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European Radiology

, Volume 7, Issue 8, pp 1252–1258 | Cite as

Vein of Galen vascular malformations in infants: clinical, radiological and therapeutic aspect

  • A. Borthne
  • M. Carteret
  • J. Baraton
  • J.-V. Courtel
  • F. Brunelle
Original article

Abstract

A series of 14 vein of Galen vascular malformations diagnosed in the pediatric populations and treated at the Hospital for Sick Children-Necker, Paris, between 1988 and 1994 is presented. Five of the patients were diagnosed in the neonatal period, of whom 4 presented with life-threatening, intractable cardiac decompensation and high-flow arteriovenous fistulae. Embolization was performed on vital indications in 4 patients during the first week after birth. One embolization failed with fatal outcome. Of the 3 who were embolized, 2 succumbed within 1 week and 1 survived with marked improvement of cardiac symptoms. The older children presented with hydrocephalus and neurologic symptoms. The 10 patients older than 1 year were embolized. These procedures were successful in 90 %, with hemodynamic stabilization and improvement of clinical symptoms. In this group the mortality rate was 10 %. The total mortality rate was 29 %. Hydrocephalus was secondary to a compression of the Sylvian aqueduct in 44 % of cases. Five patients had ventricular drainage before embolization followed by a staged elective embolization. Transarterial embolizations were performed in 11 patients, whereas 2 patients were embolized via the transvenous route.

Key words: Vein of Galen Embolization Vascular malformation Children 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • A. Borthne
    • 2
  • M. Carteret
    • 1
  • J. Baraton
    • 1
  • J.-V. Courtel
    • 1
  • F. Brunelle
    • 1
  1. 1.Department of Pediatric Radiology, University Paris V, Ho^pital Necker-Enfants-Malades, 149, rue de Sèvres, F-75 743 Paris Cedex 15France
  2. 2.Department of Pediatric Radiology, Ullevå l University Hospital, N-0407 OsloNorway

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