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Biopsy and drainage techniques in children
Mark J Hogan1, Fredric A Hoffer
1Department of Radiology, The Ohio State University, Nationwide Children's Hospital, Columbus, OH 45205, USA. mark.hogan@nationwidechildrens.org
Insights
Pediatric interventional radiology procedures like drainage and biopsy require specialized techniques. Key differences involve radiation protection, anesthesia, and adapting methods for smaller patient anatomy.
Area of Science:
- Interventional Radiology
- Pediatric Imaging
- Minimally Invasive Procedures
Background:
- Percutaneous biopsy and fluid collection drainage are common in adult interventional radiology.
- These procedures are applicable across various organ systems and indications in children.
- Pediatric patients present unique challenges and considerations compared to adults.
Purpose of the Study:
- To highlight the specific technique differences in pediatric interventional radiology.
- To describe adaptations necessary for performing drainage and biopsy in children.
- To emphasize radiation protection and anesthetic considerations in pediatric procedures.
Main Methods:
- Review of established percutaneous biopsy and drainage techniques.
- Discussion of modifications for pediatric anatomy and physiology.
- Emphasis on imaging guidance and radiation safety protocols for children.
Main Results:
- Pediatric procedures necessitate altered imaging and guidance for radiation protection.
- Unique sedation and anesthetic requirements are crucial for pediatric patients.
- Patient size influences procedural techniques, offering both challenges and advantages.
Conclusions:
- Pediatric interventional radiology requires tailored approaches to drainage and biopsy.
- Adapting techniques for radiation safety, anesthesia, and patient size is essential.
- Understanding these differences ensures effective and safe minimally invasive care for children.
Abstract:
Drainage and biopsy are mainstay procedures in pediatric interventional radiology. As in the adult population, percutaneous biopsy and fluid collection drainage can be performed almost anywhere in the body, in almost all organ systems, and for myriad indications. However, there are some technique differences in children. Radiation protection is paramount, requiring alterations in imaging and guidance. Children have unique sedation and anesthetic requirements, and smaller patients provide both advantages and disadvantages that require/allow for alteration of the procedural techniques. This article will focus on these differences and describe specific techniques applicable to pediatric patients.
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