Jugular venous bulb oxygen saturation monitoring in arteriovenous malformation surgery

Oliver H.G. Wilder-Smith, Patrick Fransen, Nicolas De Tribolet, Edömer Tassonyi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

We describe a case in which jugular venous bulb oxygen saturation (S(jv)O2) monitoring proved useful during the surgical resection of an intracranial arteriovenous malformation (AVM). Surgical resection of large intracranial AVMs may be followed by normal perfusion pressure breakthrough with brain swelling, hyperemia, and subsequent problems in achieving hemostasis. S(jv)O2 monitoring during AVM embolization by interventional radiology has been shown to help in deciding whether embolization is sufficient to avoid such postresection hyperemia, but its use during surgical resection has not been described. In the case discussed, S(jv)O2 monitoring enabled assessment of the risk of postresection hyperemia preoperatively and permitted the degree and completeness of surgical AVM resection to be followed intraoperatively. During the normal perfusion pressure breakthrough bleeding which followed complete AVM resection, S(jv)O2 monitoring helped with safe management of the controlled hypotension that finally permitted hemostasis to be achieved.

Original languageEnglish
Pages (from-to)162-165
Number of pages4
JournalJournal of Neurosurgical Anesthesiology
Volume9
Issue number2
DOIs
Publication statusPublished - Apr 1997

Keywords

  • Arteriovenous malformations
  • Complications
  • Jugular venous bulb oxygen saturation
  • Neuromonitoring
  • intracranial
  • neurosurgical

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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