Rapid cardiac ventricular pacing to facilitate embolization of vein of Galen malformations: technical note

Aaron Hockley; Michael K Tso; Mohammed A Almekhlafi; Abhay K Lodha; Robin Clegg; Jeremy Luntley; Muneer Eesa; John H Wong

doi:10.3171/2018.7.PEDS1852

Rapid cardiac ventricular pacing to facilitate embolization of vein of Galen malformations: technical note

J Neurosurg Pediatr. 2018 Oct 5;23(1):86-91. doi: 10.3171/2018.7.PEDS1852.

Authors

Aaron Hockley¹, Michael K Tso¹, Mohammed A Almekhlafi², Abhay K Lodha³, Robin Clegg⁴, Jeremy Luntley⁵, Muneer Eesa⁶, John H Wong^{1

6}

Affiliations

¹ 1Division of Neurosurgery, Department of Clinical Neurosciences, University of Calgary.
² 2Division of Neurology, Department of Clinical Neurosciences, University of Calgary.
³ 3Division of Neonatology, Department of Paediatrics, University of Calgary.
⁴ 4Division of Pediatric Cardiology, Department of Pediatrics and Libin Cardiovascular Institute of Alberta, University of Calgary.
⁵ 5Division of Pediatric Anesthesia, Department of Anesthesia, and Division of Critical Care, Department of Pediatrics, University of Calgary; and.
⁶ 6Department of Radiology, University of Calgary, Alberta, Canada.

PMID: 30485233
DOI: 10.3171/2018.7.PEDS1852

Abstract

In BriefBabies born with life-threatening brain blood-vessel malformations can be helped with new heart pacemaker technology to temporarily stop the flow of blood in their bodies during surgery, for inducing hypotension to aid in controlled embolization.

Keywords: AVM = arteriovenous malformation; MAP = mean arterial pressure; NICU = neonatal intensive care unit; RVOT = right ventricle outflow tract; VGAM = vein of Galen aneurysmal malformation; embolization; n-BCA = n-butyl cyanoacrylate; surgical technique; vascular disorders; vascular malformation; vein of Galen aneurysmal malformation; ventricular pacing.

Publication types

Case Reports

MeSH terms

Cardiac Pacing, Artificial / methods*
Central Nervous System Vascular Malformations / therapy
Cyanoacrylates / adverse effects
Cyanoacrylates / therapeutic use
Embolization, Therapeutic / adverse effects
Embolization, Therapeutic / methods*
Fatal Outcome
Heart Ventricles
Humans
Hypotension, Controlled / methods
Infant, Newborn
Male
Pacemaker, Artificial
Retrospective Studies
Stents
Vein of Galen Malformations / diagnostic imaging
Vein of Galen Malformations / therapy*
Ventricular Fibrillation / etiology

Substances

Cyanoacrylates