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[Angiography in infancy and childhood]
H Schild1, M Thelen, K Daltrop
1Klinik mit Poliklinik für Radiologie, Johannes-Gutenberg-Universität Mainz.
Insights
Pediatric angiography, including arteriograms and phlebograms, is a safe diagnostic tool with a low complication rate of 0.6%. This study reviewed 160 procedures performed between 1973 and 1991.
Area of Science:
- Pediatric Radiology
- Interventional Radiology
Context:
- Between 1973 and 1991, 160 percutaneous angiograms were performed in pediatric patients.
- The study included infants and children, with 12 patients under one year and 52 under ten years old.
Purpose:
- To evaluate the safety and efficacy of diagnostic angiography in pediatric patients.
- To analyze the indications and outcomes of arteriograms and phlebograms in children.
Summary:
- A total of 160 percutaneous angiograms (130 arteriograms, 30 phlebograms) were performed in children and infants.
- Common indications included suspected tumors (50.7% of arteriograms) and trauma (9.3%). Spermatic vein phlebography for cryptorchidism or varicocele was also frequent.
- The overall complication rate was low (0.6%), with only one case of spermatic vein perforation reported.
Impact:
- Diagnostic angiography in childhood is a relatively safe procedure.
- The findings support the continued use of angiography for pediatric diagnosis.
- Low complication rates encourage the use of this imaging modality in pediatric care.
Abstract:
Between 1973 and 1991 we performed 160 percutaneous angiograms (130 arteriograms, 30 phlebograms) in children and infants; 12 patients were less than one year and 52 less than ten years old. 44 of the examinations were done by a DSA technique. The examinations were carried out under general anaesthesia except in 8 cases. In 50.7% an arteriogram was carried out for the investigation of a suspected or known tumour, in 9.3% an arteriogram was required following trauma. The most common phlebographic examination was for the demonstration of the spermatic vein; in 27 patients this was done for cryptorchidism or a varicocele. The only complication following a diagnostic angiogram was perforation of one spermatic vein. There were no other complications requiring treatment, such as thromboembolic events. With a total complication rate of 0.6%, angiography in childhood is a relatively safe diagnostic method.