Anesthetic management of severe chronic cardiopulmonary failure during endovascular embolization of a PICA aneurysm - A case report

The authors present a case in which a 64-year-old female patient suffering from severe cardiopulmonary dysfunction underwent endovascular embolization of an aneurysm of the posterior inferior cerebellar artery (PICA). The ane sthetic management consisted of so-called dynamic akinetic sedation and con trolled hemodynamics (DASCH) using intravenous propofol and dopamine infusi ons and invasive blood pressure monitoring. The details of the perioperativ e patient management are described. The patient made a successful recovery.