Embolization of cerebral arteriovenous shunts in infants weighing less than 5 kg.

Détails

ID Serval
serval:BIB_3A499BDBA0C2
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Embolization of cerebral arteriovenous shunts in infants weighing less than 5 kg.
Périodique
Journal of neurosurgery. Pediatrics
Auteur(s)
Puccinelli F., Tran Dong MNTK, Iacobucci M., Mazoit J.X., Durand P., Tissieres P., Saliou G.
ISSN
1933-0715 (Electronic)
ISSN-L
1933-0707
Statut éditorial
Publié
Date de publication
22/02/2019
Peer-reviewed
Oui
Pages
1-9
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Résumé
OBJECTIVEEndovascular treatment in children, especially neonates, can be more challenging than analogous procedures in adults. This study aimed to describe the clinical and radiological findings, type and timing of endovascular treatment, and early outcomes in children who present with neurovascular malformations, who are treated with embolization, and who weigh less than 5 kg.METHODSThe authors carried out a retrospective review of all consecutively treated children weighing less than 5 kg with neurovascular arteriovenous malformations (AVMs) at a single institution over a 10-year period.RESULTSFifty-two patients were included in the study. Thirty-eight had a vein of Galen aneurysmal malformation, 3 a pial AVM, 6 a pial arteriovenous fistula, and 5 a dural sinus malformation. The endovascular treatment goals were control of cardiac failure or hydrocephalus in cases of nonhemorrhagic malformations or to prevent new bleeding in cases of previous hemorrhage. A hemorrhagic complication occurred in 12 procedures and an ischemic complication in 2. Both complication types were correlated with the age of the infant (age cutoff at 3 months) (p = of 0.015 and 0.049, respectively). No correlation was found with the weight of the infant or the duration of the procedure.CONCLUSIONSThe embolization of AVMs in these patients prevented adverse cardiac effects, hydrovenous disorders, and rebleeding. The risk of major cerebral complications seems mainly correlated with age, with a threshold at 3 months. A multidisciplinary team involved in the treatment of these children may help to improve treatment success and management.
Mots-clé
AVF = arteriovenous fistula, AVM = arteriovenous malformation, DSM = dural sinus malformation, ICA = internal carotid artery, KOSCHI = King’s Outcome Scale for Childhood Head Injury, VGAM = vein of Galen aneurysmal malformation, cerebral AVM, children, embolization, endovascular treatment, neurovascular disease, newborn, vascular disorders
Pubmed
Web of science
Création de la notice
31/03/2019 16:42
Dernière modification de la notice
20/08/2019 14:29
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