Pediatric interventional neuroradiology is a rewarding but demanding specialty. It cannot be classified as a miniaturized technical procedure simply because it deals with small vessels in small patients but remains a field requiring specific knowledge combining clinical, anatomical, physiologic, and technical features. Complications that occur remain terrible experiences in this population whose patients have not personally requested to be treated for their vascular malformations. The aim of this article is to evoke the various possible groups of complications that may occur during a pediatric endovascular procedure in order to make physicians aware of these problems and help them to avoid them.
FriedlaenderGEFriedlaenderLK.Edvard Munch and the Scream: a cry for help.Clin Orthop Relat Res2018,
476: 200–202.
2.
BiondiALe JeanLCapelleL, et al.
Fatal hemorrhagic complication following endovascular treatment of a cerebral arteriovenous malformation. Case report and review of the literature.J Neuroradiol2006;
33: 96–104.
3.
JayaramanMVMarcellusMLHamiltonS, et al.
Neurologic complications of arteriovenous malformation embolization using liquid embolic agents.AJNR2008;
29: 242–246.
4.
Van BeijnumJvan der WorpHBBuisRD, et al.
Treatment of brain arteriovenous malformations: a systemic review and meta-analysis.JAMA2011;
306: 2011–2019.
5.
LvXWuZJiangC, et al.
Complication risk of endovascular embolization for cerebral arteriovenous malformation.Eur J Radiol2011;
80: 776–779.
6.
PierotLCognardCHerbreteauD, et al.
Endovascular treatment of brain arteriovenous malformations using a liquid embolic agent: results of a prospective, multicenter study (BRAVO). Eur Radiol2013;
23: 2838–2845.
7.
GabrieliJClarençonFDi MariaF, et al.
Fatal rupture of a brain arteriovenous malformation flow related aneurysm during microcatheter removal: a rare complication.J Neurosurg2015;
122: 929–932.
8.
ParsaeeMSaediSEmamiS, et al.
Detection of a rare complication of endovascular treatment for brain arteriovenous malformation with echocardiography.World Neurosurg2017;
98: 869.e13–869.e15.
9.
IkedaHImamuraHAgawaY, et al.
Onyx extravasation during embolization of a brain arteriovenous malformation.Interv Neuroradiol2017;
23: 200–205.
10.
KimJLeeJBChoTB, et al.
Incidental occlusion of anterior spinal artery due to Onyx reflux in embolization of spinal type II arteriovenous malformation.Eur Spine J2017; Suppl 1: 75–79.
11.
VilaltaJArikanFTorneR, et al.
Causes of hospital mortality due to brain hemorrhage in patients with arteriovenous malformation. Rev Neurol2017;
64: 538–542.
12.
StraussJFrolovVBuchbutD, et al.
Critical appraisal of endovascular treatment of brain arteriovenous malformation using Onyx in a series of 92 consecutive patients.Acta Neurochir (Wien)2013;
155: 611–617.
13.
MurakamiMFujiwaraGMaruyamaD, et al. Migration of lipiodol into lateral ventricles after embolization of cerebral arteriovenous malformation: a case report. Br J Neurosurg 2019; 31: 1–4.
14.
LasjauniasPTerBruggeKBerensteinA.Surgical neuroangiography. vol. 3: clinical and interventional aspects in children. 2nd ed.Berlin, Germany:
Springer-Verlag, 2006.
15.
WilliamsH.The venous hypothesis of hydrocephalus.Med Hypotheses2008;
70: 743–747.
MichelPFinetPGoffetteP, et al.
Bilateral fornical columns infarction secondary to an arteriovenous malformation embolization.World Neurosurg2020;
135: 113–117.
18.
ReynoldsMRAriasEJChatterjeeAR, et al.
Acute rupture of a feeding artery aneurysm after embolization of a brain arteriovenous malformation.Interv Neuroradiol2015; 21: 613–619.
19.
NocuriASzajnerMObszanskaK, et al.
Changes of brain perfusion after endovascular embolization of intracranial arteriovenous malformations visualized by 99mTC-ECD SPECT.Nucl Med Commun2008;
29:1073–1080.
20.
D’AlibertiGTalamontiGPiparoM, et al.
Venous flow rearrangement after treatment of cerebral arteriovenous malformations: a novel approach to evaluate the risks of treatment.World Neurosurg2014;
82: 160–169.
21.
OrlovKPanarinVKrivoshapkinA, et al.
Assessment of periprocedural hemodynamic changes in arteriovenous malformation vessels by endovascular dual-sensor guidewire.Interv Neuroradiol2015;
21: 101–107.
22.
LinNSmithERScottRM, et al.
Safety of neuroangiography and embolization in children: complication analysis of 697 consecutive procedures in 394 patients.J Neurosurg Pediatr2015;
16: 432–438.
23.
Van EssenMJHanKSLoRTH, et al.
Functional and educational outcomes after treatment for intracranial arteriovenous malformations in children.Acta Neurochir (Wien)2018;
160: 2199–2205.
24.
AsadiHKokHKLoobyS, et al.
Outcomes and complications after endovascular treatment of brain arteriovenous malformations: a prognostication attempt using artificial intelligence.World Neurosurg2016;
96: 562–569.
