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Related Experiment Video

Updated: Jun 10, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Interventional neuroangiography in neonates.

M Komiyama1, H Nakajima, M Nishikawa

  • 1Department of Neurosurgery; Osaka City General Hospital; Osaka, Japan. komiyama@japan-mail.com.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
|July 31, 2010
PubMed
Summary

This study reports on two neonates with vein of Galen aneurysmal malformation or dural sinus malformation. Neonatal interventional neuroangiography requires careful management of physiological parameters and equipment for successful treatment.

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Area of Science:

  • Neurology
  • Pediatrics
  • Interventional Radiology

Background:

  • Congenital dural arteriovenous fistulas at the torcular herophili are rare vascular malformations.
  • Vein of Galen aneurysmal malformation presents significant challenges in neonatal management.
  • Neonatal neuroangiography requires specialized techniques and equipment.

Purpose of the Study:

  • To report on two neonates with complex cerebral vascular malformations.
  • To highlight critical considerations for neonatal interventional neuroangiography.
  • To describe the utility of the transumbilical venous approach for cerebral interventions.

Main Methods:

  • Case report of two neonates with vein of Galen aneurysmal malformation and dural sinus malformation.
  • Utilized transumbilical venous access and transcardiac approach through the foramen ovale.

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Last Updated: Jun 10, 2026

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  • Performed interventional neuroangiography with meticulous attention to physiological parameters.

    • Main Results:

    • Successful neuroangiographic intervention was achieved in both neonates.
    • Demonstrated the feasibility of transarterial intervention from the venous side via the umbilical approach.
    • Highlighted the importance of managing body temperature, contrast, fluids, heparin, and equipment.

    Conclusions:

    • The umbilical approach offers unique access for neonatal cerebral circulation interventions.
    • Careful management of physiological parameters and angio-equipment is crucial for neonatal neuroangiography.
    • Transumbilical venous access facilitates complex interventions for congenital vascular malformations in neonates.