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[Vascular complications of angiography in childhood (author's transl)]
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|October 1, 1978
Insights
Pediatric arteriograms show a 7.4% complication rate, primarily thrombosis. Lower age, smaller weight, and longer procedures increase risks, but Doppler technique aids early detection.
Area of Science:
- Vascular imaging
- Pediatric radiology
Context:
- Arteriography is a common diagnostic tool in pediatric vascular assessment.
- Complication rates in pediatric procedures require careful monitoring and analysis.
Purpose:
- To evaluate the complication rate of arteriography in children.
- To identify risk factors associated with arteriographic complications.
- To assess the utility of Doppler technique for early complication detection.
Summary:
- A review of 500 pediatric arteriograms over three years identified a 7.4% complication rate, with thrombosis being the primary issue requiring conservative management.
- Risk factors for complications included younger age, weight under 5000 grams, vessel exposure, large instrument size, and prolonged examination duration.
- The Doppler technique was found to be highly valuable for the early recognition of thrombosis.
Impact:
- Findings can inform procedural modifications to minimize risks in pediatric arteriography.
- Highlights the importance of Doppler ultrasonography in managing arteriographic complications.
- Provides data for developing improved prophylactic strategies in pediatric vascular interventions.
Abstract:
Evaluation of 500 arteriograms in children over a period of three years revealed a complication rate of 7.4% (37 cases). In these, thrombosis occurred which had to be treated conservatively. The factors increasing the complication rate were low age, weight below 5000 grammes, exposure of the vessel, excessively large instruments and long duration of the examination. For the early recognition of thrombosis the Doppler technique is most valuable. Prophylactic measures are discussed.