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Complications of angiography in children and means of prevention

B Jacobsson, H Curtin, A Rubenson

    Acta Radiologica: Diagnosis
    |January 1, 1980
    PubMed

    Insights

    Thromboembolic complications in pediatric angiography decreased significantly with technical advances. No complications occurred in the final 153 cases, highlighting improved safety in pediatric interventional procedures.

    Area of Science:

    • Pediatric cardiology
    • Interventional radiology
    • Vascular medicine

    Background:

    • Thromboembolic complications are a risk in pediatric angiography.
    • Understanding thrombus origin is key to reducing complications.

    Purpose of the Study:

    • To evaluate the incidence of thromboembolic complications in pediatric angiography.
    • To assess the impact of technical advancements on complication rates.

    Main Methods:

    • Retrospective analysis of 267 consecutive angiographic examinations in children.
    • Categorization of complications based on procedural approach (surgical vs. percutaneous).

    Main Results:

    • 14 thromboembolic complications occurred in 267 examinations.
    • 8 complications (57%) followed surgical exposure (14 cases), while 6 (2.4%) followed percutaneous angiography (253 cases).
    • No complications occurred in the last 153 examinations, following implementation of technical improvements.

    Conclusions:

    • Technical advancements, including thin-walled catheters and heparinization, significantly reduced thromboembolic complications in pediatric angiography.
    • Percutaneous angiography is associated with a lower complication rate than surgical exposure.
    • Continuous improvement in techniques has made pediatric angiography safer.

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