Pediatric Neuroradiological Interventions

Cerebral Angiography

Brain angiography can be performed on infants of all ages, including the newborns. In Liv Hospital Neuroradiology Clinic, the procedure is performed under general anesthesia so that the patient does not have pain and is under anesthesia control during the procedure. A very thin catheter is introduced through the inguinal artery and a contrast agent (medical dye) is given at a dose appropriate for the age of the child to examine brain and neck veins.



It is very important that the procedure is performed by a neuroradiologist specializing in pediatric interventions at an experienced and well-equipped medical center. This procedure may be required in the case of congenital cerebrovascular diseases, accidents, injuries and brain hemorrhage in children.
 

Endovascular Treatment of Vein of Galen Aneurysmal Malformation

Vein of Galen aneurysmal malformation is a condition that is diagnosed in the womb or immediately after birth. The infant has one or more life-threatening fast flowing fistulas in the brain (direct connection of arteries to a large midline vein). Under general anesthesia, by introducing a catheter through inguinal artery, such short circuits should be closed by angiographic method under emergency conditions, in several sessions if necessary. In Liv Hospital Neuroradiology Clinic, this procedure is carried out by a team of qualified and experienced experts.
 

Treatment of Pediatric Cerebral Aneurysm, Arteriovenous Malformation and Fistulas

There may be a bubble, a ball of veins or an arterial or venous short circuit (fistula) in infants and children too. These are usually conditions that are life threatening or have the potential to cause a child to become permanently disabled. Since open operations can be very risky in certain cases, closed (intravenous treatment) is preferred in Liv Hospital Neuroradiology Clinic. The procedure is performed under general anesthesia at angiography unit. A catheter is introduced through inguinal artery to reach the relevant vein region in the brain and the condition is treated with an appropriate filling material or a drying agent. Such interventions can only be performed by experienced teams in medical centers fully equipped and experienced in pediatric interventions.
 

Intraarterial Chemotherapy in Retinoblastoma

Retinoblastoma is an eye tumor common in infants and toddlers. Until recently, children with this disease were treated by removing the affected eye, systemic chemotherapy, radiotherapy and local treatments, however, in recent years, the method of direct injection of chemotherapy agent into ocular artery (intraarterial chemotherapy) has been developed. At Liv Hospital Neurosurgery Clinic, under general anesthesia, a catheter is introduced through inguinal artery by brain angiography. Thin and specific catheters are first placed in the carotid vein on the relevant side and then into the corresponding ocular artery. A suitable dose of chemotherapy agent is injected from there into the ocular artery. Then the child is monitored for a day and then discharged to home. The number of teams experienced in this area is extremely low, equipment and experience are required.