Invasive Radiology for Pediatric Trauma

Posttraumatic intrahepatic pseudoaneurysm in a child managed by coil angioembolization: a case report and literature review

“…Pseudoaneurysm seems to be a rarity in the child with hepatic trauma, and the reported incidence is around 3% [4,5,8]. The reports in the literature vary in their description of the techniques used to manage the pseudoaneurysm, both in terms of the timing and the method of hemostasis.…”

“…The liver is particularly suitable to this option, given the double blood supply from the portal circulation [8]. However, there have been some recent concerns expressed regarding the risk of hepatic necrosis subsequent to angioembolization, although these seem to occur in patients with multiple other risk factors, such as high injury severity, clinical or biochemical instability, and multiple or proximal embolization [9].…”

“…Only 7 publications [2][3][4][5][6][7][8] were identified that specifically addressed hepatic pseudoaneurysm in children. Sclafani and coworkers described a case series including only 1 child of their 17 patients who were successfully managed by either embolization or other interventional procedures with no mortality and a low morbidity [1].…”

Renal artery pseudoaneurysm secondary to blunt trauma treated with microcoil embolization

“…However, the ability to confirm the presence and anatomic location of renal artery pseudoaneurysms makes angiography the goldstandard test of choice. In addition, concomitant therapeutic interventions are now possible with angiography in the form of transcatheter embolization of renal artery pseudoaneurysms [7][8][9][12][13][14][15][16][17]. Catheters as small as 3F or 5F have been used to successfully embolize small tributaries of the renal vasculature with gel foam, platinum coils, and N-butyl cyanoacrylate [3,8,14,17].…”

Trends and future needs in clinical radiology: Insights from an academic medical center

“…Moreover, as results from large registries become available and improved outcomes are documented for a wide spectrum of clinical settings and age groups, indications for interventional procedures will continue to expand, thus warranting a rising demand in this field as well [8,9].…”