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Intervention in the Native and Transplant Liver in Children: An Update
Stephanie Franchi-Abella1,2,3, Paolo Marra4,5, Eric J Monroe6
1Department of Pediatric Radiology, DMU Smart Imaging, Bicêtre Hospital, AP-HP, Le Kremlin-Bicêtre, France.
Interventional radiology (IR) offers minimally invasive treatments for pediatric liver conditions. This review highlights advanced IR techniques for liver tumors, vascular issues, and transplant complications, emphasizing a multidisciplinary approach.
Area of Science:
- Pediatric Interventional Radiology
- Hepatic Interventions
- Minimally Invasive Procedures
Background:
- Interventional radiology (IR) is increasingly vital in pediatric care, offering less invasive alternatives to surgery.
- Technological advancements drive new IR treatments for complex pediatric liver conditions.
- IR addresses conditions like liver tumors, vascular malformations, and transplant complications where surgery or medical options are limited.
Purpose of the Study:
- To review the expanding role and cutting-edge devices in pediatric interventional radiology for liver pathologies.
- To discuss current IR applications for benign and malignant liver conditions, vascular disorders, and post-transplant complications.
- To identify knowledge gaps, research needs, and foster collaborations in pediatric IR.
Main Methods:
- Comprehensive literature review of recent advancements in pediatric interventional radiology.
- Analysis of therapeutic options for native and transplant liver diseases managed by IR.
- Focus on novel devices and techniques influencing clinical practice.
Main Results:
- IR provides effective minimally invasive solutions for pediatric liver tumors, vascular malformations, and lymphatic disorders.
- Advanced IR techniques manage portal hypertension and complications following liver transplantation.
- A multidisciplinary approach enhances patient outcomes in pediatric IR.
Conclusions:
- Interventional radiology is a cornerstone in managing complex pediatric liver diseases, offering advanced therapeutic options.
- Continued research and collaboration are crucial to further refine IR techniques and expand its application in pediatric liver care.
- Awareness and integration of IR among pediatricians and surgeons are essential for optimal patient management.
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