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Vascular Disorders

Surgical Approaches and Operative Technique

  • Chapter
Pediatric Neurosurgery

Abstract

The technique of femoral-cerebral catheterization in infants and children was described by us in 1980, reporting [1] a series of 1869 procedures. Clinical complications occurred in 12 of 678 or 1.8% of examinations while radiographic complications were discovered in 38 of 1869 or 1.1% of procedures. The results were compared to a similar retrospective study of a large series (2184 procedures) of direct puncture/retrograde brachial studies in a similar patient population at the same institution, in which there was a 2.6% clinical complication rate and a 4.3% radiographic complication rate. Those factors which predispose to complications, clinical or radiographic, are more pronounced in the younger age groups but affect the direct puncture/retrograde brachial technique to a greater degree. The lower morbidity, greater selectivity, and improved comfort make the femoral-cerebral route preferable for neuroangiographic studies in infants and children.

Article Note

“Nature her seife must be our adviser; the path she chalks must be our walk: for so while we confer with our own eirs, and take our rise from meaner things to higher, we shall at length be received into her Closet-secrets.”

William Harvey, Anatomical Exertations Concerning the Generation of Living Creatures

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References

References

  1. Cerullo LJ, Rajakulasingam K, Raimondi AJ (1980) Femoral-cerebral angiography in infants and children. Child’s Brain 6:1–12

    PubMed  CAS  Google Scholar 

  2. Moniz E (1931) Diagnostic des tumeurs cérébrales et épreuve de l’encéphalographie arteriélle. Mason, Paris

    Google Scholar 

  3. Torkildsen K, Koppang K (1950) Percutaneous carotid angiography in children. J Brasil Neurol 2:65

    Google Scholar 

  4. Seldinger SI (1953) Catheter replacement of the needle in percutaneous angiography. A new technique. Acta Radiol 39:368–376

    Article  PubMed  CAS  Google Scholar 

  5. Gensini GG, Ecker A (1960) Percutaneous aortocerebral angiography. Diagnostic and physiologic method. Radiology 75:885–893

    PubMed  CAS  Google Scholar 

  6. Braunwald E, Swan HJC (1968) Cooperative study on cardiac catheterization. Circulation 37 [Suppl III]:661

    Google Scholar 

  7. Harwood-Nash D (1976) Neuroradiology in infants and children, vol I. Mosby, St Louis

    Google Scholar 

  8. Raimondi AJ (1969) Angiographic diagnosis of hydrocephalus in newborn. J Neurosurg 31:550–560

    Article  PubMed  CAS  Google Scholar 

  9. Raimondi AJ, White H (1967) Cerebral angiography in newborn and infant. General principles. Ann Radiol 10:147–164

    PubMed  CAS  Google Scholar 

  10. Newton TH, Gooding CA (1968) Catheter techniques in pediatric cerebral angiography. Am J Roentgenol 104:63–65

    CAS  Google Scholar 

  11. Obenchain TG, Clark R, Hanafee W, Wilson G (1970) Complication rate of selective cerebral angiography in infants and children. A comparison with a similar adult series. Radiology 95:669–673

    PubMed  CAS  Google Scholar 

  12. Takahashi M, Kawanami H (1971) Catheter cerebral angiography in children. Analysis of 67 examinations. Clin Radiol 22:208–311

    Article  Google Scholar 

  13. Wilson G (1970) Selective cerebral angiography in infants and children via femoral artery catheterization. Rev Int Am Radiol 5:39–45

    Google Scholar 

  14. Taveras JM, Poser CM (1959) Roentgenographic aspects of cerebral angiography in children. Am J Roentgenol 82:371–391

    CAS  Google Scholar 

  15. Harwood-Nash D, Fity CR (1974) Complication of pediatric arteriography. In: Gyepes S (ed) Angiography in infants and children. Grune and Stratton, New York, pp 329–361

