Resection of a large temporooccipital parenchymal arteriovenous fistula by using deep hypothermic circulatory bypass. Case report

F B Meyer; R E Grady; M D Abel; D A Nichols; S S Caminha; R A Robb; L M Bates

doi:10.3171/jns.1997.87.6.0934

Resection of a large temporooccipital parenchymal arteriovenous fistula by using deep hypothermic circulatory bypass. Case report

J Neurosurg. 1997 Dec;87(6):934-9. doi: 10.3171/jns.1997.87.6.0934.

Authors

F B Meyer¹, R E Grady, M D Abel, D A Nichols, S S Caminha, R A Robb, L M Bates

Affiliation

¹ Department of Neurosurgery, Biomedical Imaging Resource Center, Mayo Clinic, Rochester, Minnesota 55905, USA.

PMID: 9384407
DOI: 10.3171/jns.1997.87.6.0934

Abstract

The authors believe this to be the first published case in which a deep hypothermic cardiopulmonary bypass was used to facilitate resection of a large parenchymal arteriovenous fistula. The use of this procedure facilitated resection of the lesion by allowing compression and manipulation of large venous varices that were overlying the deeper arterial feeding vessels. The surgical rationale, technique, and intra- and postoperative management are discussed.

Publication types

Case Reports

MeSH terms

Adult
Anesthesia, General
Angiography, Digital Subtraction
Blood Pressure
Cardiopulmonary Bypass*
Cerebral Angiography
Cerebral Arteries / abnormalities
Cerebral Veins / abnormalities
Constriction
Female
Heart Arrest, Induced
Hemostasis, Surgical
Humans
Hypothermia, Induced*
Intracranial Arteriovenous Malformations / surgery*
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Occipital Lobe / blood supply*
Temporal Lobe / blood supply*
Treatment Outcome
Varicose Veins / surgery