Prematurely Detected Traumatic Carotid‐Cavernous Sinus Fistula, by Means of Unintentional Contralateral Inferior Petrosal Sinus Catheterization Bilateral Jugular Bulb Oxygen Saturation Findings
作者:
Arturo Chieregato,
Vanni Veronesi,
Ferdinando Calzolari,
Maurizia Marchi,
Luigi Targa,
期刊:
Journal of Neurosurgical Anesthesiology
(OVID Available online 1998)
卷期:
Volume 10,
issue 1
页码: 16-21
ISSN:0898-4921
年代: 1998
出版商: OVID
关键词: Carotid-cavernous sinus fistula;Complications;Extracerebral contamination;Head injury;Inferior petrosal sinus;Jugular bulb;Jugular bulb oxygen saturation
数据来源: OVID
摘要:
A traumatic carotid-cavernous sinus fistula (CCSF) was prematurely suspected following the detection of arterial-like hemoglobin oxygen saturation values, sampled from a catheter placed for cerebrovenous monitoring. A high-resolution scan of jugular foramina revealed that the catheter tip had been unintentionally placed in the inferior petrosal sinus, contralateral to the CCSF, instead of in the superior jugular bulb. Jugular bulb hemoglobin oxygen saturation (SjO2), ipsilateral to CCSF, later approached arterial hemoglobin oxygen saturation (SaO2) values. The possibility and consequences of unintentional catheterization of the inferior petrosal sinus, and of extracerebral contamination of blood in the jugular bulb due to blood in the inferior petrosal sinus, are discussed. We also discuss the reliability of SjO2monitoring in the present CCSF case.
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