Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer

The endovascular approach is the standard treatment of vein of Galen malformations (VOGMs,) however the morbidity and mortality rates of VOGMs treated by embolization are still significant. Embolization with ethylene vinyl alcohol copolymer (EVOH) by a dual-lumen balloon (DLB) is a promising. In the...

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Autores principales:	Luís Henrique de Castro-Afonso, Daniel Giansante Abud
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2021
Materias:	vein of galen malformation embolization dual-lumen balloons Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/efd679bf4fbc415b9dbf3d2c9ac19455
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spelling	oai:doaj.org-article:efd679bf4fbc415b9dbf3d2c9ac194552021-11-23T21:46:36ZCurative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer2675-362610.46900/apn.v3i2(May-August).82https://doaj.org/article/efd679bf4fbc415b9dbf3d2c9ac194552021-03-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/82https://doaj.org/toc/2675-3626The endovascular approach is the standard treatment of vein of Galen malformations (VOGMs,) however the morbidity and mortality rates of VOGMs treated by embolization are still significant. Embolization with ethylene vinyl alcohol copolymer (EVOH) by a dual-lumen balloon (DLB) is a promising. In the present case we demonstrated two strategies of transarterial (TA) embolization of a mural type VOGM presenting with two direct shunts. The first shunt was embolized using coils to reduce the flow through the shunt, following by an EVOH injection which resulted in the complete occlusion of that shunt. The second shunt was embolized also with EVOH but through a DLB. In the second embolization a very precise cast of EVOH could be created resulting in a complete occlusion of the VOGM. This case demonstrated the advantages of DLB compared to other embolization techniquesLuís Henrique de Castro-AfonsoDaniel Giansante AbudBrazilian Society for Pediatric Neurosurgeryarticlevein of galen malformationembolizationdual-lumen balloonsPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 3, Iss 2(May-August), Pp e822021-e822021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	vein of galen malformation embolization dual-lumen balloons Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	vein of galen malformation embolization dual-lumen balloons Pediatrics RJ1-570 Surgery RD1-811 Luís Henrique de Castro-Afonso Daniel Giansante Abud Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer
description	The endovascular approach is the standard treatment of vein of Galen malformations (VOGMs,) however the morbidity and mortality rates of VOGMs treated by embolization are still significant. Embolization with ethylene vinyl alcohol copolymer (EVOH) by a dual-lumen balloon (DLB) is a promising. In the present case we demonstrated two strategies of transarterial (TA) embolization of a mural type VOGM presenting with two direct shunts. The first shunt was embolized using coils to reduce the flow through the shunt, following by an EVOH injection which resulted in the complete occlusion of that shunt. The second shunt was embolized also with EVOH but through a DLB. In the second embolization a very precise cast of EVOH could be created resulting in a complete occlusion of the VOGM. This case demonstrated the advantages of DLB compared to other embolization techniques
format	article
author	Luís Henrique de Castro-Afonso Daniel Giansante Abud
author_facet	Luís Henrique de Castro-Afonso Daniel Giansante Abud
author_sort	Luís Henrique de Castro-Afonso
title	Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer
title_short	Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer
title_full	Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer
title_fullStr	Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer
title_full_unstemmed	Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer
title_sort	curative embolization of a vein of galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2021
url	https://doaj.org/article/efd679bf4fbc415b9dbf3d2c9ac19455
work_keys_str_mv	AT luishenriquedecastroafonso curativeembolizationofaveinofgalenmalformationwithaduallumenballoonandethylenevinylalcoholcopolymer AT danielgiansanteabud curativeembolizationofaveinofgalenmalformationwithaduallumenballoonandethylenevinylalcoholcopolymer
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Curative embolization of a vein of Galen malformation with a dual-lumen balloon and ethylene vinyl alcohol copolymer

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