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Related Experiment Videos

Pediatric interventional radiology.

R B Towbin1

  • 1Children's Hospital of Pittsburgh, Pennsylvania.

Current Opinion in Radiology
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

Pneumatic reduction is a safe and effective method for intussusception, offering advantages over traditional hydrostatic reduction. This air-based technique is cost-effective, faster, and reduces complications like fecal contamination.

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Area of Science:

  • Pediatric Surgery
  • Radiology
  • Interventional Neurology

Background:

  • Intussusception reduction traditionally uses hydrostatic methods with barium sulfate or meglumine sodium diatrizoate, achieving up to 80% success.
  • Pneumatic reduction, an established technique, is gaining acceptance in North America for intussusception treatment.

Purpose of the Study:

  • To evaluate the efficacy and advantages of pneumatic reduction for intussusception.
  • To compare pneumatic reduction with traditional hydrostatic methods.
  • To discuss the management of vein of Galen malformations.

Main Methods:

  • Review of pneumatic reduction technique for intussusception.
  • Comparison of success rates, procedure time, and complication profiles between pneumatic and hydrostatic reduction.

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  • Discussion of diagnostic and therapeutic approaches for vein of Galen malformations.

    • Main Results:

    • Pneumatic reduction is successful in over 80% of intussusception cases.
    • Advantages include lower cost, shorter procedure time, and reduced risk of peritoneal fecal contamination.
    • Vein of Galen malformation management depends on arteriovenous shunting magnitude, with neurointervention as the preferred treatment for high-output heart failure in infants.

    Conclusions:

    • Pneumatic reduction is a highly effective and advantageous alternative to hydrostatic reduction for intussusception.
    • Cross-sectional imaging is crucial for diagnosing and planning management of vein of Galen malformations.
    • Neurointervention is the current gold standard for infants with vein of Galen malformation presenting with congestive heart failure.