Pediatric Interventional Neuroradiology: Opportunities and Challenges

Pediatric interventional neuroradiology (PINR) is a relatively new field of diagnostic and therapeutic care in the pediatric population that has seen considerable advances in recent decades. However, it is still lagging behind adult interventional neuroradiology due to a variety of reasons, includin...

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Main Authors: Cene Jerele, Dimitrij Lovrič, Dimitrij Kuhelj
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/4/715
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author Cene Jerele
Dimitrij Lovrič
Dimitrij Kuhelj
author_facet Cene Jerele
Dimitrij Lovrič
Dimitrij Kuhelj
author_sort Cene Jerele
collection DOAJ
description Pediatric interventional neuroradiology (PINR) is a relatively new field of diagnostic and therapeutic care in the pediatric population that has seen considerable advances in recent decades. However, it is still lagging behind adult interventional neuroradiology due to a variety of reasons, including the lack of evidence validating pediatric-specific procedures, the relative absence of pediatric-specific equipment, and the challenges in establishing and maintaining PINR competencies in a relatively small number of cases. Despite these challenges, the number and variety of PINR procedures are expanding for a variety of indications, including unique pediatric conditions, and are associated with reduced morbidity and psychological stigma. Continued technological advances, such as improved catheter and microwire designs and novel embolic agents, are also contributing to the growth of the field. This review aims to increase awareness of PINR and provide an overview of the current evidence base for minimally invasive neurological interventions in children. Important considerations, such as sedation, contrast agent use, and radiation protection, will also be discussed, taking into account the distinct characteristics of the pediatric population. The review highlights the usefulness and benefits of PINR and emphasizes the need for ongoing research and development to further advance this field.
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spelling doaj.art-291217fef8e14c20811239f254b255292023-11-17T18:46:41ZengMDPI AGChildren2227-90672023-04-0110471510.3390/children10040715Pediatric Interventional Neuroradiology: Opportunities and ChallengesCene Jerele0Dimitrij Lovrič1Dimitrij Kuhelj2Clinical Institute of Radiology, University Medical Centre Ljubljana, Zaloška Cesta 7, 1000 Ljubljana, SloveniaClinical Institute of Radiology, University Medical Centre Ljubljana, Zaloška Cesta 7, 1000 Ljubljana, SloveniaClinical Institute of Radiology, University Medical Centre Ljubljana, Zaloška Cesta 7, 1000 Ljubljana, SloveniaPediatric interventional neuroradiology (PINR) is a relatively new field of diagnostic and therapeutic care in the pediatric population that has seen considerable advances in recent decades. However, it is still lagging behind adult interventional neuroradiology due to a variety of reasons, including the lack of evidence validating pediatric-specific procedures, the relative absence of pediatric-specific equipment, and the challenges in establishing and maintaining PINR competencies in a relatively small number of cases. Despite these challenges, the number and variety of PINR procedures are expanding for a variety of indications, including unique pediatric conditions, and are associated with reduced morbidity and psychological stigma. Continued technological advances, such as improved catheter and microwire designs and novel embolic agents, are also contributing to the growth of the field. This review aims to increase awareness of PINR and provide an overview of the current evidence base for minimally invasive neurological interventions in children. Important considerations, such as sedation, contrast agent use, and radiation protection, will also be discussed, taking into account the distinct characteristics of the pediatric population. The review highlights the usefulness and benefits of PINR and emphasizes the need for ongoing research and development to further advance this field.https://www.mdpi.com/2227-9067/10/4/715pediatric interventional radiologyendovascular proceduresneuroradiological interventionspediatric-specific interventional techniquesradiation protection
spellingShingle Cene Jerele
Dimitrij Lovrič
Dimitrij Kuhelj
Pediatric Interventional Neuroradiology: Opportunities and Challenges
Children
pediatric interventional radiology
endovascular procedures
neuroradiological interventions
pediatric-specific interventional techniques
radiation protection
title Pediatric Interventional Neuroradiology: Opportunities and Challenges
title_full Pediatric Interventional Neuroradiology: Opportunities and Challenges
title_fullStr Pediatric Interventional Neuroradiology: Opportunities and Challenges
title_full_unstemmed Pediatric Interventional Neuroradiology: Opportunities and Challenges
title_short Pediatric Interventional Neuroradiology: Opportunities and Challenges
title_sort pediatric interventional neuroradiology opportunities and challenges
topic pediatric interventional radiology
endovascular procedures
neuroradiological interventions
pediatric-specific interventional techniques
radiation protection
url https://www.mdpi.com/2227-9067/10/4/715
work_keys_str_mv AT cenejerele pediatricinterventionalneuroradiologyopportunitiesandchallenges
AT dimitrijlovric pediatricinterventionalneuroradiologyopportunitiesandchallenges
AT dimitrijkuhelj pediatricinterventionalneuroradiologyopportunitiesandchallenges