Transumbilical @entity1416 of a large @entity2457 in a low-birth-weight neonate with XXXX .

@entity1 @entity712 @entity1353 @entity1416 @entity2457 @entity2548 @entity50
PURPOSE: The purpose of this study was to report transumbilical @entity1416 of a large @entity2457 ( @entity2548 ) in a low-birth-weight neonate with @entity712 ( @entity712 ). CASE PRESENTATION: A female neonate was delivered by cesarean section at 31  weeks of gestation. Her birth weight was 1538  g and Apgar scores were 6 at both 1 and 5  min. Because of @entity1353 and retracted respiration immediately after birth, she required mechanical ventilation. Ultrasound revealed right cardiac overload and a large cystic mass at the posterior brain. Magnetic resonance imaging on day 1 showed a large dural @entity2548 ( @entity50 with arteriovenous (AV) shunts) at the torcular herophili. Umbilical artery and vein catheterization were performed on the same day for neurointervention. @entity712 prompted emergency embolization on day 8. The transfemoral arterial route could not be used because of its small size and compromised femoral artery blood flow. Transumbilical @entity1416 shrank the AV shunts markedly, resulting in clinical improvement, thus requiring no further intervention. Follow-up angiography at 4  months confirmed no residual @entity2548 . Her growth and development were normal at the last follow-up at age 4  years. CONCLUSION: This @entity1 apparently was the lowest birth weight neonate with a large @entity2548 successfully treated by embolization, which is usually performed through the transfemoral arterial route. The transumbilical arterial route is an alternative for neonates with birth weight <2000  g and very small femoral arteries.
