Resection of a large temporooccipital parenchymal arteriovenous fistula by using deep hypothermic circulatory bypass. Case report.
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.
Meyer
F B
FB
Department of Neurosurgery, Biomedical Imaging Resource Center, Mayo Clinic, Rochester, Minnesota 55905, USA.
Grady
R E
RE
Abel
M D
MD
Nichols
D A
DA
Caminha
S S
SS
Robb
R A
RA
Bates
L M
LM
D000328:Adult; D000768:Anesthesia, General; D015901:Angiography, Digital Subtraction; D001794:Blood Pressure; D002315:Cardiopulmonary Bypass; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000002:abnormalities; D002550:Cerebral Veins / Q000002:abnormalities; D003250:Constriction; D005260:Female; D006324:Heart Arrest, Induced; D006488:Hemostasis, Surgical; D006801:Humans; D007036:Hypothermia, Induced; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D009778:Occipital Lobe / Q000098:blood supply*; D013702:Temporal Lobe / Q000098:blood supply*; D016896:Treatment Outcome; D014648:Varicose Veins / Q000601:surgery