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Prenatal Diagnosis of Vein of Galen Aneurysmal Malformation Allows Early Transumbilical Endovascular Treatment

Demartini Jr, Zeferino; Koppe, Gelson Luis; Gatto, Luana A M; Sarquis, Ana Lucia; Francisco, Alexandre N; Cardoso Demartini, Adriane.
Arq. bras. neurocir ; 39(3): 213-216, 15/09/2020.
Artigo em Inglês | LILACS | ID: biblio-1362418
Neonates with vein of Galen aneurysmal malformation (VGAM) presenting with severe cardiac failure and pulmonary hypertension represent a challenge for endovascular therapy.When early treatment is required, the small femoral arteries in this population are usually difficult to cannulate. Alternatively, the umbilical vessels offer a natural pathway to reach the lesion. Therefore, prenatal diagnosis of VGAM allows for delivery planning, perinatal management, and embolization through umbilical approach, thus leading to better outcomes.
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