vein of galen malformation
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Author(s):  
Ana Mendez ◽  
Elisabeth Codsi ◽  
Francisco Gonzalez Barlatay ◽  
Anie Lapointe ◽  
Marie-Josée Raboisson

2021 ◽  
Vol 58 (S1) ◽  
pp. 209-209
Author(s):  
A. Balachandran ◽  
R. Caldas ◽  
H. Diplock ◽  
B. Hollis

Author(s):  
Simone Jhaveri ◽  
Alejandro Berenstein ◽  
Shubhika Srivastava ◽  
Tomoyoshi Shigematsu ◽  
Miwa K. Geiger

Perfusion ◽  
2021 ◽  
pp. 026765912110015
Author(s):  
Alex Robertson ◽  
Nagarajan Muthialu ◽  
Mike Broadhead

We present a dissection of the patent ductus arteriosus and pulmonary artery for surgical repair utilising cardiopulmonary bypass in the setting of vein of Galen malformation. Several strategies were employed to attenuate the cerebral shunt including pH-stat, high cardiac index, restrictive venous drainage, continuous ventilation and deep hypothermic circulatory arrest. The patient recovered from surgery with no apparent neurological sequelae.


2021 ◽  
Vol 3 (2(May-August)) ◽  
pp. e822021
Author(s):  
Luís Henrique De Castro-Afonso ◽  
Daniel Giansante Abud

The endovascular approach is the standard treatment of vein of Galen malformations (VOGMs,) however the morbidity and mortality rates of VOGMs treated by embolization are still significant. Embolization with ethylene vinyl alcohol copolymer (EVOH) by a dual-lumen balloon (DLB) is a promising. In the present case we demonstrated two strategies of transarterial (TA) embolization of a mural type VOGM presenting with two direct shunts. The first shunt was embolized using coils to reduce the flow through the shunt, following by an EVOH injection which resulted in the complete occlusion of that shunt. The second shunt was embolized also with EVOH but through a DLB. In the second embolization a very precise cast of EVOH could be created resulting in a complete occlusion of the VOGM. This case demonstrated the advantages of DLB compared to other embolization techniques


2021 ◽  
pp. 159101992199336
Author(s):  
Timothy G White ◽  
Amir R Dehdashti ◽  
Henry H Woo

Background Even in the modern endovascular era, the treatment of Vein of Galen Malformations (VOGM) is extremely challenging. While their natural history is very poor, endovascular embolization has emerged as the standard of care. These lesions often require multiple treatment sessions to decrease shunting, with each treatment including multiple pedicles. Here we present the first reported use of the Scepter Mini (Microvention, Aliso Viejo, CA) in the treatment of vein of Galen malformations. Clinical presentation A 7 month old female presented with an enlarging VOGM that was initially identified on prenatal ultrasound. Given the enlarging size of the lesion and failure to meet developmental milestones, the patient underwent planned endovascular embolization of the VOGM. The novel Scepter Mini balloon catheter was used for treatment of this lesion affording easy access to the target pedicle and immediate flow arrest which allowed for immediate cure of the lesion. Conclusion The novel Scepter Mini Balloon (Microvention, Aliso Viejo, CA) afforded excellent distal access with subsequent immediate flow arrest therefore facilitating endovascular cure. Initially, a staged approach was favored for the treatment of the lesion, but the flow arrest achieved by the Scepter mini facilitated immediate occlusion from a single pedicle.


Author(s):  
Luis Fernando Pulido ◽  
Diana Murcia Salazar ◽  
Diego Gómez Amarillo ◽  
Juan Nicolás Useche ◽  
Kemel A. Ghotme

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