Adenosine induced cardiac pause in neuroendovascular management of AVM with fistula

We present a less frequently used approach to achieve total obliteration of an AVM with intranidal fistulas using cyanoacrylate glue and a single micro catheter with pharmacologically induced circulatory arrest. The use of adenosine is relatively inexpensive and adds economic advantage to the procedure. In carefully planned and selected cases using a single micro catheter glue can be deposited with minimal venous rundown to completely obliterate the AVM without the need for coils and other devices.
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research