Transfemoral venous embolization of vein of galen malformations

C. F. Dowd, V. V. Halbach, S. L. Barnwell, R. T. Higashida, M. S B Edwards, G. B. Hieshima

Research output: Contribution to journalArticle

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Abstract

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

Original languageEnglish (US)
Pages (from-to)643-648
Number of pages6
JournalAmerican Journal of Neuroradiology
Volume11
Issue number4
StatePublished - 1990
Externally publishedYes

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Vein of Galen Malformations
Cerebral Veins
Catheterization
Catheters
Arteries
Heart Failure

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Dowd, C. F., Halbach, V. V., Barnwell, S. L., Higashida, R. T., Edwards, M. S. B., & Hieshima, G. B. (1990). Transfemoral venous embolization of vein of galen malformations. American Journal of Neuroradiology, 11(4), 643-648.

Transfemoral venous embolization of vein of galen malformations. / Dowd, C. F.; Halbach, V. V.; Barnwell, S. L.; Higashida, R. T.; Edwards, M. S B; Hieshima, G. B.

In: American Journal of Neuroradiology, Vol. 11, No. 4, 1990, p. 643-648.

Research output: Contribution to journalArticle

Dowd, CF, Halbach, VV, Barnwell, SL, Higashida, RT, Edwards, MSB & Hieshima, GB 1990, 'Transfemoral venous embolization of vein of galen malformations', American Journal of Neuroradiology, vol. 11, no. 4, pp. 643-648.
Dowd CF, Halbach VV, Barnwell SL, Higashida RT, Edwards MSB, Hieshima GB. Transfemoral venous embolization of vein of galen malformations. American Journal of Neuroradiology. 1990;11(4):643-648.
Dowd, C. F. ; Halbach, V. V. ; Barnwell, S. L. ; Higashida, R. T. ; Edwards, M. S B ; Hieshima, G. B. / Transfemoral venous embolization of vein of galen malformations. In: American Journal of Neuroradiology. 1990 ; Vol. 11, No. 4. pp. 643-648.
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