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Therapeutic catheter procedures in pediatrics
Insights
Interventional catheter procedures offer significant advantages over surgery for children. Established techniques include angioplasty and embolization for various conditions, with others showing promise.
Area of Science:
- Pediatric Interventional Cardiology
- Pediatric Radiology
- Pediatric Surgery
Background:
- Minimally invasive interventional catheter procedures are increasingly utilized in pediatric care.
- These procedures often present a superior alternative to traditional surgical interventions for pediatric patients.
Purpose of the Study:
- To review established and emerging interventional catheter procedures in pediatric medicine.
- To highlight procedures with greater advantages over surgical techniques.
Main Methods:
- Review of current literature on pediatric interventional catheter procedures.
- Categorization of procedures based on their established status and clinical advantages.
Main Results:
- Established procedures include pulmonary valve angioplasty, stenosis angioplasty, embolizations, vascular access angioplasty, bronchial artery embolization, nephrostomy, and abscess drainage.
- Promising but not yet routine procedures include thrombolysis, renal artery angioplasty, peripheral arteriovenous malformation embolization, and tract dilatation.
Conclusions:
- Interventional catheter procedures are a vital and expanding component of pediatric care.
- Continued development and adoption of these techniques will further benefit pediatric patients.
Abstract:
There is a large spectrum of interventional catheter procedures being performed presently in children. The procedures that offer a greater advantage than surgical techniques and that will continue to be established procedures include percutaneous angioplasty of the pulmonary valve, peripheral pulmonary artery and caval stenosis, embolizations of pulmonary collaterals and pulmonary arteriovenous malformations, angioplasty of vascular access shunt, embolization of bronchial arteries for hemoptysis, and percutaneous nephrostomy and abscess drainage procedures. Others that have been successful but not yet routinely established in children include thrombolysis, renal artery angioplasty, embolization of peripheral arteriovenous malformations, dilatation of the urinary and gastrointestinal tract stenosis, and percutaneous biopsy.