The use of adenosine in the treatment of a high-flow vein of Galen malformation in an adult.

Journal Article (Journal Article)

The treatment of high-flow vein of Galen aneurysmal malformations (VGAM) remains a therapeutic challenge for the neurosurgeon and the neurointerventionalist, as it is associated with high morbidity and mortality rates despite recent advances in open cranial surgery and interventional neuroradiology. A 37-year-old patient presented with a history of non-specific headaches. He had a history of heart failure since birth that was caused by an untreated VGAM. Intravenous boluses of adenosine were injected as an attempt to slow down the arteriovenous shunting of a VGAM prior to endovascular treatment. Adenosine can be a very useful adjunct in patients with extremely high arteriovenous shunting. n-butyl cyanoacrylate (n-BCA) should be the embolic material of choice due to its quick polymerization and adhesive properties.

Full Text

Duke Authors

Cited Authors

  • Tsimpas, A; Chalouhi, N; Halevy, JD; Tjoumakaris, S; Gonzalez, LF; Monteith, SJ; Dumont, AS; Rosenwasser, R; Jabbour, P

Published Date

  • July 2014

Published In

Volume / Issue

  • 21 / 7

Start / End Page

  • 1259 - 1261

PubMed ID

  • 24491583

Electronic International Standard Serial Number (EISSN)

  • 1532-2653

Digital Object Identifier (DOI)

  • 10.1016/j.jocn.2013.11.014


  • eng

Conference Location

  • Scotland