2,277 results match your criteria embolization pediatric

Establishment of a Rat Model of Superior Sagittal-Sinus Occlusion via a Thread-Embolism Method.

J Vis Exp 2021 Jul 4(173). Epub 2021 Jul 4.

Department of Neurosurgery, the First Affiliated Hospital of Wenzhou Medical University;

The mechanisms contributing to the natural onset of cerebral venous sinus thrombosis (CVST) are mostly unknown, and a variety of uncontrollable factors are involved in the course of the disease, resulting in great limitations in clinical research. Therefore, the establishment of stable CVST animal models that can standardize a variety of uncontrollable confounding factors have helped to circumvent shortcomings in clinical research. In recent decades, a variety of CVST animal models have been constructed, but the results based on these models have been inconsistent and incomplete. Read More

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Adolescent With von Willebrand Disease Type 3 Spontaneous Abdominal Hemorrhage.

J Emerg Nurs 2021 Jul;47(4):661-668

An adolescent female classified as unstable with a spontaneous abdominal hemorrhage was transferred to a level 1 pediatric trauma tertiary emergency department. Pertinent medical history included von Willebrand disease type 3, menorrhagia, and obesity. Preparation before patient arrival included mobilization of multidisciplinary medical team experts in hematology, pharmacy, blood bank, radiology, and nursing who provided lifesaving interventions. Read More

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Gastrointestinal bleeding due to pseudoaneurysms in children.

Eur J Pediatr 2021 Jul 14. Epub 2021 Jul 14.

Department of Pediatric Gastroenterology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Raebareily Road, Lucknow, 226014, Uttar Pradesh, India.

Radiological embolization is the treatment of choice in adults with visceral artery pseudoaneurysm (PSA) and gastrointestinal bleeding, but pediatric data is scanty. We analyzed the etiology, clinical presentation, and outcome of radiological intervention in children with PSA of celiac (CA) or superior mesenteric artery (SMA) branches. Electronic records of children with PSA of CA or SMA branches were reviewed and data on clinical and laboratory profile, radiological intervention, and outcome was recorded. Read More

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Radiological and surgical management of bleeding pancreatic pseudocyst in a pediatric patient.

Cir Pediatr 2021 Jul 1;34(3):147-150. Epub 2021 Jul 1.

Pediatric Surgery Department, Lapeyronie Hospital, Montpellier University Hospital and University of Montpellier (France).

Introduction: The pancreas is the fourth most frequently involved solid organ in pediatric abdominal trauma. We present the case of a giant pancreatic pseudocyst secondary to trauma and how it was radiologically and surgically managed.

Clinical Case: This is the case of a 13-year-old male patient admitted as a result of a grade IV pancreatic lesion, which turned into a 170x86x180 mm pancreatic pseudocyst. Read More

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Endovascular Treatment of an Arteriovenous Malformation Associated with a Double Origin of the Posterior Inferior Cerebellar Artery.

Pediatr Neurosurg 2021 Jul 8:1-5. Epub 2021 Jul 8.

Grupo Estudiantil de Investigación en Neurociencias, Sociedad de Estudiantes de Medicina de la Universidad de San Martín de Porres, Lima, Peru.

Introduction: A double origin of the posterior inferior cerebellar artery (DOPICA) is a rare anatomical variant. Posterior fossa arteriovenous malformations (AVMs), especially cerebellar AVMs, are also not common. Consequently, the association of a DOPICA with a cerebellar AVM is even rare. Read More

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Pediatric middle meningeal artery embolization for chronic subdural hematoma: A case report.

Surg Neurol Int 2021 25;12:239. Epub 2021 May 25.

Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.

Background: The most common neuroradiological finding in pediatric nonaccidental trauma (NAT) is subdural hematoma (SDH). Management options for pediatric SDH range from conservative clinical surveillance to craniotomy or decompressive craniectomy. The middle meningeal artery (MMA) indirectly feeds the hematoma; thus, MMA embolization is an alternative or adjunct to current surgical treatments in adults. Read More

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Arterioportal Fistulas (APFs) in Pediatric Patients: Single Center Experience with Interventional Radiological versus Conservative Management and Clinical Outcomes.

J Clin Med 2021 Jun 14;10(12). Epub 2021 Jun 14.

Department of Radiology, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy.

Arterioportal fistulas (APFs) are uncommon vascular abnormalities with a heterogeneous etiology. In pediatric orthotopic liver transplantation (OLT), APFs are frequently iatrogenic, following percutaneous liver interventions. The aim of this study was to report the 10-year experience of a tertiary referral center for pediatric OLT in the interventional radiological (IR) and conservative management of acquired APFs. Read More

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Large renal arteriovenous fistula treated by embolization: a case report.

Radiol Case Rep 2021 Aug 18;16(8):2289-2294. Epub 2021 Jun 18.

