Complications of Angiography in Children and Means of Prevention

Jacobsson, Bo; Curtin, Hugh D.; Rubenson, A.; Sørensen, Svend Erik

doi:10.1177/028418518002102b01

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…In such cases of EHPVT, preoperative angiography may have been helpful in anticipating potential surgical problems. However, routine use of preoperative angiography has potential morbidity in very small children (30,31).…”

Section: Discussionmentioning

confidence: 99%

Portosystemic Shunting in Children During the Era of Endoscopic Therapy: Improved Postoperative Growth Parameters

Kato,

Romero,

Koutouby

et al. 2000

J. pediatr. gastroenterol. nutr.

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Background:Surgical portosystemic shunting has been performed less frequently in recent years. In this retrospective study, recent outcomes of portosystemic shunting in children are described, to evaluate its role in the era of endoscopic therapy.Methods:Retrospective chart review of children who underwent surgical portosystemic shunt procedures between October 1994 and October 1997.Results:Twelve children (age range, 1–16 years) underwent shunting procedures. The causes of portal hypertension were extrahepatic portal vein thrombosis (n = 6), congenital hepatic fibrosis (n = 2), hepatic cirrhosis (n = 2), and other (n = 2). None of the patients were immediate candidates for liver transplantation. Types of shunt included: distal splenorenal (n = 10), portocaval (n = 1), and other (n = 1). Median follow‐up was 35 months (range, 24–48 months). All patients are currently alive and well with patent shunts. The mean hospital stay was 8 days. Three patients required readmission for further interventions because of shunt stenosis in two and small bowel obstruction in the other. Mild portosystemic encephalopathy was seen in one child with pre‐existing neurobehavioral disturbance. Excluding a patient who underwent placement of a portosystemic shunt for a complication of liver transplantation, mean weight‐for‐age z score in nine prepubertal patients improved from −1.16 SD to +0.15 SD (P = 0.023), and mean height‐for‐age z score from −1.23 SD to 0.00 SD (P = 0.048) by 2 years after surgery.Conclusions:Surgical portosystemic shunting is a safe and effective method for the management of portal hypertension in childhood. Patients show significant improvements in growth parameters after the procedure. Surgical portosystemic shunting should be actively considered in selected children with portal hypertension.

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Section: Discussionmentioning

confidence: 99%

Portosystemic Shunting in Children During the Era of Endoscopic Therapy: Improved Postoperative Growth Parameters

Kato,

Romero,

Koutouby

et al. 2000

J. pediatr. gastroenterol. nutr.

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“…If other methods suggest extrarenal tumour growth, angiography might be indicated as a preoperative investigation for demonstration of tumour extension. Improved angiographic technique provides a resonably safe method (11). When performed, it should include aortography and usually selective catheterization of individual collateral arteries, especially if outside the plexus of Turner, and selective angiography of the contralateral kidney.…”

Section: Discussionmentioning

confidence: 99%

Significance of Collateral Arterial Supply to Wilms' Tumours

Lundkvist¹,

Esscher²,

Jorulf³

et al. 1985

Acta Radiologica. Diagnosis

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The presence of collateral arterial supply was examined by angiography in 19 children with Wilms' tumour. Collateral arterial supply was related to tumour size. Ten of 14 tumours displaying collateral circulation were entirely intrarenal at operation, confirmed by histopathology. Angiography in Wilms' tumour is indicated when the results of urography, ultrasonography or computed tomography are equivocal or extrarenal tumour growth is suggested.

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“…The risk of significant arterial occlusion at the access site from arteriography in children has been reported to occur in 0.2 to 3.0% with a slightly increased risk in children younger than 5 years (4%). 26 The combination of intimal injury, thrombosis, and arterial spasm can result in acute limb ischemia or chronic hypoperfusion resulting in retarded growth and subsequent limb length discrepancy. In addition, the potential for technical difficulty and prolonged time of accomplishing super-selective arteriography and embolization in a child was a consideration.…”

Section: Fig 3 Repeat Contrast-enhanced Ct Scan Demonstrates Considmentioning

confidence: 99%

Combined Percutaneous and Angiographic Thrombosis of a Traumatic Hepatic Artery Pseudoaneurysm in a Child

Malaisrie

Borge

Glynn

et al. 2005

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Complications of Angiography in Children and Means of Prevention

Cited by 7 publications

References 23 publications

Portosystemic Shunting in Children During the Era of Endoscopic Therapy: Improved Postoperative Growth Parameters

Portosystemic Shunting in Children During the Era of Endoscopic Therapy: Improved Postoperative Growth Parameters

Significance of Collateral Arterial Supply to Wilms' Tumours

Combined Percutaneous and Angiographic Thrombosis of a Traumatic Hepatic Artery Pseudoaneurysm in a Child

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