Direct percutaneous transcarotid approach for embolization of dural sinus malformation in a premature neonate: A case report

2021 ◽  
pp. 159101992110053
Author(s):  
Yasaman Moazeni ◽  
Ramez N Abdalla ◽  
Donald R Cantrell ◽  
Michael C Hurley ◽  
Sameer A Ansari ◽  
...  
Keyword(s):  
Cardiac Failure ◽  
Limb Ischemia ◽  
Premature Neonate ◽  
Additional Treatment ◽  
Dural Sinus ◽  
Arterial Access ◽  
Dural Sinus Malformation ◽  
Left And Right ◽  
Common Carotid Arteries ◽  
High Output

Dural sinus malformations (DSM) can manifest with high output cardiac failure in neonates. Interventional procedures reduce the effect of shunting on cardiac function. The umbilical artery access (UA) is the preferred route in such cases, but it is not always available. Although transfemoral arterial access (TFA) is feasible, it can be associated with complications including limb ischemia in neonates with low birth weight (LBW) and small size. The Transcarotid arterial (TCAA) approach has been successfully used in pediatric cardiac interventions, however, its use in Pediatric Neurointervention is rare. We report antegrade percutaneous TCAA for embolization of DSM in a premature neonate with BW of 1710 grams and prenatal diagnosis of DSM who was delivered at 32 weeks due to worsening cardiac failure. Due to unavailable UA, embolization was performed via (TFA) at day 2, which was complicated by significant limb ischemia. Recurrent clinical deterioration warranted additional treatment, including 2 further embolizations which were performed via percutaneous TCAA of the left and right common carotid arteries at day 59 and 71 with no immediate or intermediate complications. Conclusions Direct percutaneous TCAA can be a feasible access for intracranial interventions in neonates with LBW and unavailable UA access.

Different outcomes in two cases of Dural Sinus Malformation

2016 ◽  
Vol 37 (S 01) ◽  
Author(s):  
U Schneider ◽  
A Fiedler ◽  
A Lesser ◽  
G Kasprian ◽  
J Intek ◽  
...  
Keyword(s):  
Dural Sinus ◽  
Dural Sinus Malformation

Fetale High-Flow-Dural-Sinus-Malformation

2019 ◽  
Author(s):  
WH Becker ◽  
P Kunkel ◽  
F Brassel
Keyword(s):  
High Flow ◽  
Dural Sinus ◽  
Dural Sinus Malformation

scholarly journals Prenatal findings and postnatal follow-up of a midline dural sinus malformation

2021 ◽  
Vol 10 (4) ◽  
pp. 205846012110063
Author(s):  
Hana Shabana ◽  
Johannes Leidinger ◽  
Johan Wikström ◽  
Ove Axelsson
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spontaneous Regression ◽  
Rare Condition ◽  
Present Knowledge ◽  
Magnetic Resonance Imaging Examination ◽  
Dural Sinus ◽  
Resonance Imaging ◽  
Prenatal Magnetic Resonance Imaging ◽  
Dural Sinus Malformation

Dural sinus malformation is a rare condition. We describe a prenatally detected case followed by repeated ultrasound scans and a prenatal magnetic resonance imaging examination. A substantial spontaneous regression was observed, which is associated with a favorable outcome. We believe that our observations, including a long postnatal follow-up, will add to the present knowledge of prenatally detected cases, and thus improve management of the pregnancies as well as our possibilities to counsel the parents-to-be.

High-Output Cardiac Failure and Coronary Steal With an Arteriovenous Fistula

2018 ◽  
Vol 71 (6) ◽  
pp. 896-903
Author(s):  
Amtul Aala ◽  
Sairah Sharif ◽  
Leslie Parikh ◽  
Paul C. Gordon ◽  
Susie L. Hu
Keyword(s):  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
Coronary Steal ◽  
High Output

MULTINODULAR HEMANGIOMATOSIS OF THE LIVER IN INFANCY

PEDIATRICS ◽  
1972 ◽  
Vol 49 (4) ◽  
pp. 563-573
Author(s):  
Robert H. McLean ◽  
James H. Moller ◽  
Warren J. Warwick ◽  
Leon Satran ◽  
Russell V. Lucas
Keyword(s):  
Cardiac Failure ◽  
Intensive Treatment ◽  
Combined Effect ◽  
Arteriovenous Shunt ◽  
Congestive Cardiac Failure ◽  
Treatment Modalities ◽  
Arteriovenous Fistulae ◽  
Classical Triad ◽  
Hepatic Hemangiomas ◽  
High Output

