Introduction Vein of Galen aneurysmal malformation (VGAM) is a very rare type of arteriovenous malformations. In the treatment of VGAM, endovascular embolization is the preffered treatment method. Transarterial approached embolization of the malformation is mainly performed procedure by glue or/and coills. Our following Case report in neonate shows succesful use of PHILL and coills combination for occluding the fistula
Aim of Study Occl;ude the fistula by glue and coills
Methods A five-month-old boy was admitted to hospital presenting with seizures, developmental delay and hydrocephalus. Cardiovascular symptoms were not presented. digital subtractial angiography was performed and it shows VGAM The endovascular treatment was planned immediately. Patient was under general anaesthesia. Right feromal artery was punctured by 5F intraducer.5f Chaperon catheter(microvention) was standed in left ICA. Angiography was performed. VGAM was receiving main feeding from PcomA.
A microcatheter headway(microvention) was navigated through a wire (Traxcess 0.014, Microvention) and positioned in posterior communicating artery branch of the shunt. The arterial branch was coiled by coills (Axium, Medtronic). Afterward, A microcatheter apollo (EV3) was navigated through a wire mirage(medtronic) and positioned in posterior communicating artery branch of the shunt. followed by injection of 2 mL of Phill. Glue migration was not noted in venous drainage.
Results Our result shows that adjuvant coils for flow control with glue embolization was an effective method for treatment of VGAM patient.
Conclusion Our case shows succesful use of PHILL and coills combination for occluding the fistula
Disclosure of Interest Nothing to disclose
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