Vein of Galen malformations (VOGMs) are rare and complex congenital vascular anomalies that can lead to severe morbidity and mortality. Management predominantly focuses on postnatal endovascular interventions. However, these may not be feasible for fetuses with hemodynamic instability and high-output cardiac failure and may fail to prevent irreversible brain damage induced by prolonged compression by the venous varix, hemodynamic alterations and resultant potential ischemic injury.
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
January 2025
Objective: To identify barriers and facilitators to implementing shared decision making (SDM) in pediatric otolaryngology.
Study Design: A qualitative study.
Setting: Semistructured interviews of pediatric otolaryngologists.