Intraventricular hemorrhage after dural fistula embolization
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000200199 |
Resumo: | Abstract Background and objectives: Dural arteriovenous fistulas are anomalous shunts between dural arterial and venous channels whose nidus is located between the dural leaflets. For those circumstances when invasive treatment is mandatory, endovascular techniques have grown to become the mainstay of practice, choice attributable to their reported safety and effectiveness. We describe the unique and rare case of a dural arteriovenous fistula treated by transarterial embolization and complicated by an intraventricular hemorrhage. We aim to emphasize some central aspects of the perioperative management of these patients in order to help improving the future approach of similar cases. Case report: A 59-year-old woman with a previously diagnosed Cognard Type IV dural arteriovenous fistula presented for transarterial embolization, performed outside the operating room, under total intravenous anesthesia. The procedure underwent without complications and the intraoperative angiography revealed complete obliteration of the fistula. In the early postoperative period, the patient presented with clinical signs of raised intracranial pressure attributable to a later diagnosed intraventricular hemorrhage, which conditioned placement of a ventricular drain, admission to an intensive care unit, cerebral vasospasm and a prolonged hospital stay. Throughout the perioperative period, there were no changes in the cerebral brain oximetry. The patient was discharged without neurological sequelae. Conclusion: Intraventricular hemorrhage may be a serious complication after the endovascular treatment of dural arteriovenous fistula. A close postoperative surveillance and monitoring allow an early diagnosis and treatment which increases the odds for an improved outcome. |
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Intraventricular hemorrhage after dural fistula embolizationIntraventricular hemorrhageArteriovenous malformationDural fistulaCerebral perfusionCerebral oximetryAbstract Background and objectives: Dural arteriovenous fistulas are anomalous shunts between dural arterial and venous channels whose nidus is located between the dural leaflets. For those circumstances when invasive treatment is mandatory, endovascular techniques have grown to become the mainstay of practice, choice attributable to their reported safety and effectiveness. We describe the unique and rare case of a dural arteriovenous fistula treated by transarterial embolization and complicated by an intraventricular hemorrhage. We aim to emphasize some central aspects of the perioperative management of these patients in order to help improving the future approach of similar cases. Case report: A 59-year-old woman with a previously diagnosed Cognard Type IV dural arteriovenous fistula presented for transarterial embolization, performed outside the operating room, under total intravenous anesthesia. The procedure underwent without complications and the intraoperative angiography revealed complete obliteration of the fistula. In the early postoperative period, the patient presented with clinical signs of raised intracranial pressure attributable to a later diagnosed intraventricular hemorrhage, which conditioned placement of a ventricular drain, admission to an intensive care unit, cerebral vasospasm and a prolonged hospital stay. Throughout the perioperative period, there were no changes in the cerebral brain oximetry. The patient was discharged without neurological sequelae. Conclusion: Intraventricular hemorrhage may be a serious complication after the endovascular treatment of dural arteriovenous fistula. A close postoperative surveillance and monitoring allow an early diagnosis and treatment which increases the odds for an improved outcome.Sociedade Brasileira de Anestesiologia2017-04-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000200199Revista Brasileira de Anestesiologia v.67 n.2 2017reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2014.07.015info:eu-repo/semantics/openAccessCarvalho,Joana Chaves Gonçalves Rodrigues deMachin,Francisco Javier TerceroManzanera,Luis San RomanAndaluz,Jordi BlascoNogués,Sílvia HerreroSoriano,Núria PeixBaurier,Victor ObachCardenal,Enrique Jesus Carreroeng2017-03-22T00:00:00Zoai:scielo:S0034-70942017000200199Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2017-03-22T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Intraventricular hemorrhage after dural fistula embolization |
title |
Intraventricular hemorrhage after dural fistula embolization |
spellingShingle |
Intraventricular hemorrhage after dural fistula embolization Carvalho,Joana Chaves Gonçalves Rodrigues de Intraventricular hemorrhage Arteriovenous malformation Dural fistula Cerebral perfusion Cerebral oximetry |
title_short |
Intraventricular hemorrhage after dural fistula embolization |
title_full |
Intraventricular hemorrhage after dural fistula embolization |
title_fullStr |
Intraventricular hemorrhage after dural fistula embolization |
title_full_unstemmed |
Intraventricular hemorrhage after dural fistula embolization |
title_sort |
Intraventricular hemorrhage after dural fistula embolization |
author |
Carvalho,Joana Chaves Gonçalves Rodrigues de |
author_facet |
Carvalho,Joana Chaves Gonçalves Rodrigues de Machin,Francisco Javier Tercero Manzanera,Luis San Roman Andaluz,Jordi Blasco Nogués,Sílvia Herrero Soriano,Núria Peix Baurier,Victor Obach Cardenal,Enrique Jesus Carrero |
author_role |
author |
author2 |
Machin,Francisco Javier Tercero Manzanera,Luis San Roman Andaluz,Jordi Blasco Nogués,Sílvia Herrero Soriano,Núria Peix Baurier,Victor Obach Cardenal,Enrique Jesus Carrero |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Carvalho,Joana Chaves Gonçalves Rodrigues de Machin,Francisco Javier Tercero Manzanera,Luis San Roman Andaluz,Jordi Blasco Nogués,Sílvia Herrero Soriano,Núria Peix Baurier,Victor Obach Cardenal,Enrique Jesus Carrero |
dc.subject.por.fl_str_mv |
Intraventricular hemorrhage Arteriovenous malformation Dural fistula Cerebral perfusion Cerebral oximetry |
topic |
Intraventricular hemorrhage Arteriovenous malformation Dural fistula Cerebral perfusion Cerebral oximetry |
description |
Abstract Background and objectives: Dural arteriovenous fistulas are anomalous shunts between dural arterial and venous channels whose nidus is located between the dural leaflets. For those circumstances when invasive treatment is mandatory, endovascular techniques have grown to become the mainstay of practice, choice attributable to their reported safety and effectiveness. We describe the unique and rare case of a dural arteriovenous fistula treated by transarterial embolization and complicated by an intraventricular hemorrhage. We aim to emphasize some central aspects of the perioperative management of these patients in order to help improving the future approach of similar cases. Case report: A 59-year-old woman with a previously diagnosed Cognard Type IV dural arteriovenous fistula presented for transarterial embolization, performed outside the operating room, under total intravenous anesthesia. The procedure underwent without complications and the intraoperative angiography revealed complete obliteration of the fistula. In the early postoperative period, the patient presented with clinical signs of raised intracranial pressure attributable to a later diagnosed intraventricular hemorrhage, which conditioned placement of a ventricular drain, admission to an intensive care unit, cerebral vasospasm and a prolonged hospital stay. Throughout the perioperative period, there were no changes in the cerebral brain oximetry. The patient was discharged without neurological sequelae. Conclusion: Intraventricular hemorrhage may be a serious complication after the endovascular treatment of dural arteriovenous fistula. A close postoperative surveillance and monitoring allow an early diagnosis and treatment which increases the odds for an improved outcome. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000200199 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000200199 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2014.07.015 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.67 n.2 2017 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
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1752126629110349824 |