Department of Diagnostic Imaging, University Medical Centre, Ho Chi Minh City, Vietnam.

Renal arteriovenous fistula (RAVF) is an uncommon vascular malformation of the kidney, which can be congenital, acquired or idiopathic. Although most patients are asymptomatic, RAVF can lead to hypertension, heart failure, renal insufficiency, hematuria, and progressive increase in size of renal vessels. Diagnosis is aided by radiological studies, with digital subtraction angiography as a gold standard. Read More

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Laceration of Aberrant Internal Carotid Artery Following Myringotomy: A Case Report and Review of Literature.

Ann Otol Rhinol Laryngol 2021 Jul 1:34894211028468. Epub 2021 Jul 1.

Department of Otolaryngology-Head and Neck Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Introduction: The presence of an aberrant internal carotid artery (ICA) in the middle ear is rare. Patients may be asymptomatic or complain of conductive hearing loss, otalgia, pulsatile tinnitus, or aural fullness. Otoscopic exam findings can include a pulsating erythematous lesion on the tympanic membrane (TM). Read More

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Clinical significance of interventional therapeutic bronchoscopy combined with bronchial arterial embolization in the treatment of hypervascular primary airway tumors in children.

Pediatr Investig 2021 Jun 18;5(2):130-135. Epub 2021 Jun 18.

The Second Department of Respiratory Medicine Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.

Importance: Pediatric hypervascular primary airway tumors are progressive, fatal lesions with a low incidence, and the disease is often more serious than that in adults.

Objective: To evaluate the clinical efficacy and safety of interventional therapeutic bronchoscopy combined with conservative treatment and bronchial arterial embolization in children with primary airway tumors.

Methods: We retrospectively analyzed the clinical data of four pediatric patients with hypervascular primary airway tumor between 2017 and 2019 at Beijing Children's Hospital. Read More

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Radiation Therapy Improves Local Control in Juvenile Nasopharyngeal Angiofibroma following Disease Progression after Embolization and Surgical Resection: A Case Report.

Case Rep Oncol 2021 May-Aug;14(2):739-745. Epub 2021 May 27.

Department of Radiation Oncology, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Juvenile nasopharyngeal angiofibroma (JNA) is a relatively uncommon, benign neoplasm of the nasopharynx that can be very difficult to diagnose early due to inconspicuous and seemingly harmless presenting symptoms. Early diagnosis and treatment of JNA are essential for a good prognosis. JNA typically responds well to radiation therapy (RT), but when it does not, the most appropriate next course of action has not been readily defined due to the limited occurrence and experience with this neoplasm. Read More

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Axillary artery: An unanticipated choice of access in the cath lab!

Asian Cardiovasc Thorac Ann 2021 Jun 25:2184923211026445. Epub 2021 Jun 25.

Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, India.

Ventricular septal defects are increasingly being closed by transcatheter technique, with lesser morbidity and shorter hospital stay compared to open heart surgery. We report a case of embolization of a duct occluder deployed in a posterior muscular septal defect. The rare site of embolization necessitated an unusual approach for retrieval prior to subsequent closure using a double-disc device. Read More

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Biliary Obstruction After Transjugular Intrahepatic Portosystemic Shunt Placement.

ACG Case Rep J 2021 Jun 21;8(6):e00618. Epub 2021 Jun 21.

Department of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.

A 19-year-old man with noncirrhotic portal hypertension status post transjugular intrahepatic portosystemic shunt, gastric esophageal varices status post coil embolization, and thrombophilia because of Factor V Leiden heterozygosity presented with jaundice and elevated liver enzymes. His cholangiogram during endoscopic retrograde cholangiopancreatography demonstrated biliary tract obstruction at the bifurcation of the right and left hepatic ducts. With the aid of digital single-operator cholangioscopy, the patient was found to have a perforation of the common hepatic duct from the shunt. Read More

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High-flow Priapism in Pediatric Population: Case Series and Review of the Literature.

Actas Urol Esp 2021 Jun 11. Epub 2021 Jun 11.

Sección de Urología Pediátrica Hospital Universitario y Politécnico la Fe de Valencia, Valencia, España.

Introduction: Priapism is a prolonged erection that lasts longer than four hours. It is a rare pathology in the pediatric population, with an estimation of 0.3-1. Read More

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Management of Venous Malformations.

Semin Intervent Radiol 2021 Jun 3;38(2):215-225. Epub 2021 Jun 3.

Department of Radiology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Venous malformations (VMs) are slow-flow, congenital vascular anomalies that are a result of vascular dysgenesis. Clinical presentation and morbidity depend on size, location, and association with other syndromes. VMs are the most common symptomatic vascular anomaly referred for intervention, usually due to thrombosis, swelling, mass effect, functional compromise, or cosmetic concerns. Read More

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Portal vein obstruction after pediatric liver transplantation: A systematic review of current treatment strategies.

