Endovascular Treatment for Complex Vascular Pathologies in the Pediatric Population: Experience from a Center with Dual-Trained Neurosurgeons

Endovascular treatment of complex vascular pathologies in the pediatric population is often performed by nonpediatric subspecialists with adaptation of equipment and techniques developed for adult patients. We aimed to report our center's experience with safety and outcomes of endovascular trea...

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Published inWorld neurosurgery Vol. 189; pp. e696 - e708
Main Authors Donnelly, Brianna M., Monteiro, Andre, Recker, Matthew J., Lim, Jaims, Rosalind Lai, Pui Man, Jacoby, Wady T., Khawar, Wasiq I., Becker, Alexander B., Waqas, Muhammad, Cappuzzo, Justin M., Davies, Jason M., Snyder, Kenneth V., Reynolds, Renee M., Siddiqui, Adnan H., Levy, Elad I.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2024
Subjects
Adolescent
Aneurysm
Arteriovenous malformation
Cerebral Angiography
Cerebrovascular Disorders - diagnostic imaging
Cerebrovascular Disorders - surgery
Child
Child, Preschool
Endovascular Procedures - methods
Female
Humans
Infant
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - surgery
Intracranial Arteriovenous Malformations - diagnostic imaging
Intracranial Arteriovenous Malformations - surgery
Ischemic stroke
Male
Neurointervention
Neurosurgeons
Pediatric
Retrospective Studies
Trauma
Treatment Outcome
Tumor
GKRS
AOs
Aneurysm
Neurointervention
Ischemic stroke
IQR
VA
Trauma
NBCA
VOGM
AVM
IA
Tumor
Pediatric
Arteriovenous malformation
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Abstract Endovascular treatment of complex vascular pathologies in the pediatric population is often performed by nonpediatric subspecialists with adaptation of equipment and techniques developed for adult patients. We aimed to report our center's experience with safety and outcomes of endovascular treatments for pediatric vascular pathologies. We performed a retrospective review of our endovascular database. All patients ≤18 years who underwent endovascular treatment between January 1, 2004 and December 1, 2022 were included. During the study time frame, 118 cerebral angiograms were performed for interventional purposes in 55 patients. Of these patients, 8(14.5%) had intracranial aneurysms, 21(38.2%) had intracranial arteriovenous malformations, 6(10.9%) had tumors, 5(9.1%) had arterial occlusions (n = 3) or dissections (n = 2), 8(14.5%) had vein of Galen malformations, and 7(12.7%) had other cerebrovascular conditions. Of the total 118 procedures, access-site complications occurred in 2(1.7%), intraprocedural complications occurred in 3(2.5%), and transient neurological deficits were observed after 2(1.7%). Treatment-related mortality occurred in 1(1.8%) patient. Neurointervention in pediatric patients was safe and effective in our experience.
AbstractList Endovascular treatment of complex vascular pathologies in the pediatric population is often performed by nonpediatric subspecialists with adaptation of equipment and techniques developed for adult patients. We aimed to report our center's experience with safety and outcomes of endovascular treatments for pediatric vascular pathologies. We performed a retrospective review of our endovascular database. All patients ≤18 years who underwent endovascular treatment between January 1, 2004 and December 1, 2022 were included. During the study time frame, 118 cerebral angiograms were performed for interventional purposes in 55 patients. Of these patients, 8(14.5%) had intracranial aneurysms, 21(38.2%) had intracranial arteriovenous malformations, 6(10.9%) had tumors, 5(9.1%) had arterial occlusions (n = 3) or dissections (n = 2), 8(14.5%) had vein of Galen malformations, and 7(12.7%) had other cerebrovascular conditions. Of the total 118 procedures, access-site complications occurred in 2(1.7%), intraprocedural complications occurred in 3(2.5%), and transient neurological deficits were observed after 2(1.7%). Treatment-related mortality occurred in 1(1.8%) patient. Neurointervention in pediatric patients was safe and effective in our experience.
