Interdisciplinary evaluation of cerebral hemodynamics in the treatment of arteriovenous fistulae associated with giant varices.

Abstract:

:The techniques for the treatment of intracranial arteriovenous fistulae include angiographic balloon occlusion of the fistula as well as direct surgical attack. Regardless of the method, the occurrence of severe hyperemia caused by a lack of autoregulation after obliteration of the fistula remains a significant concern. We report the use of single photon emission computed tomography and transcranial Doppler studies to assess the occurrence of hyperemia during trial balloon occlusion of such fistulae in two patients. Single photon emission computed tomography and transcranial Doppler studies confirmed the lack of hyperemia during the test occlusion, allowing consideration of treatment plans involving acute fistula occlusion without the difficulty imposed by gradual occlusion and permitting a more accurate evaluation of risk. The purpose of this report is to illustrate how clinical evaluation of intracranial hemodynamics can contribute significantly to treatment decisions.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Giller CA,Batjer HH,Purdy P,Walker B,Mathews D

doi

10.1227/00006123-199410000-00033

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

778-82; discussion 782-4

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

35

pub_type

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