Effects of intravascular embolization operation on adult VGAD

F. Tang, L. Zhang, X. Huang, X.-W. Li, Y. Zhang, X.-W. Zhai

Department of Neurosurgery, Daqing Longnan Hospital, Daqing Heilongjiang, China. tang_feng111@163.com

---

• Neurosurgery

OBJECTIVE: To analyze the effects of intravascular embolization on adult vein of Galen aneurysmal dilatation (VGAD) patients.

PATIENTS AND METHODS: Five consecutively selected patients (median age of 56.4 years) were diagnosed with VGAD in our hospital from February 2010 to February 2015 and treated with intravascular embolization.

RESULTS: 2 cases were confirmed with malformed vessels in cerebellum, 2 cases in basal ganglia region and 1 case in brain stem; 3 cases with single branch artery blood supply and 2 cases with multiple branch artery blood supply; malformed vessel was 2.5-5.5 cm in diameter, on average 4.3 (±1.2) cm; 3 cases were dominated by intracranial hemorrhage, 1 case by a headache and 1 case by seizure; GCS scores ranged from 8-12, on average 10.5 (±1.6); intraoperative blood loss ranged from 20-80 ml, on average (55.8±15.9) ml; 1 case died after operation, 1 case was disabled, and the remainder were normal.

CONCLUSIONS: Intravascular embolization was safe and effective for adult VGAD patients.

Free PDF Download