Radiation Exposure in Pediatric Interventional Procedures

Ploussi, Agapi; Brountzos, Elias; Rammos, Spyridon; Apostolopoulou, Sotiria C.; Efstathopoulos, Efstathios

doi:10.1007/s00270-020-02752-7

Cited by 13 publications

(5 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Radiation exposure is an important concern in the pediatric population [25][26][27], as children have a significantly higher risk of radiation-induced malignancies than adults [28,29]. However, the authors endeavored to minimize radiation exposure according to ALARA ("as low as reasonably achievable") concepts when performing TAE [30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Blunt Trauma in Children: Efficacy and Safety of Transarterial Embolization, 10-Year Experiences in a Single Trauma Center

Ko,

Kwon,

Kim

et al. 2023

Diagnostics

View full text Add to dashboard Cite

Background: Transcatheter arterial embolization (TAE) is an established approach for controlling hemorrhage in adults with acute abdominal and pelvic trauma. However, its application in pediatric trauma is not well established. This study aimed to evaluate the safety and effectiveness of TAE in a population of pediatric patients with blunt trauma. Methods: This retrospective study was conducted in pediatric patients (<18 years) who underwent TAE for blunt trauma between February 2014 and July 2022. The patients were categorized into subgroups based on age and body weight. Patient demographics, injury severity, transfusion requirements, and clinical outcomes were analyzed. Results: Exactly 73 patients underwent TAE. Technical success was achieved in all patients (100%), and clinical success was achieved in 83.6%. The mortality and complication rates were 4.1% and 1.4%, respectively. The mean duration of hospitalization was 19.3 days. Subgroup analysis showed that age, body weight, and sex did not significantly affect clinical success. The injury severity score and transfusion requirement were predictors of clinical success, with lower values associated with better outcomes. Conclusions: TAE is effective and safe for managing blunt pediatric trauma in younger and lighter patients. Injury severity and transfusion requirement are predictors of clinical success.

show abstract

Section: Discussionmentioning

confidence: 99%

Blunt Trauma in Children: Efficacy and Safety of Transarterial Embolization, 10-Year Experiences in a Single Trauma Center

Ko,

Kwon,

Kim

et al. 2023

Diagnostics

View full text Add to dashboard Cite

show abstract

“…Lifetime attributable risk (LAR) was used to assess the radiation-induced cancer risk. LAR ranges from 0.02 to 13 per 1000 procedures for PDA [9]. Theoretically, the new technique is safer than the traditional technique, which could be used in the occlusion of PDAs with minimum diameter.…”

Section: Discussionmentioning

confidence: 99%

The clinical application of micro-catheter and micro-guidewire rail technique in transcatheter closure for children with very small patent ductus arteriosus

Huang

Geng

et al. 2022

Preprint

View full text Add to dashboard Cite

Objective Percutaneous closure of the small Patent Ductus Arteriosus (PDA) that a conventional 0.035″hydrophilic guide wire cannot pass through was challenging. A new technique of using a coronary guidewire with microcatheter assistance in the closure of the small PDA via AmplatzerDuctOccluderⅡ(ADOⅡ) was developed. Methods This is a single-center, retrospective study from April 2017 to December 2019, including 12 patients. A 0.014″ coronary guidewire (BMW, Abbott, tip load 0.7g) with the assistance of a 1.9F-2.4F catheter was advanced into the PDA. A 4F or 5F delivery system was chosen to deliver the ADOⅡdevice by either an antegrade (venous) or retrograde (arterial) approach with the support of a semi-rail or a full rail: a guidewire-established femoral arteriovenous loop.All patients completed a 6-month follow-up. Results Successful PDA closure via this technique in all patients was achieved (n = 15). The average diameter of the PDAs detected by transthoracic echocardiography (TTE) and aortic angiography were1.61 ± 0.53mm (1.00-2.50mm), 0.76 ± 0.83mm (0.50-0.80mm) respectively. No complications were found during the procedure and the follow-up period. Conclusion Using a coronary guidewirewith the assistance of a microcatheter to close small PDA is safe and effective, and thereby offers a new opportunity to improve the success rate of percutaneous closure of a PDA.

show abstract

“…Beels et al [142] detected, in blood samples, a dose-dependent increase in gene damage after pediatric cardiac catheterizations. Moreover, chromosomal aberrations and micronucleus tests in peripheral blood lymphocytes revealed chromosomal damage in pediatric patients with CHDs who underwent a series of cardiac imaging examinations [141].…”

Section: Radiation Protectionmentioning

confidence: 99%

“…Historically, the Alliance for "Radiation Safety in Pediatric Imaging" launched, in 2008, the "Step Lightly" campaign for radiation safety in pediatric interventional radiology [139], and approximately ten years later, the "Have-A-Heart" campaign, with focus on radiation dose management of children with congenital and acquired heart diseases [140]. On these bases, a consensus emerged on caution in managing imaging examinations and imageguided procedures [141].…”

Section: Radiation Protectionmentioning

confidence: 99%

Embolization in Pediatric Patients: A Comprehensive Review of Indications, Procedures, and Clinical Outcomes

Marra

Fazio

Dulcetta

et al. 2022

JCM

View full text Add to dashboard Cite

Embolization in pediatric patients encompasses a large spectrum of indications, ranging from the elective treatment of congenital diseases of the cardiovascular system to the urgent management of acute hemorrhagic conditions. In particular, the endovascular treatment of central and peripheral vascular malformations and hypervascular tumors represents a wide chapter for both congenital and acquired situations. Thanks to the progressive availability of low-profile endovascular devices and new embolic materials, the mini-invasive approach has gradually overtaken surgery. In this review, the main embolization procedures will be illustrated and discussed, with a focus on clinical indications and expected outcomes. The most recent mini-invasive techniques will be described, with hints on the cutting-edge devices and embolic materials.

show abstract

Radiation Exposure in Pediatric Interventional Procedures

Cited by 13 publications

References 62 publications

Blunt Trauma in Children: Efficacy and Safety of Transarterial Embolization, 10-Year Experiences in a Single Trauma Center

Blunt Trauma in Children: Efficacy and Safety of Transarterial Embolization, 10-Year Experiences in a Single Trauma Center

The clinical application of micro-catheter and micro-guidewire rail technique in transcatheter closure for children with very small patent ductus arteriosus

Embolization in Pediatric Patients: A Comprehensive Review of Indications, Procedures, and Clinical Outcomes

Contact Info

Product

Resources

About