Three cases of ATP-induced bronchospasm during thoracic endovascular aortic repair

Yukimasa Takada; Toshiya Kawagishi; Natsumi Kii; Misako Higuchi; Masanori Yamauchi; Michiaki Yamakage

Three cases of ATP-induced bronchospasm during thoracic endovascular aortic repair

Yukimasa Takada, Toshiya Kawagishi, Natsumi Kii, Misako Higuchi, Masanori Yamauchi, Michiaki Yamakage

Research output: Contribution to journal › Article › peer-review

Abstract

We report three cases (73-year-old, 69-year-old and 76-year-old men) of bronchospasm induced by adenosine triphosphate (ATP) during thoracic endovascular aortic repair (TEVAR). Severe broncospasm occurred soon after administration of ATP to obtain transient asystole during TEVAR. All three cases were complicated with asthma or chronic obstructive pulmonary disease (COPD) before TEVAR, and airway hyper-reactivity was suspected. One case (73-year-old) required postoperative intensive care to treat bronchospasm, and the other two cases recovered during the operation. The possible mechanism of adenosine-induced bronchoconstriction is selective interaction with active mast cells with subsequent release of preformed and newly formed mediators. Careful attention should be paid when ATP is injected during TEVAR in patients with asthma or COPD.

Original language	English
Pages (from-to)	402-405
Number of pages	4
Journal	Japanese Journal of Anesthesiology
Volume	62
Issue number	4
Publication status	Published - 2013 Apr 1
Externally published	Yes

Keywords

ATP
Asthma
Bronchospasm
COPD
Endovascular aortic repair

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

Cite this

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abstract = "We report three cases (73-year-old, 69-year-old and 76-year-old men) of bronchospasm induced by adenosine triphosphate (ATP) during thoracic endovascular aortic repair (TEVAR). Severe broncospasm occurred soon after administration of ATP to obtain transient asystole during TEVAR. All three cases were complicated with asthma or chronic obstructive pulmonary disease (COPD) before TEVAR, and airway hyper-reactivity was suspected. One case (73-year-old) required postoperative intensive care to treat bronchospasm, and the other two cases recovered during the operation. The possible mechanism of adenosine-induced bronchoconstriction is selective interaction with active mast cells with subsequent release of preformed and newly formed mediators. Careful attention should be paid when ATP is injected during TEVAR in patients with asthma or COPD.",

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T1 - Three cases of ATP-induced bronchospasm during thoracic endovascular aortic repair

AU - Takada, Yukimasa

AU - Kawagishi, Toshiya

AU - Kii, Natsumi

AU - Higuchi, Misako

AU - Yamauchi, Masanori

AU - Yamakage, Michiaki

PY - 2013/4/1

Y1 - 2013/4/1

N2 - We report three cases (73-year-old, 69-year-old and 76-year-old men) of bronchospasm induced by adenosine triphosphate (ATP) during thoracic endovascular aortic repair (TEVAR). Severe broncospasm occurred soon after administration of ATP to obtain transient asystole during TEVAR. All three cases were complicated with asthma or chronic obstructive pulmonary disease (COPD) before TEVAR, and airway hyper-reactivity was suspected. One case (73-year-old) required postoperative intensive care to treat bronchospasm, and the other two cases recovered during the operation. The possible mechanism of adenosine-induced bronchoconstriction is selective interaction with active mast cells with subsequent release of preformed and newly formed mediators. Careful attention should be paid when ATP is injected during TEVAR in patients with asthma or COPD.

AB - We report three cases (73-year-old, 69-year-old and 76-year-old men) of bronchospasm induced by adenosine triphosphate (ATP) during thoracic endovascular aortic repair (TEVAR). Severe broncospasm occurred soon after administration of ATP to obtain transient asystole during TEVAR. All three cases were complicated with asthma or chronic obstructive pulmonary disease (COPD) before TEVAR, and airway hyper-reactivity was suspected. One case (73-year-old) required postoperative intensive care to treat bronchospasm, and the other two cases recovered during the operation. The possible mechanism of adenosine-induced bronchoconstriction is selective interaction with active mast cells with subsequent release of preformed and newly formed mediators. Careful attention should be paid when ATP is injected during TEVAR in patients with asthma or COPD.

KW - ATP

KW - Asthma

KW - Bronchospasm

KW - COPD

KW - Endovascular aortic repair

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Three cases of ATP-induced bronchospasm during thoracic endovascular aortic repair

Abstract

Keywords

ASJC Scopus subject areas

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