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Monitoring the successful embolization of an arterio-venous fistula by a fibreoptic jugular vein catheter

Published online by Cambridge University Press:  16 August 2006

A. Petru
Affiliation:
Department of Anaesthesiology, University Hospital, Heraklion 71110, Crete, Greece
D. Michaloudis
Affiliation:
Department of Anaesthesiology, University Hospital, Heraklion 71110, Crete, Greece
A. Jannopoulos
Affiliation:
Department of Neurosurgery, University Hospital, Heraklion 71110, Crete, Greece
A. Flossos
Affiliation:
Department of Anaesthesiology, University Hospital, Heraklion 71110, Crete, Greece
G. Zournatzidis
Affiliation:
Department of Neurosurgery, University Hospital, Heraklion 71110, Crete, Greece
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Abstract

The management of surgical embolization of a post-traumatic carotid-cavernous fistula is reported in this study. The procedure was successfully performed with the aid of a fibreoptic intravascular catheter, which was monitoring continuously the changes of the jugular venous oxygen saturation. Jugular venous oxygen saturation monitoring effectively confirmed the success of embolization without the need for intraoperative angiography, by manifesting an abrupt return of oxygen saturation from arterial to normal venous values immediately after embolization.

Type
Clinical Letter
Copyright
2000 European Society of Anaesthesiology

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