Urgent and Emergent Embolization of Lesions of the Head and Neck in Children: Indications and Results

PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 386-394
Author(s):  
Patricia E. Burrows ◽  
Pierre L. Lasjaunias ◽  
Karel G. Ter Brugge ◽  
Olaf Flodmark
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
High Flow ◽  
Vein Of Galen ◽  
Respiratory Obstruction ◽  
Facial Skeleton ◽  
Lymphatic Malformations ◽  
Proliferative Phase ◽  
Interventional Neuroradiologist ◽  
Cerebral Ischemic

Indications for and results and complications of embolization of lesions of the head and neck were analyzed retrospectively. The procedures were performed since 1980 on an emergent or urgent basis in 30 infants and children by an experienced interventional neuroradiologist in Bicetre, France. Indications for embolization included hemorrhage, occular occlusion, respiratory obstruction, CNS complications or potential complications, interference with nutrition, and functional impairment related to the effect of the lesion on the developing facial skeleton and teeth. The specific lesions included seven hemangiomas (palpebral, subglottic, and nasal) and 20 vascular malformations (maxillofacial), auricular, dural, cerebral [including three vein of Galen malformations] and spinomedullary). Embolization was efficacious in 28 of 30 patients. Hemangiomas (potentially involutive tumors) responded dramatically with arrest of the proliferative phase and shrinking of the mass. Combined hemovascular lymphatic malformations (hemolymphangiomas) of the tongue demonstrated a variable decrease in size. High-flow evolutive arteriovenous malformations involving the teeth and dura were controlled but required multiple embolizations. One infant with a vein of Galen arteriovenous malformation died. Three local complications occurred in two patients. No cerebral ischemic or femoral artery complications occurred.

Treatment of High-Flow Vascular Malformations in the Head and Neck with Arterial Ligation Followed by Sclerotherapy

1996 ◽  
Vol 36 (2) ◽  
pp. 147-153 ◽  
Author(s):  
Ming-Ting Chen ◽  
Shyue-Yih Horng ◽  
Eng-Kean Yeong ◽  
Quen-Dih Pan
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
High Flow ◽  
Arterial Ligation

The effective management of high flow vascular malformations of the head and neck

2009 ◽  
Vol 47 (7) ◽  
pp. e42-e43 ◽  
Author(s):  
Andrew Monaghan ◽  
I. McCafferty ◽  
S. Lamin ◽  
H. Nishikawa ◽  
R. Williams
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
High Flow ◽  
Effective Management

scholarly journals Multiple Venous Malformations with Phleboliths: Radiological-Pathological Correlation

2013 ◽  
Vol 3 ◽  
pp. 13 ◽  
Author(s):  
Venkateswara Rao Chava ◽  
Ashwini Naveen Shankar ◽  
Naveen Shankar Vemanna ◽  
Sudheer Kumar Cholleti
Keyword(s):  
Head And Neck ◽  
Clinical Symptoms ◽  
Vascular Malformations ◽  
High Flow ◽  
The Body ◽  
Low Flow ◽  
Venous Malformations ◽  
Congenital Lesions ◽  
The Face ◽  
Histopathologic Findings

Vascular malformations are congenital lesions that are present at birth and do not regress. However, they often present later in life. They are subdivided into two categories: (1) slow- or low-flow and (2) fast- or high-flow malformations. Low-flow malformations contain combinations of capillary, venous, and lymphatic components. Venous malformations can occur anywhere in the body, but are most frequently seen in the head and neck (40%). These lesions present in a variety of ways, from a vague blue patch to a soft blue mass, which may be single isolated or may occur in multiple areas. Treatment depends on the type of lesion, the location, degree of involvement, and the clinical symptoms. Here we are report the imaging and histopathologic findings in a patient with multiple venous malformations affecting the left side of the face and trunk.

scholarly journals Sirolimus: A Successful Medical Treatment for Head and Neck Lymphatic Malformations

