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Embolization in Pediatric Patients: A Comprehensive Review of Indications, Procedures, and Clinical Outcomes
Paolo Marra1,2, Barbaro Di Fazio1,2, Ludovico Dulcetta1,2
1Department of Radiology, ASST Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
Insights
Pediatric embolization, a minimally invasive treatment, is increasingly used for cardiovascular diseases, vascular malformations, and tumors. Advances in devices and materials enhance its effectiveness and safety for children.
Area of Science:
- Interventional Radiology
- Pediatric Endovascular Therapy
Background:
- Embolization in pediatric patients covers diverse conditions, from congenital heart issues to acute bleeding.
- Endovascular treatment of vascular malformations and tumors is a significant area in pediatric care.
Purpose of the Study:
- To review main embolization procedures in pediatric patients.
- To focus on clinical indications, outcomes, and emerging techniques.
Main Methods:
- Review of current literature on pediatric embolization.
- Discussion of endovascular techniques, devices, and embolic materials.
Main Results:
- Minimally invasive embolization is replacing surgery due to improved devices and materials.
- The review details various embolization procedures for pediatric conditions.
Conclusions:
- Pediatric embolization is a safe and effective minimally invasive option.
- Ongoing advancements in technology are expanding treatment possibilities.
Abstract:
Embolization in pediatric patients encompasses a large spectrum of indications, ranging from the elective treatment of congenital diseases of the cardiovascular system to the urgent management of acute hemorrhagic conditions. In particular, the endovascular treatment of central and peripheral vascular malformations and hypervascular tumors represents a wide chapter for both congenital and acquired situations. Thanks to the progressive availability of low-profile endovascular devices and new embolic materials, the mini-invasive approach has gradually overtaken surgery. In this review, the main embolization procedures will be illustrated and discussed, with a focus on clinical indications and expected outcomes. The most recent mini-invasive techniques will be described, with hints on the cutting-edge devices and embolic materials.
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