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[Angiography and digital subtraction angiography].

J Kollath

    Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
    |June 1, 1986
    PubMed
    Summary

    Pediatric angiography has advanced with better contrast media and new catheters, improving safety and reducing complications. Digital subtraction angiography enables new possibilities in pediatric imaging.

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    Area of Science:

    • Radiology
    • Pediatric Imaging
    • Interventional Radiology

    Background:

    • Angiography is infrequently used in pediatrics.
    • Conventional angiography has seen advancements with nonionic contrast media, improving patient tolerance.
    • New catheter technologies offer thinner walls and wider lumens, enhancing contrast media flow and reducing puncture site complications.

    Purpose of the Study:

    • To review the advancements in pediatric angiography.
    • To highlight the impact of new contrast media and catheter techniques.
    • To discuss the role of digital subtraction techniques and interventional radiology in pediatric vascular procedures.

    Main Methods:

    • Review of recent developments in pediatric angiography techniques.
    • Comparison of ionic versus nonionic contrast media.
    • Evaluation of new catheter designs and their clinical impact.
    • Assessment of digital subtraction angiography (DSA) in pediatric patients.
    • Overview of interventional radiology applications in pediatric vascular disease.

    Main Results:

    • Nonionic contrast media are better tolerated than ionic ones, improving conventional angiography outcomes.
    • Advanced catheters with thin walls and wide lumens reduce local complications in pediatric patients.
    • Digital subtraction techniques allow for intravenous angiography in children and reduce contrast volume, though motion artifacts can be a challenge.
    • Interventional radiology offers similar technical capabilities for pediatric vascular interventions as for adults.

    Conclusions:

    • Recent innovations in contrast media and catheter technology have significantly improved the safety and efficacy of pediatric angiography.
    • Digital subtraction angiography represents a major advancement, enabling new diagnostic and therapeutic approaches in pediatric vascular imaging.
    • Interventional radiology procedures, including angioplasty and embolization, are increasingly viable and important for managing pediatric vascular conditions.

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