Transfemoral venous embolization of vein of Galen malformations.

摘要: Three infants with vein of Galen malformations, all presenting congestive heart failure, underwent a total five embolization procedures that employed percutaneous transfemoral venous approach to catheterize the Galen. In one instance, direct retrograde catheterization feeding arterial pedicles and fistulous connections was achieved via this route. The indications for treatment included persistent symptoms despite transarterial transtorcular in patient, an unsuccessful attempt (complicated by catheter fracture) another, inadvisability because excessive number arteries third. Complete obliteration malformation patient significant flow reduction other two. Vein perforation tip complicated procedure. All three patients were stable after clinical follow-ups (9-12 months). transvenous route can be undertaken from approach, obviating surgical exposure torcular Herophili. addition, we introduce concept procedure has not been reported previously.