Seminars in Interventional Radiology最新文献

Introduction to Contemporary Pediatric Interventional Radiology. 当代儿科介入放射学导论。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-10-10 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1811198

C Matthew Hawkins

引用次数: 0

The Role of IR in Pediatric Liver Cancer. IR在小儿肝癌中的作用。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-09-25 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1811256

Michael R Acord, Allison Aguado, Anne E Gill

引用次数: 0

Endovascular Management of Pediatric Deep Venous Thrombosis. 儿童深静脉血栓的血管内治疗。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-09-25 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1811718

Vaz Zavaletta, Beth B Warren, Danielle Katz, Grace Eliason, Michael Collard, Aparna Annam

{"title":"Endovascular Management of Pediatric Deep Venous Thrombosis.","authors":"Vaz Zavaletta, Beth B Warren, Danielle Katz, Grace Eliason, Michael Collard, Aparna Annam","doi":"10.1055/s-0045-1811718","DOIUrl":"10.1055/s-0045-1811718","url":null,"abstract":"This study aims to review current practices in thrombolysis and thrombectomy for managing deep venous thrombosis (DVT) and associated complications in the pediatric population. Pediatric thrombosis care has a rich history of evolution, from the early days of anticoagulation to the current era of endovascular therapies. This evolution has been driven by the need for a nuanced, multidisciplinary approach that includes interventional radiology (IR) and hematology. While anticoagulation remains the standard of care, endovascular therapies are increasingly utilized in cases of extensive, occlusive, or limb-threatening DVT, particularly to prevent pulmonary embolism and postthrombotic syndrome (PTS) and to preserve venous patency. This review outlines the indications, contraindications, and procedural techniques for catheter-directed thrombolysis, pharmaco-mechanical thrombectomy (PMT), mechanical thrombectomy, and venous stenting in children. It emphasizes the crucial role of a multidisciplinary team, including pediatric hematologists, interventional radiologists, and other medical professionals, in managing pediatric DVT. This collaboration is essential for considering pediatric-specific factors such as patient size, sedation requirements, radiation, contrast dosing, and anticoagulation. Also highlighted are postprocedural care, anticoagulation strategies, and imaging follow-up. Multidisciplinary collaboration is critical to improving outcomes for children with thrombotic disease.","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 3","pages":"313-323"},"PeriodicalIF":1.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Percutaneous Lung Biopsy: Evidence-Based Techniques to Reduce Complications. 经皮肺活检：减少并发症的循证技术。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-09-16 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1811697

Kylie Zane, Qian Yu, Steven M Zangan

引用次数: 0

Pediatric Renovascular Hypertension: Diagnosis and Management. 儿童肾血管性高血压：诊断和管理。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-09-16 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1811577

Kishore Minhas, Anne Marie Cahill, Premal A Patel

{"title":"Pediatric Renovascular Hypertension: Diagnosis and Management.","authors":"Kishore Minhas, Anne Marie Cahill, Premal A Patel","doi":"10.1055/s-0045-1811577","DOIUrl":"10.1055/s-0045-1811577","url":null,"abstract":"Pediatric renovascular hypertension (RVH) is a significant cause of secondary hypertension in children, often resulting from renal artery stenosis (RAS) due to nonatherosclerotic etiologies such as fibromuscular dysplasia (FMD), mid aortic syndrome (MAS), and syndromic conditions like neurofibromatosis type 1 (NF-1). Early diagnosis is critical to prevent long-term complications, including renal dysfunction and cardiovascular disease. Diagnostic evaluation begins with ultrasound, which, despite its limitations, remains the first-line modality. Advanced imaging techniques such as CT angiography (CTA), MR angiography (MRA), and digital subtraction angiography (DSA) provide detailed vascular assessment, with DSA considered the gold standard. Adjunctive tools like intravascular pressure measurements, intravascular imaging, and renal vein renin sampling supplement DSA. Management should have multidisciplinary consensus and is tailored to the individual patient. Pharmacological therapy is seldom sufficient and percutaneous transluminal angioplasty is effective in many cases. Stent placement and surgical interventions are reserved for refractory or complex cases. Chemical ablation in select cases and emerging therapies such as renal denervation offer additional options. This review outlines the current diagnostic and therapeutic approaches to pediatric RVH, emphasizing the importance of personalized care and the role of specialist pediatric centers, with experience in managing RVH, in optimizing outcomes.","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 3","pages":"269-278"},"PeriodicalIF":1.3,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Core Tenets of Central Venous Access in Children. 儿童中心静脉通路的核心原则。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-08-25 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1811255