    Google Scholar 

  16. Boulos RS, Gilroy J, Meyers JR (1967) Technique of cerebral angiography in children. Am J Roentgenol 101:121–127

    CAS  Google Scholar 

  17. Desilets DT, Ruttenberg HD, Hoffman RB (1966) Percutaneous catheterization in children. Radiology 87:119–122

    PubMed  CAS  Google Scholar 

  18. Lang EK (1963) Complications of percutaneous retrograde arteriography. Radiology 81:257–263

    PubMed  CAS  Google Scholar 

  19. McLaurin RL (1956) Angiographic study of infants and children. J Int Coll Surg 26:429–434

    PubMed  CAS  Google Scholar 

  20. Picaza JA (1952) Cerebral angiography in children. Anatomicoclinical evaluation. J Neurosurg 9:235–244

    Article  PubMed  CAS  Google Scholar 

  21. Poser CM, Taveras JM (1955) Clinical aspects of cerebral angiography in children. Pediatrics 16:73–79

    PubMed  CAS  Google Scholar 

  22. Swinschuck LE, Meyer GA, Bryan N (1972) Infantile hydrocephalus and cerebral angiography; assessment and indications. Am J Roentgenol 115:50–61

    Google Scholar 

  23. Tolosa E (1951) L’exploration artériographique dans l’hyydrocéphalie infantile. Semin Hop Paris 27:2401–2403

    CAS  Google Scholar 

  24. Francisco CB, Davidson KC, Youngstrom KA, Schoolman A, Poser CM (1964) Transfemoral cervicocephalic angiography in children. Pediatrics 33:119–122

    PubMed  CAS  Google Scholar 

  25. Reichman A, Vinuela F, Dickwiler G, Peacock W, Vinters H (1993) Pathologic findings in a patient with a vein of Galen aneurysm treated by staged endovascular embolization. Childs Nery Syst 9:33–38

    Article  CAS  Google Scholar 

  26. Hernesniemi J (1992) Arteriovenous malformations of the vein of Galen: report of three microsurgically treated cases. Surg Neurol 36:465–469

    Article  Google Scholar 

  27. Purdy P, Batjer H, Samson D (1991) Management of hemorrhagic complications from preoperative embolization of arteriovenous malformations. J Neurosurg 74:205–211

    Article  PubMed  CAS  Google Scholar 

  28. Beltramello A, Perini S, Mazza G (1991) Spontaneously healed vein of Galen aneurysm. Childs Nery Syst 7:129–134

    Article  CAS  Google Scholar 

  29. Lasjaunias P, Garcia-Monaco R, Rodesch G, Ter Brugge K, Tardie M, de Victor D (1991) Vein of Galen malformation: endovascular management of 43 cases. Childs Nery Syst 7:360–367

    Article  CAS  Google Scholar 

  30. Raimondi AJ (1972) Pediatric neuroradiology. Saunders, Philadelphia

    Google Scholar 

  31. Raimondi AJ (1987) Pediatric neurosurgery - theory and art of surgical techniques. Springer, Berlin Heidelberg New York

    Google Scholar 

  32. Raimondi AJ, Cerullo LJ (1980) Atlas of cerebral angiography in infants and children. Thieme, Stuttgart

    Google Scholar 

  33. Lasjaunias P, Garcia Monaco R, Zerah M et al (1992) Vein of Galen aneurysmal malformations - patient selection and endovascular management. In: Raimondi AJ, Choux M, Di Rocco C (eds) Principles of pediatric neurosurgery III: vascular diseases, chap 7. Springer, Berlin Heidelberg New York

    Google Scholar 

  34. Raybaud C, Hald JK, Strother CM et al (1987) Les aneurysmes de la veine de Galen. Etude angiographique et considerations morphogenetiques. Neurochirugie 33:302–314

    CAS  Google Scholar 

  35. Lasjaunias P, Terbrugge K, Lopes Ibor L et al (1987) The role of dural anomalies in vein of Galen aneurysms: a report of 6 cases and review of the literature. AJNR 8:185–192

    PubMed  CAS  Google Scholar 

  36. Heinz ER, Schwartz JF, Sears RA (1968) Thrombosis in the vein of Galen malformation. Br J Radiol 41:424

    Article  PubMed  CAS  Google Scholar 

  37. Lasjaunias P, Rodesch G, Terbrugge K et al (1989) Vein of Galen aneurysmal malformations. Report of 36 cases managed between 1982 and 1988. Acta Neurochir (Wien) 99:26–37

    Article  CAS  Google Scholar 

  38. Raimondi AJ (1971) A critical analysis of the clinical diagnosis, management and prognosis of the hydrocephalic child. Adv Pediatr 18:265–291

    Google Scholar 

  39. Raimondi AJ (1971) Hydrocephalus and the congenital anomalies associated with it: angiographic diagnosis. Semin Roentgenol 6:111–125

