Rajeev Sivasankar1, Uday S Limaye2, Siddhartha Wuppalapati3, Manish Shrivastava4. 1. Associate Professor, Department of Imaging and Interventional Radiology, INHS Asvini, Mumbai, India. 2. Consultant Interventional Neuroradiology, Department of Imaging and Interventional Radiology, Lilavati Hospital, Mumbai, India. 3. Consultant, Department of Neuroradiology, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK. 4. Consultant Interventional Neuroradiology, Department of Imaging and Interventional Radiology, Kokilaben Dhirubai Ambani Hospital, Mumbai, India.
Abstract
OBJECTIVES: This retrospective study was aimed at assessing our results of endovascular management in vein of Galen aneurysmal malformation (VGAM). MATERIALS AND METHODS: This is a retrospective study of 26 patients of VGAM who underwent endovascular treatment between 1998 and 2012. All patients underwent trans-arterial embolization. Of 26 patients, 23 were treated using n-butyl cyano acrylate (Glue), while 3 out of 26 patients were treated using the ethylene vinyl alcohol (EVOH) copolymer. RESULTS: Ages of the treated patients ranged from 1 day to 18 years of age. Of the patients treated, 17 were males and 9 were females. Around 15 of the VGAMs were of the mural variety and 11 were choroidal in nature. A good outcome was seen in 22/26 (85%) of the patients. Complications were seen in total in 7/26 patients (26.92%) of which 3/26 (12%) has a fatal outcome. CONCLUSION: Endovascular embolization for VGAMs is highly efficacious and has helped create a population of VGAM survivors in this condition, which until only a few decades ago caused high mortality and morbidity.
OBJECTIVES: This retrospective study was aimed at assessing our results of endovascular management in vein of Galen aneurysmal malformation (VGAM). MATERIALS AND METHODS: This is a retrospective study of 26 patients of VGAM who underwent endovascular treatment between 1998 and 2012. All patients underwent trans-arterial embolization. Of 26 patients, 23 were treated using n-butyl cyano acrylate (Glue), while 3 out of 26 patients were treated using the ethylene vinyl alcohol (EVOH) copolymer. RESULTS: Ages of the treated patients ranged from 1 day to 18 years of age. Of the patients treated, 17 were males and 9 were females. Around 15 of the VGAMs were of the mural variety and 11 were choroidal in nature. A good outcome was seen in 22/26 (85%) of the patients. Complications were seen in total in 7/26 patients (26.92%) of which 3/26 (12%) has a fatal outcome. CONCLUSION: Endovascular embolization for VGAMs is highly efficacious and has helped create a population of VGAM survivors in this condition, which until only a few decades ago caused high mortality and morbidity.
Entities:
Keywords:
EVOH; Onyx; Vein of Galen aneurysmal malformations (VGAMs); glue; vein of Galen (VOG)
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