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Anesthesiology pp 573-579 | Cite as

Anesthetic Considerations for Surgical Resection of Brain Arteriovenous Malformations

  • Catalin Ezaru
Chapter

Abstract

Brain arteriovenous malformations are encountered relatively infrequently in neurosurgical practice. However, they can pose significant perioperative challenges due to their potentially complex anatomical structure and physiologic alterations of the cerebral circulation that are still not entirely understood. An interdisciplinary approach is common with the involvement of the neurosurgeon, interventional radiologist and anesthesiologist; staged procedures are frequently required. The fundamental perioperative goals are the same as for other intracranial vascular procedures: maintain optimal cerebral perfusion pressure, prevent increases in intracranial pressure, prevent bleeding and brain edema. Considerations unique for surgical resection of arteriovenous malformations include the potential for catastrophic blood loss and postoperative brain swelling due to perfusion pressure breakthrough.

Keywords

Arteriovenous malformations Optimal cerebral perfusion pressure Cerebral dysautoregulation Normal perfusion pressure breakthrough Intracranial hemorrhage Cerebral hyperemia Brain edema 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Pittsburgh School of Medicine, Veterans’ Affairs Hospital PittsburghPittsburghUSA

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