Transvenous embolization: a report of 4 pediatric cases

被引：21

作者：

Renieri, Leonardo ^{[1
]}

Limbucci, Nicola ^{[1
]}

Consoli, Arturo ^{[1
]}

Rosi, Andrea ^{[1
]}

Nappini, Sergio ^{[1
]}

Giordano, Flavio ^{[2
]}

Genitori, Lorenzo ^{[2
]}

Mangiafico, Salvatore ^{[1
]}

机构：

[1] Careggi Univ Hosp, Intervent Neuroradiol Unit, Florence, Italy

[2] Meyer Univ, Childrens Hosp, Dept Neurosurg, Florence, Italy

来源：

JOURNAL OF NEUROSURGERY-PEDIATRICS | 2015年 / 15卷 / 04期

关键词：

brain AVM; pediatric; transvenous embolization; Onyx; vascular disorders; BRAIN ARTERIOVENOUS-MALFORMATIONS; CHILDREN CLINICAL ARTICLE; GAMMA-KNIFE SURGERY; NATURAL-HISTORY; ENDOVASCULAR TREATMENT; RISK-FACTORS; FOLLOW-UP; HEMORRHAGE; ONYX; PART;

D O I：

10.3171/2014.11.PEDS13437

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The treatment of brain arteriovenous malformations (AVMs) in children has always been a challenge for interventionalists, neurosurgeons, and radiosurgeons. Endovascular embolization is usually performed through transarterial access, but in selected cases the transvenous approach can be considered. The authors of this report aimed to evaluate the efficacy of transvenous embolization in very selected pediatric cases. They describe 4 children treated using transvenous embolization for AVMs that were small, had a single drainage vein, and were deeply located or had a difficult arterial access. The 6-month angiographic and clinical follow-ups are reported as well. In all cases, complete occlusion of the AVM was achieved with no side effects for the patient. Transvenous embolization may represent a promising alternative therapeutic option in very selected cases.

引用

页码：445 / 450

页数：6

共 31 条

[1] THE NATURAL-HISTORY OF UNRUPTURED INTRACRANIAL ARTERIOVENOUS-MALFORMATIONS [J].

BROWN, RD ;

WIEBERS, DO ;

FORBES, G ;

OFALLON, WM ;

PIEPGRAS, DG ;

MARSH, WR ;

MACIUNAS, RJ .

JOURNAL OF NEUROSURGERY, 1988, 68 (03) :352-357

[2] CEREBRAL ARTERIOVENOUS-MALFORMATIONS IN CHILDREN - CLINICAL-FEATURES AND OUTCOME OF TREATMENT IN CHILDREN AND IN ADULTS [J].

CELLI, P ;

FERRANTE, L ;

PALMA, L ;

CAVEDON, G .

SURGICAL NEUROLOGY, 1984, 22 (01) :43-49

[3] Endovascular Treatment of Deep Hemorrhagic Brain Arteriovenous Malformations with Transvenous Onyx Embolization [J].

Consoli, A. ;

Renieri, L. ;

Nappini, S. ;

Limbucci, N. ;

Mangiafico, S. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2013, 34 (09) :1805-1811

[4] Endovascular treatment of unruptured and ruptured brain arteriovenous malformations with Onyx18: a monocentric series of 84 patients [J].

Consoli, Arturo ;

Scarpini, Giulia ;

Rosi, Andrea ;

Renieri, Leonardo ;

Chiarotti, Ivano ;

Vignoli, Chiara ;

Ciampa, Iacopo ;

Nappini, Sergio ;

Limbucci, Nicola ;

Mangiafico, Salvatore .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2014, 6 (08) :600-606

[5] ARTERIOVENOUS-MALFORMATIONS OF THE BRAIN - NATURAL-HISTORY IN UNOPERATED PATIENTS [J].

CRAWFORD, PM ;

WEST, CR ;

CHADWICK, DW ;

SHAW, MDM .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1986, 49 (01) :1-10

[6] ARTERIOVENOUS MALFORMATION IN CHILDREN [J].

FONG, D ;

CHAN, ST .

CHILDS NERVOUS SYSTEM, 1988, 4 (04) :199-203

[7] ARTERIOVENOUS MALFORMATIONS OF BRAIN - LONG-TERM CLINICAL STUDY [J].

FORSTER, DMC ;

STEINER, L ;

HAKANSON, S .

JOURNAL OF NEUROSURGERY, 1972, 37 (05) :562-&

[8] Intrarater and interrater reliability of the pediatric arteriovenous malformation compactness score in children Clinical article [J].

Frisoli, Fabio A. ;

Lang, Shih-Shan ;

Vossough, Arastoo ;

Cahill, Anne Marie ;

Heuer, Gregory G. ;

Dahmoush, Hisham M. ;

Storm, Phillip B. ;

Beslow, Lauren A. .

JOURNAL OF NEUROSURGERY-PEDIATRICS, 2013, 11 (05) :547-551

[9] NATURAL-HISTORY OF ARTERIOVENOUS-MALFORMATIONS OF THE BRAIN - A CLINICAL-STUDY [J].

FULTS, D ;

KELLY, DL .

NEUROSURGERY, 1984, 15 (05) :658-662

[10] CEREBRAL ARTERIOVENOUS-MALFORMATIONS IN CHILDREN AND ADOLESCENTS [J].

GARZAMERCADO, R ;

CAVAZOS, E ;

TAMEZMONTES, D .

SURGICAL NEUROLOGY, 1987, 27 (02) :131-140

← 1 2 3 4 →