Pediatric trauma and the role of the interventional radiologist

Purpose While interventional radiologists occupy a critical role in adult trauma management, the role of interventionalist in pediatric trauma continues to evolve. The indications for transarterial embolization (TAE) are significantly different in pediatric patients in whom non-operative management...

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Bibliographic Details
Published in:Emergency radiology 2022-10, Vol.29 (5), p.903-914
Main Authors: Annam, Aparna, Josephs, Shellie, Johnson, Thor, Kulungowski, Ann M., Towbin, Richard B., Cahill, Anne Marie
Format: Article
Language:English
Subjects:
Embolization
Emergency Medicine
Evolution
Imaging
Medicine
Medicine & Public Health
Pediatrics
Radiology
Review Article
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Summary:Purpose While interventional radiologists occupy a critical role in adult trauma management, the role of interventionalist in pediatric trauma continues to evolve. The indications for transarterial embolization (TAE) are significantly different in pediatric patients in whom non-operative management (NOM) has a much more prominent role than in adults. Contrast extravasation on imaging may not require acute surgical or interventional management as it would in an adult. There are also areas in which pediatric interventional radiology is increasingly useful such as pelvic TAE in failed management, or splenic embolization to treat bleeding without the loss of splenic function inherent to surgical splenectomy. The rapid evolution of techniques and devices in pediatric patients is also changing what interventions are possible in pediatric trauma management which necessitates frequent reassessment of the guidelines and interventional radiology’s role in caring for these patients. Conclusion This review seeks to consolidate the recent literature to describe the evolving role of the interventional radiologist in pediatric trauma management.
ISSN:1070-3004
1438-1435
DOI:10.1007/s10140-022-02067-9