Interventional radiology procedures are increasingly in demand in both the adult and pediatric populations. Pediatric procedures mirror many of the adult procedures but with increased complexity due to considerations related to patient size and the requirements for sedation and radiation protection. This article reviews the various nonvascular pediatric interventional procedures and provides information on sedation and radiation protection. The aim is to provide a greater exposure to the possible treatment options for pediatric patients and to facilitate understanding of imaging after various interventions.
CraveroJ.P.BeachM.L.BlikeG.T.The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research ConsortiumAnesth Analg2009; 108:795–804.
2.
MalloyP.C.GrassiC.J.KunduS.Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventionsJ Vasc Interv Radiol20Suppl2009S240–S249.
3.
BrennerD.EllistonC.HallE.Estimated risks of radiation-induced fatal cancer from pediatric CTAJR Am J Roentgenol2001; 176:289–296.
HeranM.K.MarshalleckF.TempleM.Joint quality improvement guidelines for pediatric arterial access and arteriography: from the Societies of Interventional Radiology and Pediatric RadiologyJ Vasc Interv Radiol2010; 21:32–43.
6.
HoganM.J.HofferF.A.Biopsy and drainage techniques in childrenTech Vasc Interv Radiol2010; 13:206–213.
7.
RoebuckD.J.HoganM.J.ConnollyB.Interventions in the chest in childrenTech Vasc Interv Radiol2011; 14:8–15.
8.
FoxV.L.CohenM.B.WhitingtonP.F.Outpatient liver biopsy in children: a medical position statement of the North American Society for Pediatric Gastroenterology and NutritionJ Pediatr Gastroenterol Nutr1996; 23:213–216.
9.
HarwoodJ.BishopP.LiuH.Safety of blind percutaneous liver biopsy in obese children: a retrospective analysisJ Clin Gastroenterol2010; 44:e253–e255.
10.
KayeR.SaneS.S.TowbinR.B.Pediatric intervention: an update—part IIJ Vasc Interv Radiol2000; 1:807–822.
11.
BarnacleA.M.RoebuckD.J.RacadioJ.M.Nephro-urology interventions in childrenTech Vasc Interv Radiol2010; 13:229–237.
12.
KoralK.SakerM.C.MorelloF.P.Conventional versus modified technique for percutaneous nephrostomy in newborns and young infantsJ Vasc Interv Radiol2003; 14:113–116.
13.
StraubM.GschwendJ.ZornC.Pediatric urolithiasis: the current surgical managementPediatr Nephrol2010; 25:1239–1244.
14.
HiornsM.P.Imaging of urinary tract lithiasis: who, when and how?Pediatr Radiol38Suppl 32008S497–S500.
15.
ChanR.LiD.K.An extreme case of retrorenal colonAJR Am J Roentgenol1872006W438
16.
AnandA.KumarR.DograP.N.Safety and efficacy of a superior caliceal puncture in pediatric percutaneous nephrolithotomyJ Endourol2010; 24:1725–1728.
17.
RoebuckD.J.McLarenC.A.Gastrointestinal intervention in childrenPediatr Radiol2011; 41:27–41.
18.
AntoniouD.SoutisM.Christopoulos-GeroulanosG.Anastomotic strictures following esophageal atresia repair: a 20-year experience with endoscopic balloon dilatationJ Pediatr Gastroenterol Nutr2010; 51:464–467.
19.
KramerR.E.QuirosJ.A.Esophageal stents for severe strictures in young children: experience, benefits, and riskCurr Gastroenterol Rep2010; 12:203–210.
20.
BestC.SudelB.FokerJ.E.Esophageal stenting in children: indications, application, effectiveness, and complicationsGastrointest Endosc2009; 70:1248–1253.
21.
FoschiaF.De AngelisP.TorroniF.Custom dynamic stent for esophageal strictures in childrenJ Pediatr Surg2011; 46:848–853.
22.
VandenplasY.HauserB.DevrekerT.A biodegradable esophageal stent in the treatment of a corrosive esophageal stenosis in a childJ Pediatr Gastroenterol Nutr2009; 49:254–257.
23.
DiamondI.R.Hayes-JordanA.ChaitP.A novel treatment of congenital duodenal stenosis: image-guided treatment of congenital and acquired bowel strictures in childrenJ Laparoendosc Adv Surg Tech A2006; 16:317–320.
24.
van RijnR.R.van LiendenK.P.FortunaT.L.Membranous duodenal stenosis: initial experience with balloon dilatation in four childrenEur J Radiol2006; 59:29–32.
25.
ConnollyB.KrishnamurthyG.AmaralJ.Upper gastrointestinal access in children: techniques and outcomesTech Vasc Interv Radiol2010; 13:222–228.
26.
KayeR.D.SaneS.S.TowbinR.B.Pediatric intervention: an update—part IJ Vasc Interv Radiol2000; 11:683–697.
27.
LewisE.C.ConnollyB.TempleM.Growth outcomes and complications after radiologic gastrostomy in 120 childrenPediatr Radiol2008; 38:963–970.
28.
ShandlingB.ChaitP.G.RichardsH.F.Percutaneous cecostomy: a new technique in the management of fecal incontinenceJ Pediatr Surg1996; 31:534–537.
29.
ChaitP.G.ShandlingB.RichardsH.M.Fecal incontinence in children: treatment with percutaneous cecostomy tube placement—a prospective studyRadiology1997; 203:621–624.
30.
DonkolR.H.Al-NammiA.Percutaneous cecostomy in the management of organic fecal incontinence in childrenWorld J Radiol2010; 2:463–467.
LorenzJ.M.FunakiB.LeefJ.A.Percutaneous transhepatic cholangiography and biliary drainage in pediatric liver transplant patientsAJR Am J Roentgenol2001; 176:761–765.
33.
MeyersR.L.BookL.S.O'GormanM.A.Percutaneous cholecysto-cholangiography in the diagnosis of obstructive jaundice in infantsJ Pediatr Surg2004; 39:16–18.
34.
NwomehB.C.CanianoD.A.HoganM.Definitive exclusion of biliary atresia in infants with cholestatic jaundice: the role of percutaneous cholecysto-cholangiographyPediatr Surg Int2007; 23:845–849.
35.
KhanW.U.CampisiP.NadarajahS.Botulinum toxin A for treatment of sialorrhea in children: an effective, minimally invasive approachArch Otolaryngol Head Neck Surg2011; 137:339–344.
36.
LundyC.T.DohertyG.M.FairhurstC.B.Botulinum toxin type A injections can be an effective treatment for pain in children with hip spasms and cerebral palsyDev Med Child Neurol2009; 51:705–710.
JabbourN.TibesarR.LanderT.Sialendoscopy in childrenInt J Pediatr Otorhinolaryngol2010; 74:347–350.
39.
JacobsJ.P.QuintessenzaJ.A.BoteroL.M.The role of airway stents in the management of pediatric tracheal, carinal, and bronchial diseaseEur J Cardiothorac Surg2000; 18:505–512.
40.
McLarenC.A.ElliottM.J.RoebuckD.J.Tracheobronchial intervention in childrenEur J Radiol2005; 53:22–34.