Madeline E Leo, Anne E Gill

引用次数: 0

Systemic Venous Recanalization: Iliocaval and Superior Vena Cava Reconstruction in Children. 全身静脉再通：儿童髂腔静脉和上腔静脉重建。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-08-07 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1810419

Frederic J Bertino

引用次数: 0

Pediatric Venous Thromboembolism: Considerations for the Interventional Radiologist. 儿童静脉血栓栓塞：介入放射科医生的考虑。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-07-17 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1810081

William Mitchell, Michael H White, Prashant Raghavendran, Gary Woods, Karen L Zimowski

{"title":"Pediatric Venous Thromboembolism: Considerations for the Interventional Radiologist.","authors":"William Mitchell, Michael H White, Prashant Raghavendran, Gary Woods, Karen L Zimowski","doi":"10.1055/s-0045-1810081","DOIUrl":"10.1055/s-0045-1810081","url":null,"abstract":"Pediatric venous thromboembolism (VTE) has seen a significant rise in prevalence coinciding with the increasing availability of complex and invasive treatments in children. While anticoagulation remains the cornerstone of VTE treatment, increasing evidence supports interventional approaches for select cases, particularly in life- or limb-threatening scenarios. Treatment strategies must be individualized, considering age-related differences in hemostasis and the higher bleeding risk associated with interventions. This remains challenging due to a dearth of pediatric-specific studies. This manuscript explores pathophysiology, risk factors, and management strategies for pediatric VTE, emphasizing both pharmacologic and interventional treatments and providing updated recommendations regarding available anticoagulant agents and VTE management paradigms in children. It highlights the potential of interventional techniques in special conditions, namely Paget-Schroetter syndrome, superior vena cava syndrome, inferior vena cava atresia, pulmonary emboli, and May-Thurner syndrome. In the absence of rigorous clinical trial data, continued multidisciplinary collaboration and standardized approaches will remain imperative for ensuring careful use of interventional procedures to achieve optimal outcomes in these young patients.","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 3","pages":"289-302"},"PeriodicalIF":1.3,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fundamentals of Pediatric Cancer: How Pediatric Pathology and Infrastructure of Clinical Trials Impact Contemporary Interventional Oncology in Children. 儿童癌症基础：儿科病理学和临床试验基础如何影响当代儿童介入肿瘤学。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-07-16 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1810054

Sarah G Mitchell, Kathryn S Sutton, Thomas Cash

引用次数: 0

MR Lymphangiography in Pediatrics: Indications, Technique, Findings, and Management. 小儿MR淋巴管造影：指征、技术、结果和处理。

IF 1.3 4区医学

Seminars in Interventional Radiology Pub Date : 2025-07-16 eCollection Date: 2025-06-01 DOI: 10.1055/s-0045-1810064

Sheena Pimpalwar, Tarique Hussain, Surendranath R Veeram Reddy

{"title":"MR Lymphangiography in Pediatrics: Indications, Technique, Findings, and Management.","authors":"Sheena Pimpalwar, Tarique Hussain, Surendranath R Veeram Reddy","doi":"10.1055/s-0045-1810064","DOIUrl":"https://doi.org/10.1055/s-0045-1810064","url":null,"abstract":"Over the past two decades, magnetic resonance imaging (MRI) has become the mainstay for lymphatic imaging in pediatric patients suffering from lymphatic disorders caused by congenital or acquired causes. Pediatric patients, especially those born with complex congenital heart disease, status post single ventricle palliation increasingly constitute the largest group of patients presenting with lymphatic dysfunction. Heavily T2-weighted and 3D-balanced steady-state free precession are complementary MRI sequences used for noninvasive assessment of the central lymphatic anatomy as well as distribution of lymphatic fluid in body cavities, lymphatic cysts, and lymphatic malformations. These sequences are, however, limited in their ability to visualize smaller lymphatics, to differentiate lymphatics from other fluid-filled structures, or to provide sequential flow information. This limitation is overcome by administering a gadolinium-based contrast agent into a lymph node, lymphatic vessel, or interstitial tissue with simultaneous image acquisition, a technique called dynamic contrast-enhanced magnetic resonance lymphangiography. This imaging is invasive but critical for evaluating lymphatic flow and identifying potential targets for lymphatic intervention. Medical therapy, along with traditional transcatheter or surgical approaches to address the underlying cause of the lymphatic disorder, remains the first-line approach, while lymphatic interventions are reserved for patients who have failed these therapies.","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 3","pages":"356-373"},"PeriodicalIF":1.3,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0