Interventional radiology in infancy

Pediatric interventional radiology

“…Sonographic guidance and interventional procedures have long been shown to offer the most reliable and safe method of central venous access. 2 Improvements in sonographic technology and types of machines available have resulted in increasing use of sonography for vascular access by non-radiologists, including vascular access teams and intensive care units. Interventional radiologists, however, generally possess a greater level of expertise in catheter placement and management of complications, including management of venous stenosis (Figure 1).…”

“…http://www.sajr.org.za Open Access multiple cores to be obtained through a single puncture and allows the tract to be embolised, reducing the risk of tumour seeding and haemorrhage. 2,3…”

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“…The vast majority of solid organ tumours can be biopsied with sonography alone, with CT and fluoroscopic guidance reserved for bone and lung tumours. 2 The use of a coaxial technique allows Paediatric interventional radiology (IR) is a rapidly developing subspecialty, seeking to meet the increasing demand for image-guided minimally invasive procedures. The wide range of procedures performed and the conditions treated reflect the varying ages and complexity of the patient population.…”

“…1 The field was initially slow to develop due to limited training in performing image-guided procedures in children and the challenge of adapting equipment and techniques for use in small children. 2 Recently, however, the need for paediatric IR has been recognised at local and national levels, with increased funding and provision of training programs. The field has now developed beyond offering an alternative to more invasive surgical techniques by introducing new and innovative therapy that has transformed the treatment of many patients.…”

Computed tomography-based survey of the vascular anatomy of the juvenile Göttingen minipig

“…[4][5][6][7][8][9][10] Applications are transposition of the great vessels, 9 mitral valve stenosis, 8 haemodynamical significant atrial septum defects 9 and critical pulmonary valvar stenosis. 9 Apart from paediatric cardiology, there are other applications including congenital and infantile vascular malformations, 11,12 embolization of tumours, and bleeding. 11 Future applications for image-guided transcatheter interventions are expected in regenerative medicine, especially in the field of cell transplantation; for example, liver cell transplantation has been successfully performed via a femoral artery catheter into the spleen in adults.…”