Indication, technique and benefit of intraoperative spinal digital subtraction angiography with a new setting in a patient with spinal arteriovenous malformation

Cent Eur Neurosurg. 2011 Aug;72(3):149-51. doi: 10.1055/s-0030-1268494. Epub 2011 Mar 24.

Abstract

Background and object: A new setting of intraoperative spinal angiography within an angiography suite is presented.

Patient and methods: In a patient with thoracic arteriovenous malformation, the resection was performed within an angiography suite. Therefore a long sheath was applied, which remained sterile during the procedure and allowed a catheter to be introduced which is navigated into the noted segmental artery for contrast injection.

Results: Digital subtraction angiography was performed prior to and after the resection at the AVM in order to visualize recent feeders and to ensure the complete occlusion.

Conclusions: This method leads to an increased image quality and a shorter operation time in comparison to an angiography within an operating room.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography, Digital Subtraction / methods*
  • Arteries / pathology
  • Arteriovenous Fistula / diagnosis
  • Arteriovenous Fistula / surgery
  • Central Nervous System Vascular Malformations / complications
  • Central Nervous System Vascular Malformations / diagnosis*
  • Central Nervous System Vascular Malformations / surgery*
  • Female
  • Humans
  • Intraoperative Period
  • Monitoring, Intraoperative
  • Paraparesis / etiology
  • Prone Position
  • Regional Blood Flow
  • Spinal Diseases / complications
  • Spinal Diseases / diagnosis*
  • Spinal Diseases / surgery*
  • Thorax / blood supply
  • Vascular Surgical Procedures