    Article  PubMed  CAS  Google Scholar 

  40. Berenstein A, Lasjaunias P Endovascular treatment of brain, spinal cord and spine lesions. In: Surgical neuroangiography, vol 4. Springer, Berlin Heidelberg New York (in press)

    Google Scholar 

  41. Litvak J, Yahr MD, Ransohoff J (1960) Aneurysms of the great vein of Galen and midline cerebral arteriovenous anomalies. J Neurosurg 17:945

    Article  PubMed  CAS  Google Scholar 

  42. Ciricillo S, Edwards M, Schmidt K, Hieshima G, Silverman N, Higashida R, Halbach V (1990) Interventional neuroradiological management of vein of Galen malformations in the neonate. Neurosurgery 27:22–28

    Article  PubMed  CAS  Google Scholar 

  43. Di Rocco C (1991) Vein of Galen aneurysm and hydrocephalus. Childs Nery Syst 7:359

    Article  Google Scholar 

  44. Fujii K, Lenkey C, Rhoton A (1980) Microsurgical anatomy of the chorioidal arteries: third lateral ventricles. J Neurosurg 52:165–168

    Article  PubMed  CAS  Google Scholar 

  45. Hoffman H, Chuang S, Hendrick B, Humphreys R (1982) Aneurysm of the vein of Galen: experience at the Hospital for Sick Children, Toronto. J Neurosurg 57:316–322

    Article  PubMed  CAS  Google Scholar 

  46. Johnston I, Whittle I, Besser M, Morgan M (1987) Vein of Galen malformation: diagnosis and management. Neurosurgery 20:747–758

    Article  PubMed  CAS  Google Scholar 

  47. Lasjaunias P (1992) Les malformations anévrysmales de l’ampoule de Galien. Riv Neuroradiol 4:445–492

    Google Scholar 

  48. Lasjaunias P, Terbrugge K, Lopez Ibor L, Chiu M, Flodmark O, Chaung S, Goasguen J (1987) The role of dural anomalies in vein of Galen aneurysm. Report of 6 cases and review of the literature. AJR 8:185–192

    CAS  Google Scholar 

  49. Menezes A, Graf C, Jacoby C, Cornell S (1981) Management of vein of Galen aneurysm. J Neurosurg 55:457–462

    Article  PubMed  CAS  Google Scholar 

  50. Picard L, Moret J, Lepoire J, Sahcs N, Bracard S, Auque J, Per A, Kayser B, Samec P, Nelson M (1987) Anévrysmes de l’ampoule de Galien: reflexions nosologiques et thérapeutiques endovasculaires. Neurochirurgie 33:353–360

    PubMed  CAS  Google Scholar 

  51. Raimondi AJ, Lapras C (1991) Malformations and aneurysmal dilation of the lesser and medial prosencephalic vein. In: Raimondi AJ, Choux M, Di Rocco C (eds) Principles of pediatric neurosurgery: cerebrovascular diseases in children. Springer, Berlin Heidelberg New York, pp 75–86

    Google Scholar 

  52. Raybaud C, Hald J, Strother C, Choux M, Jiddane M (1987) Les anévrysmes de la veine de Galien: étude angiographique et considérations morphogénétiques. Neurochirurgie 33:302–314

    PubMed  CAS  Google Scholar 

  53. Raybaud C, Strother C, Hald J (1989) Aneurysms of the vein of Galen: embryonic considerations and anatomical features relating to the pathogenesis of the malformation. Neuroradiology 31:109–128

    Article  PubMed  CAS  Google Scholar 

Uncited References

  • Raimondi AJ (1973) The surgical management of vascular disease in childhood. Excerpta Medica, Amsterdam, p 44 (Excerpta Medica International Congress series, no 310)

    Google Scholar 

  • Wolpert SM (1971) Angiography in posterior fossa tumours in infancy and childhood. Am J Roentgenol Rad Ther Nucl Med 112:296–305

    CAS  Google Scholar 

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  1. Villa Monteleone, Gargagnago, 37020, Italy

    Anthony J. Raimondi M.D.

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  1. Anthony J. Raimondi M.D.
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© 1998 Springer-Verlag Berlin Heidelberg

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Raimondi, A.J. (1998). Vascular Disorders. In: Pediatric Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58827-3_11

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  • DOI: https://doi.org/10.1007/978-3-642-58827-3_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63747-6

  • Online ISBN: 978-3-642-58827-3

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