ENDOVASCULAR APPROACH IN GALEN VEIN ANEURYSM: OUR SIX-YEAR EXPERIENCE AND REVIEW OF THE CURRENT LITERATURE
Journal Title: Kocatepe Medical Journal - Year 2023, Vol 24, Issue 2
Abstract
OBJECTIVE: To examine the mortality and morbidity results of patients who were followed up in our center for the 6 years period and diagnosed with Galen vein aneurysmal malformation (GVAM) and to compare them with current literature. MATERIAL AND METHODS: The data of 6 GVAM patients treated with the endovascular procedure in our hospital between 01.01.2014 - 01.01.2020 were retrospectively evaluated. Clinical data and demographic information of the patients were obtained from medical records. RESULTS: Transarterial embolization was applied to all 6 patients who were followed up during this period. Four of the patients were male (67%) and 2 were female (33%). When evaluated in terms of age at diagnosis, all 6 patients were diagnosed in antenatal or neonatal period. Mortality rate was 17% in our limited number of case series. Hydrocephalus was detected in 4 cases (67%). In one of our patients who underwent embolization, bleeding occurred during embolization and in one patient thrombosis occurred in the femoral artery after the procedure. CONCLUSIONS: Our study revealed data consistent with the results of similar studies evaluating cases with GVAM diagnosed in the antenatal and neonatal periods. Although we could not assess this in our study, it is obvious that long-term neurocognitive clinical outcomes, which have also come to the fore in recent studies, need to be improved.Currently, there is a need for a standard approach and treatment protocols in patients with venous aneurysm.
Authors and Affiliations
Mehmet TEKİN Musa SİLAHLI Zeynel GÖKMEN Çağrı KESİM
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- EP ID EP722635
- DOI https://doi.org/10.18229/kocatepetip.1022718
- Views 50
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