Multinodular hemangiomatosis of the liver (MHL) is characterized pathologically by multiple hemangiomas, primarily in the liver but also in other organs. The hepatic hemangiomas act as small arteriovenous fistulae and their combined effect may result in a massive peripheral arteriovenous shunt and high output congestive cardiac failure. Patients with MHL may be recognized clinically by the classical triad of congestive cardiac failure, hepatomegaly, and cutaneous hemangiomas. All but 2 of 31 cases of MHL herein reviewed had the onset of symptoms prior to 6 months of age. High output cardiac failure were severe and resulted in a 70% mortality. Hepatomegaly was massive and out of proportion to the degree of cardiac failure. Therapy includes intensive treatment of congestive cardiac failure and judicious transfusion in anemic patients. Irradiation of the liver and corticosteroids have been utilized in attempts to speed evolution of the hepatic arteriovenous fistulae. The data are not sufficient to establish the efficacy of either of these treatment modalities.

Arteriovenous fistula-associated high-output cardiac failure: a review of mechanisms

2004 ◽  
Vol 43 (5) ◽  
pp. e21.1-e21.6 ◽  
Author(s):  
Jennifer M MacRae ◽  
Sanjay Pandeya ◽  
Dennis P Humen ◽  
Nikolai Krivitski ◽  
Robert M Lindsay
Keyword(s):  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
High Output

Vein of Galen aneurysmal malformations associated with high output cardiac failure: Report of three autopsy cases

2015 ◽  
Vol 09 (02) ◽  
pp. 227-232
Author(s):  
Reenu Malhotra ◽  
Luisa Florez ◽  
Dollett White ◽  
Sozos Papasozomenos ◽  
Michael Covinsky ◽  
...  
Keyword(s):  
Cardiac Failure ◽  
Vein Of Galen ◽  
High Output

scholarly journals Malformations of the Fetal Dural Sinuses

2009 ◽  
Vol 36 (1) ◽  
pp. 72-77 ◽  
Author(s):  
Matthew McInnes ◽  
Katherine Fong ◽  
Andrea Grin ◽  
Karel ter Brugge ◽  
Susan Blaser ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Gestational Age ◽  
Vascular Malformations ◽  
In Utero ◽  
Developmental Trajectory ◽  
Dural Sinus ◽  
Vein Of Galen ◽  
Dural Sinuses ◽  
Arteriovenous Shunts ◽  
Dural Sinus Malformation

Background:Dural sinus malformation (DSM) is a term used to describe congenital vascular malformations characterized by massive dilation of one or more dural sinuses: these dilatations are typically associated with arteriovenous shunts. Such malformations can present antenatally but their early natural history and anatomy is poorly defined.Methods:We reviewed five years of autopsy experience and retrieved three primary vascular malformations of the fetal dural sinuses with ultrasound, magnetic resonance imaging (MRI) and post-mortem correlation.Results:Fetal ultrasound and MRI obtained between 19 and 23 weeks gestational age demonstrated in all cases dilation of the dural sinuses. In two cases vascular thromboses were present in either the dilated dural sinus (one of three) or the associated arteriovenous fistula (one of three). All cases were autopsied at 22-23 weeks gestational age. In one there was imaging and autopsy evidence of remodeling of the dural sinuses associated with a pial arteriovenous fistula. In two cases, no arteriovenous malformation was identified on initial imaging, but only became evident at autopsy. One case showed morphological overlap with vein of Galen aneurysmal malformation, with a midline arteriovenous shunt and vein of Galen ectasia. The other demonstrated a perisylvian dural arteriovenous fistula.Conclusion:In utero thrombosis of feeding vascular malformations or of the dural sinus malformation may be prominent. The early in utero developmental trajectory of dural sinus malformation (DSM) is poorly defined and deserves further study.

Sign in / Sign up

Export Citation Format

Share Document