OBJECTIVE: This investigation was performed to evaluate the specific procedural issues and indications of a surgically assisted Doppler-guided endovascular transfalcine venous approach for the treatment of vein of @entity439 (VGAM) in critically ill neonates. @entity1 AND METHODS: Two neonates out of a clinical series of 15 @entity1 (8 males and 7 females) with @entity11893 were treated by our neurovascular team, using a combined surgically assisted endovascular transfalcine approach. In the biplanar angiography room a radiographically guided craniotomy (1.5 cm) was placed over the cranial projection of the falciforme @entity50 . After craniotomy the orthograd flow of the falciforme @entity50 was identified by Doppler ultrasonography. The @entity50 was punctured by an i. v. cannula with injection port and was sutured to the skin. A microcatheter was maneuvered over a guide into the @entity600 under fluoroscopic control. For embolization Guglielmi electrolytically detachable @entity902 coils were placed into the @entity600 as an embolic agent. Neurological examination records, available MR images, computed tomographic scans, pre- and postembolization angiograms and follow-up data were analyzed. RESULTS: In both individuals the @entity600 was classified as VGAM. The follow-up was 6 and 7 months, respectively. No technique associated morbidity or mortality occurred in the present series. At discharge both selected neonates were in stable condition and the flow in the VGAMs could be significantly reduced by a combination of approaches including the venous transfalcine approach. Meanwhile, 6 months after birth one neonate died due to a deterioration of the @entity120 . CONCLUSIONS: Endovascular treatment is presently the most efficient strategy to allow neonates and @entity1 survive the early manifestation of @entity11893 and probably render a normal neurological development. Consequently, a combination of approaches in selected cases including the Doppler guided venous transfalcine route should be regarded as a preferential treatment modality, especially in @entity1 with @entity455 and @entity1211 .

The Doppler-guided transfalcine venous approach in selected cases of XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'PATIENTS', 'infants'] @entity455 :: ('MESH:D014652', 'Disease') :: ['arterial vasospasms'] @entity902 :: ('MESH:D010984', 'Chemical') :: ['platinum'] @entity120 :: ('MESH:D006976', 'Disease') :: ['pulmonary hypertension'] @entity600 :: ('MESH:D000014', 'Disease') :: ['malformation'] @entity11893 :: ('MESH:D054080', 'Disease') :: ['vein of Galen malformations'] @entity439 :: ('MESH:D000783', 'Disease') :: ['Galen aneurysmal malformations'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['venous stenosis'] @entity50 :: ('MESH:D012851', 'Disease') :: ['sinus']
@entity11893 :: (MESH:D054080,Disease) :: ['vein of Galen malformations']
