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Titolo:
ENDOVASCULAR TREATMENT OF CEREBRAL ARTERI OVENOUS-MALFORMATIONS
Autore:
BRASSEL F; BERTRAM H;
Indirizzi:
HANNOVER MED SCH,KINDERKLIN,ABT KINDERHEILKUNDE & PADIATR KARDIOL 3,CARL NEUBERG STR 1 D-30625 HANNOVER GERMANY UNIV KLINIKUM GREIFSWALD,ABT NEURORADIOL GREIFSWALD GERMANY
Titolo Testata:
Monatsschrift fur Kinderheilkunde
fascicolo: 1, volume: 146, anno: 1998,
pagine: 38 - 43
SICI:
0026-9298(1998)146:1<38:ETOCAO>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
GER
Soggetto:
GALEN MALFORMATIONS; VASCULAR MALFORMATIONS; VEIN; MANAGEMENT; ANEURYSMS; CHILDREN; EMBOLIZATION; DIAGNOSIS; INFANTS;
Keywords:
CEREBRAL ARTERIOVENOUS MALFORMATION; VEIN OF GALEN MALFORMATION; VEIN OF GALEN ANEURYSM; EMBOLIZATION; ENDOVASCULAR TREATMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
F. Brassel e H. Bertram, "ENDOVASCULAR TREATMENT OF CEREBRAL ARTERI OVENOUS-MALFORMATIONS", Monatsschrift fur Kinderheilkunde, 146(1), 1998, pp. 38-43

Abstract

Background: Endovascular management of cerebral arteriovenous malformations has gained increasing importance in recent years. Based on our own results the potentials and limitatons of this therapeutic option are stated. Methods: 19 children with cerebral arteriovenous malformations [vein of Galen malformation (n=7), pial arteriovenous malformations (n=8), AV-fistula of the vertebral arteries (n=4)] underwent superselective transarterial endovascular management of these lesion between 3 months and 17 years of age. Results: Complete angiographic exclusionwas achieved in 7 patients. Endovascular pretreatment made subsequentneurosurgical exclusion of a pial arteriovenous malformation possiblein one additional patient. The other children profited clinically by significant shunt reduction with improvement or disappearance of theirpresenting symptoms, all but one are under ongoing endovascular treatment. A 2-year-old girl suffered from massiv intracranial hemorrhage following her first embolization therapy with permanent neurologic deficit. Two transient but no permanent neurological complications occurred in the other patients now free of therapy induced neurological deficits after a medium follow-up of 26 (7-95) months. The children treatedduring infancy develop neurologically normal and without delay. Conclusion: Burdened with a justifiable risk superselective embolization ofarterial feeders is a highly effective therapy in cerebral arteriovenous malformations and has been successfully applied even in young infants.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 04:35:56