Related Experiment Video
Updated: Jun 12, 2026
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Vascular access in children
Ganesh Krishnamurthy1, Marc S Keller
1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. krishnamurthy@email.chop.edu
Insights
Pediatric interventional radiologists are crucial for safe and successful vascular access in children. Image-guided procedures enhance success rates, requiring a multidisciplinary team approach despite limited specialized training programs.
Area of Science:
- Pediatric Interventional Radiology
- Vascular Access Procedures
- Medical Imaging Guidance
Background:
- Establishing stable vascular access is a critical yet challenging procedure in pediatric hospitals.
- Multiple clinical specialties offer vascular services, but pediatric interventional radiologists are uniquely qualified.
- Increasing recognition of safety and efficacy of image-guided vascular access drives demand for specialized services.
Purpose of the Study:
- To provide an overview of the technical aspects of pediatric vascular access.
- To offer practical tips for achieving safe and successful image-guided vascular access in children.
- To highlight the role of pediatric interventional radiologists in vascular access programs.
Main Methods:
- Review of technical aspects of pediatric vascular access.
- Discussion of image guidance techniques for vascular access.
- Emphasis on multidisciplinary team collaboration.
Main Results:
- Image-guided vascular access demonstrates high success rates and safety in pediatric patients.
- Pediatric interventional radiologists are best suited to lead vascular access services.
- Coordinated multidisciplinary efforts are essential for successful vascular access programs.
Conclusions:
- Despite challenges like a shortage of trained pediatric interventional radiologists, image-guided vascular access is a vital service.
- This article offers guidance on optimizing pediatric vascular access techniques.
- Further development of training programs is needed to meet the growing demand for specialized pediatric interventional radiology services.
Abstract:
Establishment of stable vascular access is one of the essential and most challenging procedures in a pediatric hospital. Many clinical specialties provide vascular service in a pediatric hospital. At the top of the "expert procedural pyramid" is the pediatric interventional radiologist, who is best suited and trained to deliver this service. Growing awareness regarding the safety and high success rate of vascular access using image guidance has led to increased demand from clinicians to provide around-the-clock vascular access service by pediatric interventional radiologists. Hence, the success of a vascular access program, with the pediatric interventional radiologist as the key provider, is challenging, and a coordinated multidisciplinary team effort is essential for success. However, there are few dedicated pediatric interventional radiologists across the globe, and also only a couple of training programs exist for pediatric interventions. This article gives an overview of the technical aspects of pediatric vascular access and provides useful tips for obtaining vascular access in children safely and successfully using image guidance.
Related Concept Videos
01:25Hemodialysis I: Introduction
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:24Hemodialysis II: Procedure and Complications