Transplant Rev (Orlando) 2021 May 29;35(4):100630. Epub 2021 May 29.

Division of Pediatric Gastroenterology and Hepatology, Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. Electronic address:

Introduction: Portal vein obstruction (PVO) is a significant vascular complication after liver transplantation (LT) in pediatric patients. Current treatment strategies include percutaneous transluminal angioplasty (PTA), with or without stent placement, mesorex bypass (MRB), splenorenal shunt, mesocaval shunt, endovascular recanalization (EVR), splenic artery embolization and splenectomy. However, specific characteristics of patients undergoing intervention and selection of individual treatment and its efficacy have remained unclear. Read More

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Minimally invasive therapy for the resolution of a subcapsular hepatic hematoma in a newborn.

Andes Pediatr 2021 Feb 22;92(1):99-103. Epub 2021 Feb 22.

Clínica Alemana Santiago, Santiago, Chile.

Objective: To describe an innovative alternative to exploratory laparotomy in a newborn with a sub capsular hepatic hematoma secondary to umbilical vein catheterization.

Clinical Case: A preterm baby with a history of hyaline membrane disease, pulmonary hypertension, and large patent ductus arteriosus, requiring mechanical ventilation and the use of vasoactive drugs. Umbilical catheters were inserted and through an abdomen X-ray, we observed their proper position. Read More

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February 2021

Microsurgical treatment for cerebellomesencephalic fissure arteriovenous malformations after multiple sessions of endovascular treatment.

Surg Neurol Int 2021 10;12:214. Epub 2021 May 10.

Department of Neurosurgery, Universidade Federal de São Paulo, Brazil.

Background: Arteriovenous malformations (AVMs) are relatively uncommon congenital vascular anomalies, and only 7-15% of AVMs occur in the posterior fossa. Most posterior fossa AVMs clinically present with hemorrhage and are associated with a high risk of neurological deficits and mortality. These malformations are associated with a high incidence of flow-related aneurysms. Read More

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Long Vascular Sheaths for Transfemoral Neuroendovascular Procedures in Children.

Neurointervention 2021 Jul 3;16(2):149-157. Epub 2021 Jun 3.

Neuroradiology and Image Guided Therapy, Hospital for Sick Children, Toronto, ON, Canada.

Purpose: To evaluate the safety and efficacy of long vascular sheaths for transfemoral neuroendovascular procedures in children.

Materials And Methods: A retrospective evaluation of transfemoral neuroendovascular procedures in children <18 years, using long sheaths was undertaken analyzing procedure type, fluoroscopic times, technical success, access site and systemic complications. Twenty-seven consecutive procedures were included over a 2-year period. Read More

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Endovascular Management of Type III Perimedullary Spinal Arteriovenous Malformations in Pediatric Population.

Pediatr Neurosurg 2021 2;56(4):385-391. Epub 2021 Jun 2.

Department of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.

Background: Spinal arteriovenous malformations (AVMs) are a cause of 20-30 of all spinal vascular malformation. The treatment option for the AVM depends upon the type of AVM. Here, we present a case series to discuss the type, management, and post-operative conclusion of the spinal AVMs. Read More

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Role of anticoagulation in the management of tumor thrombus: A 10-year single-center experience.

Pediatr Blood Cancer 2021 Jun 1:e29173. Epub 2021 Jun 1.

Texas Children's Hospital, Cancer and Hematology Center, Baylor College of Medicine, Houston, Texas, USA.

Background: Children with cancer diagnosis are overall at a higher risk of thrombosis. For a newly diagnosed blood clot, patients are commonly started on anticoagulants to prevent further extension and embolization of the clot. In the rare instance that a pediatric patient has a tumor thrombus, role of anticoagulation is less clear. Read More

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Neonatal Rupture of the Spleen: Successful Treatment with Splenic Artery Embolization.

AJP Rep 2021 Mar 27;11(2):e58-e60. Epub 2021 May 27.

Department of Pediatric Surgery, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, Netherlands.

Neonatal intra-abdominal hemorrhage has been rarely reported in the literature. We report a case of splenic injury in a neonate, highlighting the importance of a high-index suspicion in early recognition of this rare and potentially fatal injury. We report the first case of a neonate who had a splenic rupture and underwent successful endovascular treatment. Read More

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Portal vein embolization in children: As good as ALPPS.

Ann Hepatobiliary Pancreat Surg 2021 May;25(2):313-314

Unit of Interventional Radiology, Division of Radiology, Department of Diagnostics, University Hospitals of Geneva, Geneva, Switzerland.

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Acute thrombosis of a giant perimedullary arteriovenous fistula in a pediatric HHT patient.

