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Case Reports
. 2006 Jan;22(1):13-7.
doi: 10.1007/s00381-005-1237-y. Epub 2005 Sep 27.

Limitations and technical considerations of endovascular treatment in neonates with high-flow arteriovenous shunts presenting with congestive heart failure: report of two cases

Shinichi Nakano  1 , Ronit Agid, Paula Klurfan, Marlise Peruzzo dos Santos Souza, Derek Armstrong, Karel G Terbrugge
Affiliations
Case Reports

Limitations and technical considerations of endovascular treatment in neonates with high-flow arteriovenous shunts presenting with congestive heart failure: report of two cases

Shinichi Nakano et al. Childs Nerv Syst. 2006 Jan.

Abstract

Case report: We report two neonatal patients with high-flow intracranial or cervical arteriovenous (AV) shunts who presented with congestive heart failure and were successfully managed with endovascular treatment. One with vein of Galen malformation with body weight of only 2.0 kg is, to our knowledge, the smallest neonate successfully treated with endovascular treatment. The other neonate is, to our knowledge, the first vertebro-vertebral fistula patient presenting with heart failure and treated successfully with endovascular treatment.

Conclusion: Even in neonates, endovascular treatment is the procedure of choice for high-flow AV shunts presenting with progressive congestive heart failure resistant to medical management. We discuss limitations and technical considerations of endovascular treatments in small neonates with high-flow AV shunts and congestive heart failure.

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