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

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