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

• Published in: Journal of neurosurgery Vol. 87; no. 6; pp. 934 - 939
• Main Authors: MEYER, F. B, GRADY, R. E, ABEL, M. D, NICHOLS, D. A, CAMINHA, S. S, ROBB, R. A, BATES, L. M
• Format: Journal Article
• Language: English
• Published: Park Ridge, IL American Association of Neurological Surgeons 01-12-1997
• Subjects: Adult; Anesthesia, General; Angiography, Digital Subtraction; Biological and medical sciences; 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; Medical sciences; Neurology; Occipital Lobe - blood supply; Temporal Lobe - blood supply; Treatment Outcome; Varicose Veins - surgery; Vascular diseases and vascular malformations of the nervous system; Human; Intracranial; Nervous system diseases; General anesthesia; Cardiovascular disease; Surgical resection; Induced cardiocirculatory arrest; Cerebral disorder; Vascular disease; Case study; Arteriovenous aneurysm; Treatment; Bypass; Surgery; Deep induced hypothermia; Central nervous system disease; Female; Cerebrovascular disease
• ISSN: 0022-3085; 1933-0693
• DOI: 10.3171/jns.1997.87.6.0934

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.