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Managing systemic venous occlusions in children
Anne E Gill1, Giridhar M Shivaram2
1Department of Radiology & Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University School of Medicine, 1405 Clifton Rd NE, Atlanta, GA, 30322, USA. anne.gill@emory.edu.
CVIR Endovascular
|September 5, 2020
Summary
Pediatric venous disease is rising due to central venous access devices and thromboembolic events. This review covers causes, diagnosis, and recanalization techniques for these systemic venous occlusions in children.
Area of Science:
- Pediatric vascular medicine
- Interventional radiology
- Thromboembolic disease
Background:
- Pediatric venous disease incidence is increasing in both inpatient and outpatient settings.
- Widespread use of central venous access devices contributes to venous occlusions.
- Rising thromboembolic events in children lead to central and peripheral venous occlusions.
Purpose of the Study:
- To review the etiology, presentation, and workup of pediatric systemic venous occlusive disease.
- To discuss technical considerations for recanalization procedures.
- To detail procedural complications and the role of interventional radiology.
Main Methods:
- Literature review focusing on pediatric venous occlusive disease.
- Analysis of etiology, clinical presentation, and diagnostic workup.
- Evaluation of interventional radiology techniques for venous recanalization.
Main Results:
- Systemic venous occlusions in children are multifactorial, often linked to medical devices and clotting disorders.
- Recanalization techniques offer potential treatment options for venous occlusions.
- Interventional radiology plays a key role in managing these complex cases.
Conclusions:
- Pediatric venous occlusive disease requires a comprehensive approach.
- Interventional radiology provides minimally invasive treatment options for venous recanalization.
- Understanding complications is crucial for successful patient outcomes.
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