Abstract
Background
Vein of Galen malformations (VGM) are rare congenital arteriovenous fistulas that usually present with heart failure in the neonate. Endovascular treatment options in the past have utilized coils, balloons, and acrylics.
Case report
We present, for the first time in the literature, a case of an infant with VGM treated initially with staged coil embolizations followed 1 year later by the transarterial and transvenous catheter based injection of Onyx-18 (ethylenevinylalcohol copolymer) in a single treatment session. The fistula was eliminated, and the infant’s cardiopulmonary symptoms were improved.
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References
Cekirge HS, Saatci I, Geyik S, Yavuz K, Ozturk H, Pamuk G (2006) Intrasaccular combination of metallic coils and onyx liquid embolic agent for the endovascular treatment of cerebral aneurysms. J Neurosurg 105:706–712
Dowd CF, Halbach VV, Barnwell SL, Higashida RT, Edwards MS, Hieshima GB (1990) Transfemoral venous embolization of vein of Galen malformations. Am J Neuroradiol 11:643–648
Horowitz MB, Jungreis CA, Quisling RG, Pollack I (1994) Vein of Galen aneurysms: a review and current perspective. Am J Neuroradiol 15:1486–1496
Jahan R, Murayama Y, Gobin YP, Duckwiler GR, Vinters HV, Vinuela F (2001) Embolization of arteriovenous malformations with Onyx: clinicopathological experience in 23 patients. Neurosurgery 48:984–995
King WA, Wackym PA, Vinuela F, Peacock WJ (1989) Management of vein of Galen aneurysms. Combined surgical and endovascular approach. Child’s Nerv Syst 5:208–211
Lasjaunias P, Garcia-Monaco R, Rodesch G, Ter BK, Zerah M, Tardieu M, de VD (1991) Vein of Galen malformation. Endovascular management of 43 cases. Child’s Nerv Syst 7:360–367
Mitchell PJ, Rosenfeld JV, Dargaville P, Loughnan P, Ditchfield MR, Frawley G, Tress BM (2001) Endovascular management of vein of Galen aneurysmal malformations presenting in the neonatal period. Am J Neuroradiol 22:1403–1409
Pellegrino PA, Milanesi O, Saia OS, Carollo C (1987) Congestive heart failure secondary to cerebral arterio-venous fistula. Child’s Nerv Syst 3:141–144
Taylor CL, Dutton K, Rappard G et al (2004) Complications of preoperative embolization of cerebral arteriovenous malformations. J Neurosurg 100:810–812
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Germanwala, A.V., Vora, N.A., Thomas, A.J. et al. Ethylenevinylalcohol copolymer (Onyx-18) used in endovascular treatment of vein of Galen malformation. Childs Nerv Syst 24, 135–138 (2008). https://doi.org/10.1007/s00381-007-0425-3
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DOI: https://doi.org/10.1007/s00381-007-0425-3