZ R, Tavlan A, TUNCER UZUN S, Bakdık S, Koç O (2021). The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. Ulusal Travma ve Acil Cerrahi Dergisi, 27(2), 200 - 206. 10.14744/tjtes.2021.00269
Chicago	arican sule,BÜYÜKBEZİRCİ Gülçin,YILMAZ RESUL,Tavlan Aybars,TUNCER UZUN SEMA,Bakdık Süleyman,Koç Osman The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. Ulusal Travma ve Acil Cerrahi Dergisi 27, no.2 (2021): 200 - 206. 10.14744/tjtes.2021.00269
MLA	arican sule,BÜYÜKBEZİRCİ Gülçin,YILMAZ RESUL,Tavlan Aybars,TUNCER UZUN SEMA,Bakdık Süleyman,Koç Osman The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. Ulusal Travma ve Acil Cerrahi Dergisi, vol.27, no.2, 2021, ss.200 - 206. 10.14744/tjtes.2021.00269
AMA	arican s,BÜYÜKBEZİRCİ G,YILMAZ R,Tavlan A,TUNCER UZUN S,Bakdık S,Koç O The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(2): 200 - 206. 10.14744/tjtes.2021.00269
Vancouver	arican s,BÜYÜKBEZİRCİ G,YILMAZ R,Tavlan A,TUNCER UZUN S,Bakdık S,Koç O The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(2): 200 - 206. 10.14744/tjtes.2021.00269
IEEE	arican s,BÜYÜKBEZİRCİ G,YILMAZ R,Tavlan A,TUNCER UZUN S,Bakdık S,Koç O "The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study." Ulusal Travma ve Acil Cerrahi Dergisi, 27, ss.200 - 206, 2021. 10.14744/tjtes.2021.00269
ISNAD	arican, sule vd. "The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study". Ulusal Travma ve Acil Cerrahi Dergisi 27/2 (2021), 200-206. https://doi.org/10.14744/tjtes.2021.00269