Prenatal Diagnosis of Vein of Galen Aneurysmal Malformation Allows Early Transumbilical Endovascular Treatment

Prenatal Diagnosis of Vein of Galen Aneurysmal Malformation Allows Early Transumbilical Endovascular Treatment

Neonates with vein of Galen aneurysmal malformation (VGAM) presenting with severe cardiac failure and pulmonary hypertension represent a challenge for endovascular therapy. When early treatment is required, the small femoral arteries in this population are usually difficult to cannulate. Alternative...

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Bibliographic Details
Main Authors: Zeferino Demartini Jr, Gelson Luis Koppe, Luana A.M. Gatto, Ana Lucia Sarquis, Alexandre N. Francisco, Adriane Cardoso-Demartini
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2020-07-01
Series:Brazilian Neurosurgery
Subjects:
vein of galen malformations
arteriovenous malformations
prenatal diagnosis
umbilical arteries
newborn infant
endovascular procedures.
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1710311
Description
Summary:Neonates with vein of Galen aneurysmal malformation (VGAM) presenting with severe cardiac failure and pulmonary hypertension represent a challenge for endovascular therapy. When early treatment is required, the small femoral arteries in this population are usually difficult to cannulate. Alternatively, the umbilical vessels offer a natural pathway to reach the lesion. Therefore, prenatal diagnosis of VGAM allows for delivery planning, perinatal management, and embolization through umbilical approach, thus leading to better outcomes.
ISSN:0103-5355
2359-5922

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