Vascular Pediatric Interventional Radiology

Abstract

Interventional radiology procedures are increasingly in demand in both the adult and pediatric populations. Pediatric procedures mirror many of the adult procedures but with increased complexity due to many considerations, notably patient size. This article reviews the various vascular pediatric interventional procedures. The aim is to provide a greater exposure to the possible treatment options for pediatric patients and to facilitate understanding of the success and complications rates related to various interventions.

Feasibility and mid- to long-term results of endovascular treatment for portal vein thrombosis after living-donor liver transplantation

“…Generally, some technical difficulties are secondary to body size in infants and children, which limits the devices that can be used and the operator's ability when using small vascular access systems. Other differ-ences between adults and children relate to preprocedure preparation, dose of contrast media, or angiography injection parameters (31,32). Although PfP in infants and children was lower than in adults and not statistically significant, in our study, the P value was generally larger, suggesting a smaller influence of the age group on PfP than other factors, such as PVT type or location.…”

Pediatric Interventional Neuroradiology: Opportunities and Challenges

“…Ideally, the procedure is performed by combined embolization of the feeding arteries, nidus, and draining veins. The risk of complications, including tissue ischemia and nontarget embolization, may be reduced by staged sessional treatment [ 10 ].…”

Unresectable hepatoblastoma: current perspectives

“…Interventional techniques have long been utilized in pediatrics to obtain central venous access, image the vascular tree, obtain diagnostic tissue via needle biopsy, drain fluid collections, and perform genitourinary and gastroenterology procedures. 26 , 27 While the use of interventional techniques to treat adult oncology patients is well established, the translation of these techniques to the pediatric realm continues to evolve. This evolution has been limited by the slow development and approval of new devices for use in children, patient size limitations, and the hesitation to test novel treatment approaches in pediatric patients.…”