Affordable Access

Endovascular Management of Vein of Galen Aneurysmal Malformations: A Retrospective Analysis over a 15-Year Period.

Authors
  • Sivasankar, Rajeev1
  • Limaye, Uday S2
  • Wuppalapati, Siddhartha3
  • Shrivastava, Manish4
  • 1 Associate Professor, Department of Imaging and Interventional Radiology, INHS Asvini, Mumbai, India. , (India)
  • 2 Consultant Interventional Neuroradiology, Department of Imaging and Interventional Radiology, Lilavati Hospital, Mumbai, India. , (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. , (India)
Type
Published Article
Journal
Journal of vascular and interventional neurology
Publication Date
May 01, 2019
Volume
10
Issue
3
Pages
23–29
Identifiers
PMID: 31308867
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This retrospective study was aimed at assessing our results of endovascular management in vein of Galen aneurysmal malformation (VGAM). 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. 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. 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.

Report this publication

Statistics

Seen <100 times