Komiyama M, Honnda Y, Matsusaka Y, Morikawa T, Kitano S, Sakamoto H
Department of Neurosurgery, Osaka City General Hospital; Osaka -
Interv Neuroradiol. 2004 Mar 30;10 Suppl 1(Suppl 1):39-42. doi: 10.1177/15910199040100S104. Epub 2008 Jun 9.
Cerebral diagnostic and therapeutic angiography for neonatal arteriovenous fistulas is reported. Three neonatal boys with vein of Galen aneurysmal malformation (1 patient) and dural arteriovenous fistulas (2 patients) presented severe congestive heart failure soon after birth, and were treated by transarterial and/or transvenous embolization using various access routes. In the neonatal period, umbilical approach and direct cervical approach provide unique access routes in addition to the usual transfemoral route. Characteristics of neonatal angiography are discussed.
报道了新生儿动静脉瘘的脑诊断性和治疗性血管造影。三名患有大脑大静脉瘤样畸形(1例)和硬脑膜动静脉瘘(2例)的男婴在出生后不久出现严重充血性心力衰竭,并通过经动脉和/或经静脉栓塞术,采用多种入路进行治疗。在新生儿期,除了常用的经股动脉入路外,脐部入路和直接颈部入路提供了独特的入路途径。讨论了新生儿血管造影的特点。