التفاصيل البيبلوغرافية
| العنوان: |
Arterial Recanalization for Access for Arterial Intervention in Children: Techniques and Outcomes. |
| المؤلفون: |
Patel, Premal A., Stuart, Sam, Robertson, Fergus, Rennie, Adam, De Coppi, Paolo, Roebuck, Derek J. |
| المصدر: |
Journal of Vascular & Interventional Radiology; Oct2018, Vol. 29 Issue 10, p1410-1414, 5p |
| مستخلص: |
Purpose: To assess technical success of arterial recanalization in children requiring repeated arterial access and intervention.Materials and Methods: Over 14 years, 41 attempts to cross 30 arterial occlusions were made in 22 patients (13 male, 9 female). Median patient age was 12 months (15 days-14 years), and weight was 7.6 kg (3.0-77.3 kg). Techniques and outcomes were recorded.Results: Twenty-five of 41 (61%) attempts at crossing an arterial occlusion were successful. Nineteen of 30 (63%) first attempts to cross occlusions were successful, and 6 of 11 (55%) repeat attempts were successful. The occluded segments were combinations of common femoral artery (n = 4), external iliac artery (n = 36), common iliac artery (n = 11), and aorta (n = 1). Complications occurred in 5 of 41(12%) attempts: 3 minor complications (hematoma, extravasation, and transient leg ischemia) and 2 major complications (rupture and thrombosis).Conclusions: Arterial access by recanalization of occluded segments is technically feasible in children, with a low complication rate. [ABSTRACT FROM AUTHOR] |
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