Interv Neuroradiol 2021 May 29:15910199211022499. Epub 2021 May 29.

Division of Pediatric Pulmonology, Mayo Clinic, Rochester, MN, USA.

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant hereditary disorder that results in arteriovenous malformations (AVMs) in the nose, mucocutaneous surfaces and visceral organs, including lung, brain, liver, bowel and rarely spinal cord. We describe a case of a young child with HHT who presented with acute paraparesis due to acute thrombosis of a spinal perimedullary arteriovenous fistula. Patient underwent coil embolization of spinal arteriovenous shunt with resolution of clinical symptoms. Read More

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Musculoskeletal Interventional Radiology in the Pediatric Population: State of the Art.

Semin Musculoskelet Radiol 2021 Feb 21;25(1):176-183. Epub 2021 May 21.

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.

Interventional radiology procedures have been proven to be as effective as traditional surgery but usually are characterized by lower morbidity rates. In this article, the most diffuse IR treatments for pediatric lesions are reviewed with the aim of describing main advantages and drawbacks. Ablation procedures (in particular RFA and MRgFUS) are widely used for the management of osteoid osteoma and osteoblastoma whereas intracystic injection of methylprednisolone acetate is performed for simple bone cysts. Read More

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February 2021

Spinal arteriovenous malformation in a pediatric patient with a history of congenital syphilis: a case report.

BMC Pediatr 2021 05 19;21(1):242. Epub 2021 May 19.

Department of Anesthesiology, Rutgers New Jersey Medical School, Newark, NJ, USA.

Background: Spinal arteriovenous malformations in children are extremely rare and pose great risk for intraoperative hemorrhage. Congenital syphilis sometimes presents with vascular symptoms, however, there is little published on patients with a history of congenital syphilis presenting with spinal arteriovenous malformations.

Case Presentation: A 15-month-old female with a history of congenital syphilis presented with urinary retention, fever, and subacute onset of paraplegia. Read More

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The Impact of the Pulmonary Artery Index and Aortopulmonary Collateral Artery Coil Embolization on Intractable Pleural Effusions After a Fontan Surgery.

Int Heart J 2021 May 15;62(3):559-565. Epub 2021 May 15.

Department of Pediatric Cardiovascular Surgery, Fukuoka Children's Hospital.

An intractable pleural effusion is a common comorbidity of a Fontan operation, occasionally leading to undesirable outcomes. The preventive effect of aortopulmonary collateral (APC) coil embolization against a pleural effusion before a Fontan operation is still controversial.This is a retrospective single-center study; among 227 Fontan cases, 57 cases with complete MRI data were analyzed at first. Read More

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Percutaneous patent ductus arteriosus closure: Twelve years of experience.

Rev Port Cardiol (Engl Ed) 2021 May 11. Epub 2021 May 11.

Pediatric Cardiology Department, Centro Hospitalar Universitário São João, Porto, Portugal.

Introduction: Patent ductus arteriosus, a persistent communication between the descending thoracic aorta and the pulmonary artery, is one of the most common congenital heart defects. Transcatheter occlusion is an effective alternative to surgery and is currently standard of care for most patients. The authors present the results from a single center after twelve years of experience using this technique. Read More

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Characteristics and surgical outcomes of pediatric intracranial aneurysms in Romania.

Turk Neurosurg 2021 Feb 5. Epub 2021 Feb 5.

University of Medicine and Pharmacy Carol Davila, Department of Neurosurgery, Bucharest, Romania.

Aim: Pediatric aneurysms are rare, occurring in under 5% of cases, and their clinical presentation, rupture probability, location, and outcome differ from those in adults. The present study aimed to analyze the demographic characteristics and surgical outcomes of the largest series of patients with pediatric aneurysms reported in Romania, in consideration of the primary factors that lead to good long-term outcomes. Given that all cases involved ruptured aneurysms, we also investigated the ability of microsurgical clipping to prevent massive hemorrhage and aggravation of neurological deficits. Read More

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February 2021

Bilateral Traumatic Carotid-Cavernous Fistula in a Child: Corkscrew Eyelid Vessels as an Indicator of Severe Congestion.

Turk Neurosurg 2021 ;31(4):654-657

Suleyman Demirel University, Department of Ophthalmology, Isparta, Turkey.

An 11-year-old girl presented with bilateral traumatic caroticocavernous fistula associated with corkscrew eyelid vessels, which were considered indicators of severe congestive disease in this case. Coil embolization was performed; similar to other congestive findings such as proptosis, orbital bruit, increased intraocular pressure, congested scleral and retinal vessels, engorged eyelid vessels resolved immediately after coil embolization. This pediatric case is unique given the caroticocavernous fistula was bilateral and was associated with prominent dilatation of the eyelid vessels, named for the first time as corkscrew eyelid vessels. Read More

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January 2021