By Dr Reza Lankarani, General Surgeon

Founder | Surgical Pioneering Newsletter and Podcast Series

Editorial Board Member | Genesis Journal of Surgery and Medicine

This video takes you inside the brain of an unborn baby, where a complex fetal procedure is underway to correct a life-threatening malformation. Fetal medicine has made tremendous strides in recent years, and this procedure is a testament to the incredible advancements in the field. The condition being treated is known as Vein of Galen, a rare congenital anomaly that requires a highly specialized neurointerventional approach. The procedure involves an in utero embolization, where a skilled fetal surgeon inserts a tiny device to block the abnormal blood flow, giving the baby a chance at a healthy life. This remarkable footage provides a unique insight into the world of maternal fetal medicine, where dedicated professionals work tirelessly to ensure the best possible outcomes for both mother and baby. From spina bifida to vascular anomalies, this video sheds light on the cutting-edge techniques used to treat a range of fetal health issues. Join us on this extraordinary journey as we explore the incredible world of fetal surgery and interventional radiology.

Vein of Galen malformation (VOGM) is a rare, life-threatening congenital cerebral arteriovenous shunt most commonly diagnosed in late gestation or the neonatal period. The advent of prenatal imaging has enabled earlier diagnosis, and recent developments in interventional radiology and fetal therapy have been introduced in utero embolization as a potential option for high-risk cases. This report provides an in-depth, paragraph-driven narrative and visual analysis of the in utero embolization procedure for fetal VOGM, detailing the relevant cerebrovascular anatomy, imaging modalities, procedural workflow, medical equipment, anesthesia protocol, and multidisciplinary care. Special attention is given to educational strategies and visual representation, aiming to facilitate a deep understanding of this pioneering prenatal intervention.

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https://lankarani.substack.com/p/procedural-analysis-of-in-utero-embolization?utm_source=youtube

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