Complications in pediatric interventional neuroradiology management. Reflections on a personal experience

Abstract

<jats:p> Pediatric interventional neuroradiology is a rewarding but demanding specialty. It cannot be classified as a miniaturized technical procedure simply because it deals with small vessels in small patients but remains a field requiring specific knowledge combining clinical, anatomical, physiologic, and technical features. Complications that occur remain terrible experiences in this population whose patients have not personally requested to be treated for their vascular malformations. The aim of this article is to evoke the various possible groups of complications that may occur during a pediatric endovascular procedure in order to make physicians aware of these problems and help them to avoid them. </jats:p>

Paediatric intracranial dural arteriovenous shunts: types, clinical presentation and therapeutic management

“…One 6-year-old IDAVS girl with an associated large facial AVM made a peri-procedural cardiac arrest due to massive pulmonary embolism of glue that occurred during the management of the facial AVM at the end of the session that had cured the IDAVS. 7 One 14-year-old girl with complex IDAVS of the SSS and severe bilateral venous reflux revealed by intracranial haemorrhage, and secondary severe status epilepticus was sent to us too late after failed treatment of the IDAVS by her referring team. She could be anatomically cured by coils and glue during one session but angiographic controls showed the absence of intracranial perfusion on both carotid and vertebral arteries related to acute increase of intracranial pressure by venous thrombosis.…”

The median vein of prosencephalon of Markowski: From morphology to genetics

“…The cases presented by Drs. Georges Rodesch and Stanislas Smajda 2 contribute to understand state-of-the-art treatment in one of the most experienced institutes for pediatric vascular malformations in Europe and still challenging nature of this disease.…”

“…Rodesch and Smajda's paper. 2 Recognition of the precise AV shunt point is important for proper therapeutic planning.…”

“…Georges Rodesch and Stanislas Smajda in Paris. 2 I would like to comment on VGAM related to their excellent article. Embryology of VGAM was first proposed by Raybaud et al, 3,4 who disclosed that VGAM is a remnant of the embryonic median vein of prosencephalon (MVP, vena mediana prosencephali).…”