A baby was operated on in DRKB using a special technique
It should be noted that the X-ray endovascular closure of the pathological vessel was performed for the first time in the Republic of Tatarstan. The master class was also attended by doctors of the department Marat Bikmullin, Radis Garayev, and a neuroradiologist from the Interregional Clinical Diagnostic Center in Kazan Mikhail Vladyukhin.
This congenital anomaly of the cerebral vessels is a relatively rare and complex defect, says Aydar Khamidullin, head of the Endovascular Diagnostics and Treatment Department of the DRKB.
The bottom line is this: the patient has an arteriovenous shunt (an abnormal connection between an artery and a vein) in the Galen vein's projection. This anomaly leads to the expansion of the Galen vein, which leads to the blockage of the pathway for the outflow of cerebrospinal fluid from the ventricular system of the brain in the area of the cerebral aqueduct. Endovascular "shutdown" of the arteriovenous shunt was the primary task for the doctors.
The vessel that forms the aneurysm (vasodilation) was successfully closed using the endovascular method using a special glue. The aneurysm has shrunk and disappeared, and our little patient is already preparing for a discharge.
According to statistics, children with a similar developmental anomaly are rare in the RT: one child per two years. Therefore, as a rule, Moscow and Novosibirsk's federal centers are involved in performing such surgical interventions.
It is also noteworthy that the neuroradiologist, Vitaly Kiselyov, MD, is a "guest performer" in the best sense of the word. Over the past five years, he has performed more than 2500 operations on patients with vascular pathology of the brain and spinal cord, of which about 300 operations on children with various vascular malformations. He conducts field surgical interventions (master classes) and is a mentor in training