Sudden intraoperative hemorrhage during intracranial aneurysm surgery from vascular
injury or aneurysmal rupture has been known to dramatically increase the associated
morbidity and mortality. We describe the first reported use of rapid ventricular pacing
(RVP) assisted hypotension to control sudden intraoperative hemorrhage during intracranial
aneurysm surgery where temporary arterial occlusion was not achievable.
Key-words:
Cerebral aneurysm - rapid ventricular pacing - adenosine
