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14-11-2023 | Arteriovenous Fistula | Letter to the Editor

Perioperative management of dural sinus malformation and high-flow arteriovenous fistula in an infant

Authors: Zeferino Demartini Jr, Mayara Thays Beckhauser, Marina Machado Ramos, Adriana Luma Valério Chave, Adriane Cardoso-Demartini

Published in: Acta Neurologica Belgica | Issue 2/2024

Excerpt

Dural sinus malformations (DSM) are rare congenital vascular abnormalities presenting variable anatomical and clinical features [1]. There are two subtypes: a more common form in the midline, called torcular DSM; and a lateral-type DSM, involving the jugular bulb and related to high-flow arteriovenous fistula (AVF) [1]. The treatment represents a challenge for the management team because high-flow AVF in infants is complex, and small hemodynamic changes may affect patients’ morbidity and mortality [2]. …

Demartini Z Jr, Maeda AK, Koppe GL, Guimaraes RMDR, Maranha Gatto LA, Cardoso-Demartini AA (2022) Torcular dural sinus malformation. Pediatr Neurosurg 57(2):141–143. https://doi.org/10.1159/000521935CrossRefPubMed

Venkatesulu K, Nandhakumar A, Cherian M, Mehta P, Palanisamy N (2019) Pediatric high-flow pial arteriovenous fistula (avf) for glue embolization: an anesthetic challenge. J Neurosurg Anesthesiol 31(2):262–263. https://doi.org/10.1097/ANA.0000000000000480CrossRefPubMed

Demartini Z, Koppe GL, de Almeida C, Teixeira B, Keijiro A, Francisco AN, Maranha Gatto LA (2020) Matas test revisited: carotid compression for embolization of high-flow pediatric pial arteriovenous fistulas. J Neurosurg Pediatr 27(3):364–367. https://doi.org/10.3171/2020.7.PEDS20401CrossRefPubMed

Teig MK (2021) Anesthetic management of patients undergoing intravascular treatment of cerebral aneurysms and arteriovenous malformations. Anesthesiol Clin 39(1):151–162. https://doi.org/10.1016/j.anclin.2020.11.008CrossRefPubMed

Doyen B, Gordon L, Soenens G, Bacher K, Vlerick P, Vermassen F, Grantcharov T, Van Herzeele I (2020) Introduction of a surgical Black Box system in a hybrid angiosuite: challenges and opportunities. Phys Med 76:77–84. https://doi.org/10.1016/j.ejmp.2020.06.013CrossRefPubMed

Title: Perioperative management of dural sinus malformation and high-flow arteriovenous fistula in an infant
Authors: Zeferino Demartini Jr
Mayara Thays Beckhauser
Marina Machado Ramos
Adriana Luma Valério Chave
Adriane Cardoso-Demartini
Publication date: 14-11-2023
Publisher: Springer International Publishing
Keywords: Arteriovenous Fistula
Sevoflurane
General Anesthesia
Arteriovenous Malformation
Published in: Acta Neurologica Belgica / Issue 2/2024
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-023-02369-w

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Perioperative management of dural sinus malformation and high-flow arteriovenous fistula in an infant

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