Pediatric interventional radiology

Paediatric interventional radiology (IR) is a rapidly developing subspecialty, seeking to meet the increasing demand for image-guided minimally invasive procedures. The wide range of procedures performed and the conditions treated reflect the varying ages and complexity of the patient population. This article reviews the various interventional procedures performed and the unique challenges faced in paediatric IR. Conditions, such as vascular anomalies, that are primarily treated by paediatric interventional radiologists are highlighted. The requirements for establishing a paediatric IR practice are reviewed, as are the challenges facing the future development of the specialty.Keywords: pediatric interventional radiology

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Shrinking of a Tarlov cyst

BMJ Case Reports ◽

10.1136/bcr-2018-227256 ◽

2019 ◽

Vol 12 (3) ◽

pp. e227256 ◽

Cited By ~ 1

Author(s):

Kieran P Murphy ◽

Susannah Ryan

Keyword(s):

Minimally Invasive ◽

Gender Bias ◽

Delayed Diagnosis ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Tarlov Cyst ◽

Image Guided ◽

Tarlov Cysts ◽

Caucasian Women ◽

The Right

A 65-year-old patient presenting with left labial and perirectal pain was diagnosed with bilateral Tarlov cysts. Upon treatment of the left Tarlov cyst (the right was asymptomatic) using image-guided aspiration and subsequent injection of the cyst with fibrin sealant, the cyst reduced in size. To our knowledge, there are currently no other documented cases in which the Tarlov cyst reduced in size following this procedure. This case would seem to suggest that clinicians are poorly informed with regard to Tarlov cysts. These cysts are more common in Caucasian women, many of whom are told their cysts are not responsible for their pain or that they are not treatable. However, there is clear evidence that some Tarlov cysts are symptomatic and minimally invasive procedures have been developed to treat them. As they primarily occur in women, it is possible gender bias may also play a role in the delayed diagnosis of the patient’s pain.

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Use of patient specific 3D printed (3DP) neurovascular phantoms for mechanical assessment of devices used in image guided minimally invasive procedures

Medical Imaging 2018: Imaging Informatics for Healthcare, Research, and Applications ◽

10.1117/12.2293370 ◽

2018 ◽

Author(s):

Adnan Siddiqui ◽

Ciprian N. Ionita ◽

Gianni Siddiqui ◽

Lauren Shepard ◽

Kelsey Sommer ◽

...

Keyword(s):

Minimally Invasive ◽

Patient Specific ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Image Guided ◽

3D Printed

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Theranostics in Interventional Oncology: Versatile Carriers for Diagnosis and Targeted Image-Guided Minimally Invasive Procedures

Frontiers in Pharmacology ◽

10.3389/fphar.2019.00450 ◽

2019 ◽

Vol 10 ◽

Cited By ~ 7

Author(s):

Nils Degrauwe ◽

Arnaud Hocquelet ◽

Antonia Digklia ◽

Niklaus Schaefer ◽

Alban Denys ◽

...

Keyword(s):

Minimally Invasive ◽

Interventional Oncology ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Image Guided

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Development of a Patient-Safety Checklist for Use During Fluoroscopic or Image-Guided, Minimally-Invasive Procedure in the Department of Radiology, Philippine General Hospital

Acta Medica Philippina ◽

10.47895/amp.vi0.2974 ◽

2021 ◽

Author(s):

Ryan Jason DL. Urgel ◽

Imarzen V. Elepano

Keyword(s):

Patient Safety ◽

Minimally Invasive ◽

General Hospital ◽

Data Gathering ◽

Hospital Setting ◽

Invasive Procedure ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Image Guided ◽

Trial Testing

Objective. This study aimed to develop a patient-safety checklist for use during fluoroscopic- or image-guided minimally-invasive procedures in the Department of Radiology, Philippine General Hospital.Methodology. A comparison of the Radiological Patient Safety System (RADPASS) and the Cardiovascular and Interventional Society of Europe (CIRSE) checklists was done. Together with the knowledge of the workflow and through observation of the different procedures in the department, a checklist was developed to suit the appropriate hospital setting. This developed checklist was tested in several procedures, and was evaluated and modified during trial testing.Result. A patient safety checklist for minimally-invasive and fluoroscopic procedures in the Department of Radiology, Philippine General Hospital was developed through the analysis of the workflow of the department, and observation during the data gathering and trial testing phases.Conclusion. This simple tool was developed to ensure that all the necessary details before a procedure have been addressed. It has been made as simple as possible, to make it user-friendly. The developed checklist is a step forward in promoting and ensuring the safety of patients undergoing fluoroscopic and minimally-invasive procedures in the Department of Radiology, PGH.

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Anesthesia for Maternal-Fetal Interventions: A Survey of Fetal Therapy Centers in the North American Fetal Therapy Network

Fetal Diagnosis and Therapy ◽

10.1159/000514897 ◽

2021 ◽

pp. 1-11

Author(s):

Cristina L. Wood ◽

Jeannie Zuk ◽

Mark D. Rollins ◽

Lori J. Silveira ◽

John R. Feiner ◽

...

Keyword(s):

Minimally Invasive ◽

North American ◽

Online Survey ◽

Anesthetic Techniques ◽

Minimally Invasive Procedures ◽

Fetal Therapy ◽

Invasive Procedures ◽

The North ◽

Wide Range ◽

Small Team

Introduction: A wide range of fetal interventions are performed across fetal therapy centers (FTCs). We hypothesized that there is significant variability in anesthesia staffing and anesthetic techniques. Methods: We conducted an online survey of anesthesiology directors at every FTC within the North American Fetal Therapy Network (NAFTNet). The survey included details of fetal interventions performed in 2018, anesthesia staffing models, anesthetic techniques, fetal monitoring, and postoperative management. Results: There was a 92% response rate. Most FTCs are located within an adult hospital and employ a small team of anesthesiologists. There is heterogeneity when evaluating anesthesiology fellowship training and staffing, indicating there is a multidisciplinary specialty team-based approach even within anesthesiology. Minimally invasive fetal interventions were the most commonly performed. The majority of FTCs also performed ex utero intrapartum treatment (EXIT) and open mid-gestation procedures under general anesthesia (GA). Compared to FTCs only performing minimally invasive procedures, FTCs performing open fetal procedures were more likely to have a pediatric surgeon as director and performed more minimally invasive procedures. Conclusions: There is considerable variability in anesthesia staffing, caseload, and anesthetic techniques among FTCs in NAFTNet. Most FTCs used maternal sedation for minimally invasive procedures and GA for EXIT and open fetal surgeries.

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