{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:00:27Z","timestamp":1790694027465,"version":"4.1.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,8,25]],"date-time":"2024-08-25T00:00:00Z","timestamp":1724544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Pediatric arteriovenous shunts can be challenging to embolize and the consequences of excess venous penetration disastrous. Moreover, the congenital nature of most shunts necessitates neonatal intervention whenever (medically refractory) heart failure occurs. Here, we describe current endovascular treatment strategies based on personal experience and literature review. While disparate, arteriovenous malformation, dural arteriovenous fistula (AVF), pial AVF, and vein of Galen aneurysmal malformation share unifying features such as high output heart failure and venous hypertension. This tutorial is divided into passages on Goals, Access, and Treatment which respect differences among pediatric arteriovenous shunts while maintaining a narrative economy.<\/jats:p>","DOI":"10.1177\/15910199241275710","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T02:51:30Z","timestamp":1724640690000},"page":"2252-2257","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric interventional neuroradiology: \u201cHow I do it\u201d vol. II\u2014Embolization"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2682-9736","authenticated-orcid":false,"given":"Jesse George Atherton","family":"Jones","sequence":"first","affiliation":[{"name":"University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Deveikis","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,25]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"159101992311800","article-title":"Intracranial arteriovenous shunts in infants: a decade of experience from a quaternary pediatric center","author":"Requejo F","year":"2023","unstructured":"Requejo F, Teplisky D, Gonz\u00e1lez Dutra ML, et al. Intracranial arteriovenous shunts in infants: a decade of experience from a quaternary pediatric center. Int Neuroradiol: J Peritherapeutic Neuroradiol Surg Procedures Related Neurosci 2023: 15910199231180002. doi:https:\/\/doi.org\/10.1177\/15910199231180002.","journal-title":"Int Neuroradiol: J Peritherapeutic Neuroradiol Surg Procedures Related Neurosci"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-17465-9"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2023.104843"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.37.4.392"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(18)30318-1"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brainresrev.2010.08.002"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/02688690701447420"},{"key":"e_1_3_2_9_2","first-page":"8","article-title":"Vein of Galen aneurysm malformation (VGAM): closing the management loop","volume":"97","author":"Foran A","year":"2004","unstructured":"Foran A, Donohue V, McParland P, et al. Vein of Galen aneurysm malformation (VGAM): closing the management loop. Ir Med J 2004; 97: 8\u201310. Epub 2004\/04\/02. PubMed PMID: 15055912.","journal-title":"Ir Med J"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-022-02064-1"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurad.2007.04.005"},{"issue":"5","key":"e_1_3_2_12_2","article-title":"The management of vein of Galen aneurysmal malformations","volume":"59","author":"Lasjaunias PL","year":"2006","unstructured":"Lasjaunias PL, Chng SM, Sachet M, et al. The management of vein of Galen aneurysmal malformations. Neurosurgery 2006; 59(5 Suppl 3): S184\u2013S194. discussion S3\u201313. Epub 2006\/10\/21. PubMed PMID: 17053602.","journal-title":"Neurosurgery"},{"key":"e_1_3_2_13_2","first-page":"317","article-title":"Confirmation of communication between deep venous drainage and the vein of Galen after treatment of a vein of Galen aneurysmal malformation in an infant presenting with severe pulmonary hypertension","volume":"27","author":"Gailloud P","year":"2006","unstructured":"Gailloud P, O\u2019Riordan DP, Burger I, et al. Confirmation of communication between deep venous drainage and the vein of Galen after treatment of a vein of Galen aneurysmal malformation in an infant presenting with severe pulmonary hypertension. AJNR Am J Neuroradiol 2006; 27: 317\u2013320. Epub 2006\/02\/18. PubMed PMID: 16484400; PMCID: PMC8148805.","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00698838"},{"key":"e_1_3_2_15_2","first-page":"159101992211350","article-title":"Transvenous embolization of vein of Galen aneurysmal malformations with coils as a final procedure for cure: a single-institution experience of 18 years","author":"Matsoukas S","year":"2022","unstructured":"Matsoukas S, Shigematsu T, Bazil MJ, et al. Transvenous embolization of vein of Galen aneurysmal malformations with coils as a final procedure for cure: a single-institution experience of 18 years. Int Neuroradiol: J Peritherapeutic Neuroradiol Surg Procedures Related Neurosci 2022: 15910199221135066. doi:https:\/\/doi.org\/10.1177\/15910199221135066.","journal-title":"Int Neuroradiol: J Peritherapeutic Neuroradiol Surg Procedures Related Neurosci"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2019-231549"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-013-2054-3"},{"issue":"2","key":"e_1_3_2_18_2","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1177\/15910199030090S205","article-title":"Pediatric pial AVF","volume":"9","author":"Duckwiller G","year":"2003","unstructured":"Duckwiller G. Pediatric pial AVF. Int Neuroradiol: J Peritherapeutic Neuroradiol Surg Procedures Related Neurosci 2003; 9(Suppl 2): 41\u201346.","journal-title":"Int Neuroradiol: J Peritherapeutic Neuroradiol Surg Procedures Related Neurosci"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1591019916676624"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199221082472"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1591019916676624"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011165"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-011-0860-4"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241275710","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199241275710","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241275710","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:33:06Z","timestamp":1790692386000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199241275710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,25]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/15910199241275710"],"URL":"https:\/\/doi.org\/10.1177\/15910199241275710","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,25]]}}}