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A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
Pulmonary embolism in children
Leonardo R Brandão1, Veerle Labarque, Yaser Diab
1Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada. leonardo.brandao@sickkids.ca).
Insights
Pediatric pulmonary embolism (PE) diagnosis and treatment often use adult protocols. This review examines historical progress and current knowledge gaps in childhood PE, highlighting epidemiology and diagnostic tools.
Area of Science:
- Pediatric Medicine
- Cardiovascular Diseases
- Pulmonary Medicine
Background:
- Pulmonary embolism (PE) is increasingly recognized in children.
- Current diagnostic and therapeutic algorithms for pediatric PE are largely adapted from adult protocols.
- There is a need for a pediatric-specific understanding of PE.
Purpose of the Study:
- To review the historical progression of pulmonary embolism (PE) in children.
- To contextualize pediatric PE advancements alongside key events in adult PE.
- To highlight current knowledge gaps in pediatric PE.
Main Methods:
- Literature review of historical pediatric reports on PE.
- Analysis of national database reports to characterize pediatric PE epidemiology.
- Review of diagnostic tools applicable to children with PE.
Main Results:
- Initial pediatric PE reports and their evolution are summarized.
- Epidemiological data from national databases provide insights into childhood PE.
- Specific diagnostic considerations for pediatric PE are discussed.
Conclusions:
- Significant progress has been made in understanding pediatric PE.
- Current management strategies require further adaptation for the pediatric population.
- Further research is needed to address knowledge gaps in pediatric PE therapy and outcomes.
Abstract:
Pulmonary embolism (PE) has long been described in children. Nevertheless, most of the algorithms applied to patients within this age range, from diagnosis to therapy, have been adapted from adult protocols. This article reviews the progresses that occurred to PE in children placing them in historical perspective with the key events relevant to PE in adults. A brief summary of the initial reports encountered in the pediatric literature followed by key conclusions drawn from national database reports characterizing its epidemiology in children is highlighted. Additionally, a section with the diagnostic tools pertaining to children is included. Closing remarks encompass commentaries related to therapy and outcomes, reflecting on current knowledge gaps related to PE in children.
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