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Steven Curry ◽  
Andrew Logeman ◽  
Dwight Jones
Keyword(s):  
Case Report ◽  
Medical Treatment ◽  
Head And Neck ◽  
Laser Therapy ◽  
Medical Therapy ◽  
Lymphatic System ◽  
Vascular Malformations ◽  
Mammalian Target Of Rapamycin ◽  
Female Infant ◽  
Lymphatic Malformations

Lymphatic malformations are abnormalities that arise in the developing lymphatic system, most frequently presenting in the head and neck. They are typically treated with sclerotherapy, laser therapy, or surgery for localized lesions. Sirolimus, an inhibitor of the mammalian target of rapamycin, is a relatively new medical therapy for the treatment of vascular malformations. This case report presents the improvements and complications seen in a female infant who was diagnosed with a large lymphatic malformation on prenatal ultrasound and has been treated with sirolimus during the first 9 months of life.

Adenosine-induced cardiac standstill for endovascular treatment of pediatric vein of Galen malformations

2018 ◽  
Vol 21 (4) ◽  
pp. 380-383 ◽  
Author(s):  
Nam K. Yoon ◽  
Jonathan P. Scoville ◽  
Philipp Taussky
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
Vascular Malformations ◽  
Pediatric Population ◽  
Transarterial Embolization ◽  
Endovascular Embolization ◽  
High Flow ◽  
High Morbidity ◽  
Vein Of Galen ◽  
Open Surgical Treatment

Vein of Galen malformations are congenital high-flow vascular malformations that often present with heart failure, hydrocephalus, developmental delay, and intracranial hemorrhage. Because open surgical treatment is associated with high morbidity and mortality, endovascular embolization is increasingly becoming the preferred method of intervention. However, embolization of these lesions can be difficult because of their high-flow nature. The use of adenosine-induced cardiac standstill for treatment of vein of Galen malformations has not been previously described in neonates. The authors describe 3 treatments in 2 patients that demonstrate that the use of adenosine is well tolerated and allows safe transarterial embolization of high-flow vein of Galen malformations in the pediatric population.

scholarly journals Lymphatic Malformation Responsive to Sirolimus in Keratinocytic Epidermal Nevus Syndrome with KRAS Mutation: A Case and Brief Literature Discussion

2021 ◽  
pp. 195-201
Author(s):  
Emily Sideris ◽  
Er Tsing Vivian Tng ◽  
Paul Chee
Keyword(s):  
Current Literature ◽  
Kras Mutation ◽  
Rare Case ◽  
Mtor Inhibitor ◽  
Vascular Malformations ◽  
Lymphatic Malformation ◽  
Literature Discussion ◽  
Lymphatic Malformations ◽  
Epidermal Nevus ◽  
Overgrowth Syndromes

We present a rare case of KRAS keratinocytic epidermal nevus syndrome with lymphatic malformation, responsive to treatment with sirolimus, an mTOR inhibitor. A brief review of the current literature regarding sirolimus use in vascular malformations, lymphatic malformations, regional overgrowth syndromes, and RASopathies is discussed.

An intrathoracic arteriovenous malformation discovered as an extremely uncommon reason of neonatal congestive cardiac failure

2009 ◽  
Vol 19 (5) ◽  
pp. 530-533 ◽  
Author(s):  
Sigrun R. Hofmann ◽  
Matthias Weise ◽  
Katharina I. Nitzsche
Keyword(s):  
Arteriovenous Malformation ◽  
Cardiac Failure ◽  
Arteriovenous Malformations ◽  
Neonatal Period ◽  
High Flow ◽  
Congestive Cardiac Failure ◽  
Vein Of Galen ◽  
Prenatal Detection ◽  
First Case

AbstractCongenital arteriovenous malformations are rare causes of congestive cardiac failure in neonates. The most common sites are in the head and liver, but other sites include the thorax, the abdomen and the limbs. The onset of failure is usually not in the immediate neonatal period, but later on in life, albeit that lesions such as the arteriovenous malformation of the vein of Galen, and other arteriovenous malformations in different locations which produce high flow can present early. We describe here the first case, to the best of our knowledge, of prenatal detection of an intrathoracic arteriovenous malformation producing neonatal cardiac failure, which was successfully treated by surgery postnatally.

Sign in / Sign up

Export Citation Format

Share Document