Flow control using ScepterTM balloons for Onyx embolization of a vein of Galen aneurysmal malformation

被引：11

作者：

Pop, Raoul ^{[1
,2
]}

Manisor, Monica ^{[1
]}

Wolff, Valerie ^{[4
]}

Kehrli, Pierre ^{[3
]}

Marescaux, Christian ^{[4
]}

Beaujeux, Remy ^{[1
]}

机构：

[1] Hop Univ Strasbourg, Intervent Neuroradiol Dept, Strasbourg, France

[2] Inst Hosp Univ, Strasbourg, France

[3] Hop Univ Strasbourg, Neurosurg Dept, Strasbourg, France

[4] Hop Univ Strasbourg, Vasc Neurol Dept, Strasbourg, France

来源：

CHILDS NERVOUS SYSTEM | 2015年 / 31卷 / 01期

关键词：

Embolization; Vein of Galen malformation; Onyx;

D O I：

10.1007/s00381-014-2576-3

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We present a technical development of the endovascular treatment technique for vein of Galen aneurysmal malformation, using Onyx (TM) (ethylene vinyl alcohol copolymer) delivered under flow control through double-lumen balloon microcatheters. An 11-month-old patient that initially presented with increasing head circumference was diagnosed with mural type vein of Galen aneurysmal malformation. Complete cure was obtained in a single endovascular treatment session. Onyx was delivered simultaneously through two double-lumen balloon microcatheters (Scepter (TM), Microvention, Terumo Group). In both arterial feeders, balloon inflation occluded the high-flow arterial-venous shunting and thus facilitated the controlled propagation of the embolic product in the afferent artery and the shunt point while preventing distal migration into the venous system. Two years post-procedure, MR imaging showed persistent occlusion of arterial-venous shunts with complete regression of the venous dilatation. On clinical examination, the patient had no neurological deficits, and no cognitive impairment was detected at neuropsychological testing. The use of double-lumen balloon microcatheters for flow control during delivery of Onyx represents a viable alternative for the endovascular treatment of vein of Galen aneurysmal malformations.

引用

页码：135 / 140

页数：6

共 17 条

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