Pediatric cerebral angiography: analysis of utilization and findings. Pediatr Neurol 2009 Feb;40(2):98-101
Date
01/13/2009Pubmed ID
19135622DOI
10.1016/j.pediatrneurol.2008.10.006Scopus ID
2-s2.0-58149167030 (requires institutional sign-in at Scopus site) 46 CitationsAbstract
Pediatric neuroendovascular procedures are being performed with increasing frequency, for various indications. Reported here is the experience of interventionally trained neurologists performing pediatric cerebral diagnostic angiography between August 1, 2005, and April 30, 2008, at a single tertiary institution. Data regarding patient demographics, diagnostic indication and angiographic diagnosis, procedural complications, and procedural specifications were recorded to assess practice patterns and to track procedural morbidity. In all, 42 patients had 46 procedures during the study period. Mean age was 9.97 years (standard deviation S.D. = 5.39; range, 0.3-18 years); 22/42 were male (52%). Known or suspected vascular malformation was the diagnostic indication for 20 patients; of these, 12 had an arteriovenous malformation, 5 had venous abnormalities, and 3 exhibited no angiographic vascular malformations. In 13 total procedures there was no angiographic pathology. General anesthesia was used in 29/46 procedures (63%). A total of 190 cerebral arteries were individually selected, with a mean number of vessels catheterized of 4.1 (S.D. = 1.7) per procedure. No procedural thromboembolic complications, iatrogenic arterial dissection, or neurologic or vascular access site complications occurred. In conclusion, pediatric cerebral angiography seems to be generally safe, although there should be a strong diagnostic indication, given the inherent procedural risk.
Author List
Wolfe TJ, Hussain SI, Lynch JR, Fitzsimmons BF, Zaidat OOMESH terms used to index this publication - Major topics in bold
AdolescentBrain
Central Nervous System Vascular Malformations
Cerebral Angiography
Child
Child, Preschool
Demography
Female
Follow-Up Studies
Humans
Infant
Intracranial Arteriovenous Malformations
Male
