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Digital subtraction angiopulmography in children.
1University of Medicine, Dept. of Roentgenology and Radiology, Plovdiv, Bulgaria.
Folia Medica
|January 1, 1992
Summary
Digital subtraction angiography (DSA) effectively diagnoses pediatric lung diseases, using less contrast and radiation. This minimally invasive technique identifies various pulmonary malformations in children.
Area of Science:
- Pediatric Radiology
- Vascular Imaging
- Pulmonary Diagnostics
Background:
- Digital subtraction angiography (DSA) offers advanced diagnostic capabilities for pediatric lung diseases.
- Angiopulmography is crucial for identifying and characterizing pulmonary malformations.
- Minimally invasive techniques are essential for reducing patient trauma in pediatric diagnostics.
Observation:
- Twenty-nine DSA procedures were performed on 13 children (2 months to 7 years old).
- Intravenous contrast administration and reduced radiation doses were utilized.
- Peripheral venous access was employed, potentially avoiding catheterization.
Findings:
- DSA successfully identified diverse pulmonary malformations, including branch hypoplasia with aneurysmal dilation, lobar branch hypoplasia/agenesis, lobar emphysema, and mediastinal/pulmonary hemangiomatosis.
- Findings were corroborated by digital bronchoradiography where applicable.
- The technique allowed for both qualitative and quantitative image analysis.
Implications:
- DSA is a valuable, low-trauma tool for diagnosing complex pediatric lung diseases.
- Reduced contrast and radiation exposure enhance patient safety.
- The ability to avoid catheterization further minimizes procedural risks and improves patient outcomes.