“…As suggested by our case, high rSO 2 could alert to the possibility of AVF prior to the appearance of symptoms. Diagnosis of AVF is usually made with ultrasonography and Doppler studies 11 13 14. Contrast CT scan, MRI and conventional angiography are more invasive, expose children to radiation, require sedation, are more expensive and are, therefore, reserved for difficult cases 11 13 15.…”