Endovascular treatment of complex vascular pathologies in the pediatric population is often performed by nonpediatric subspecialists with adaptation of equipment and techniques developed for adult patients. We aimed to report our center's experience with safety and outcomes of endovascular treatments for pediatric vascular pathologies.OBJECTIVEEndovascular treatment of complex vascular pathologies in the pediatric population is often performed by nonpediatric subspecialists with adaptation of equipment and techniques developed for adult patients. We aimed to report our center's experience with safety and outcomes of endovascular treatments for pediatric vascular pathologies.We performed a retrospective review of our endovascular database. All patients ≤18 years who underwent endovascular treatment between January 1, 2004 and December 1, 2022 were included.METHODSWe performed a retrospective review of our endovascular database. All patients ≤18 years who underwent endovascular treatment between January 1, 2004 and December 1, 2022 were included.During the study time frame, 118 cerebral angiograms were performed for interventional purposes in 55 patients. Of these patients, 8(14.5%) had intracranial aneurysms, 21(38.2%) had intracranial arteriovenous malformations, 6(10.9%) had tumors, 5(9.1%) had arterial occlusions (n = 3) or dissections (n = 2), 8(14.5%) had vein of Galen malformations, and 7(12.7%) had other cerebrovascular conditions. Of the total 118 procedures, access-site complications occurred in 2(1.7%), intraprocedural complications occurred in 3(2.5%), and transient neurological deficits were observed after 2(1.7%). Treatment-related mortality occurred in 1(1.8%) patient.RESULTSDuring the study time frame, 118 cerebral angiograms were performed for interventional purposes in 55 patients. Of these patients, 8(14.5%) had intracranial aneurysms, 21(38.2%) had intracranial arteriovenous malformations, 6(10.9%) had tumors, 5(9.1%) had arterial occlusions (n = 3) or dissections (n = 2), 8(14.5%) had vein of Galen malformations, and 7(12.7%) had other cerebrovascular conditions. Of the total 118 procedures, access-site complications occurred in 2(1.7%), intraprocedural complications occurred in 3(2.5%), and transient neurological deficits were observed after 2(1.7%). Treatment-related mortality occurred in 1(1.8%) patient.Neurointervention in pediatric patients was safe and effective in our experience.CONCLUSIONSNeurointervention in pediatric patients was safe and effective in our experience.
Author Davies, Jason M.
Snyder, Kenneth V.
Levy, Elad I.
Recker, Matthew J.
Khawar, Wasiq I.
Donnelly, Brianna M.
Waqas, Muhammad
Reynolds, Renee M.
Siddiqui, Adnan H.
Monteiro, Andre
Lim, Jaims
Rosalind Lai, Pui Man
Becker, Alexander B.
Jacoby, Wady T.
Cappuzzo, Justin M.
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Keywords GKRS
AOs
Aneurysm
Neurointervention
Ischemic stroke
IQR
VA
Trauma
NBCA
VOGM
AVM
IA
Tumor
Pediatric
Arteriovenous malformation
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Snippet Endovascular treatment of complex vascular pathologies in the pediatric population is often performed by nonpediatric subspecialists with adaptation of...
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SubjectTerms Adolescent
Aneurysm
Arteriovenous malformation
Cerebral Angiography
Cerebrovascular Disorders - diagnostic imaging
Cerebrovascular Disorders - surgery
Child
Child, Preschool
Endovascular Procedures - methods
Female
Humans
Infant
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - surgery
Intracranial Arteriovenous Malformations - diagnostic imaging
Intracranial Arteriovenous Malformations - surgery
Ischemic stroke
Male
Neurointervention
Neurosurgeons
Pediatric
Retrospective Studies
Trauma
Treatment Outcome
Tumor
Title Endovascular Treatment for Complex Vascular Pathologies in the Pediatric Population: Experience from a Center with Dual-Trained Neurosurgeons
URI https://dx.doi.org/10.1016/j.wneu.2024.06.151
https://www.ncbi.nlm.nih.gov/pubmed/38964463
https://www.proquest.com/docview/3076018838
Volume 189
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