Advertisement

Jugular Bulb Oximetry in Patients with Cerebral Arteriovenous Malformation

  • Teruyasu Hirayama
  • Yoichi Katayama
  • Takashi Tsubokawa
Conference paper

Abstract

Arterial blood flow directly through a shunt theoretically does not deliver oxygen to the brain tissue. The draining veins of an arteriovenous malformation (AVM) contain highly oxygenated blood [1], as evidenced by the intraoperative finding commonly denoted as red veins [2]. The jugular bulb oxygen saturation (SjO2) has been demonsttrated to reflect global cerebral hyperemia or ischemia sensitively [3–6]. In addition, fiberoptic technology is now available for continuous monitoring of SjO2 [3–5].

Keywords

Arteriovenous Malformation Shunt Flow Jugular Bulb Embolization Procedure Preoperative Embolization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bauer BL, Beck B, Moessler U (1975) Investigation on volume and pressure overloading of the heart in cerebral angiomas. In: Pia HW, Gleave JRW, Grote E, Zierski J (eds) Cerebral angiomas. Springer, Berlin, pp 101–110CrossRefGoogle Scholar
  2. 2.
    Feindel W, Yamamoto YL, Hodge CP (1971) Red cerebral veins and the cerebral steal syndrome. Evidence from fluorescein angiography and microregional blood flow by radioisotopes during excision of an angioma. J Neurosurg 35: 167–179PubMedCrossRefGoogle Scholar
  3. 3.
    Cruz J, Miner ME, Allen SJ, et al (1990) Continuous monitoring of cerebral oxygenation in acute brain injury: injection of mannitol during hyperventilation. J Neurosurg 73: 725–730PubMedCrossRefGoogle Scholar
  4. 4.
    Robertson CS, Grossman RG, Goodman JC (1987) The predictive value of cerebral anaerobic metabolism with cerebral infarction after head injury. J Neurosurg 67: 361–368PubMedCrossRefGoogle Scholar
  5. 5.
    Sheinberg M, Kanter MJ, Robertson CS, et al (1992) Continuous monitoring of jugular venous oxygen saturation in head-injured patients. J Neurosurg 76: 212–217PubMedCrossRefGoogle Scholar
  6. 6.
    Sutton LN, McLaughlin AC, Dante S, et al (1990) Cerebral venous oxygen content as a measure of brain energy metbaolism with increased intracranial pressure and hyperventilation. J Neurosurg 73: 927–932PubMedCrossRefGoogle Scholar
  7. 7.
    Kusske JA, Kelly WA (1974) Embolization and reduction of the “steal” syndrome in cerebral arteriovenous malformations. J Neurosurg 40: 313–321PubMedCrossRefGoogle Scholar
  8. 8.
    Pelz DM, Fox AJ, Vinuela F, et al (1988) Preoperative embolization of brain AVMs with isobutyl-2-cyanoacrylate. AJNR 9: 757–764PubMedGoogle Scholar
  9. 9.
    Spetzler RF, Martin NA, Carter LP, et al (1987) Surgical management of large AVMs by staged embolization and operative excision. J Neurosurg 67: 17–28PubMedCrossRefGoogle Scholar
  10. 10.
    Drake CG (1979) Cerebral arteriovenous malformations: considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 26: 145–208PubMedGoogle Scholar
  11. 11.
    Spetzler RF, Martin NA (1986) A proposed grading system for arteriovenous malformations. J Neurosurg 65: 476–483PubMedCrossRefGoogle Scholar
  12. 12.
    Wilson CB, UHS, Domingue J (1979) Microsurgical treatment of intracranial vascular malformation. J Neurosurg 51: 446–454PubMedCrossRefGoogle Scholar
  13. 13.
    Fult D, Kelly DL Jr (1984) Natural history of arteriovenous malformations of the brain: a clinical study. Neurosurgery 15: 658–662CrossRefGoogle Scholar
  14. 14.
    Pasqualin A, Barone G, Cioffi F, et al (1991) The relevance of anatomic and hemodynamic factors to a classification of cerebral arteriovenous malformations. Neurosurgery 28: 370–379PubMedCrossRefGoogle Scholar
  15. 15.
    Batjer HH, Devous MD Sr, Meyer YJ, et al (1988) Cerebrovascular hemodynamics in arteriovenous malformation complicated by normal perfusion pressure breakthrough. Neurosurgery 22: 503–509PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1995

Authors and Affiliations

  • Teruyasu Hirayama
    • 1
  • Yoichi Katayama
    • 1
  • Takashi Tsubokawa
    • 1
  1. 1.Department of Neurological SurgeryNihon University School of MedicineTokyo 173Japan

Personalised recommendations