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Pediatric Emergencies: Role of the Interventional Radiologist

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Atlas of Emergency Imaging from Head-to-Toe

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Abstract

Emergency image-guided interventions in pediatric patients frequently require different interventional skills and techniques to accommodate the patient’s size and a spectrum of anatomical and developmental variants. In this chapter, we describe pediatric interventions which are commonly performed emergently, divided into anatomical areas. The procedures in the chest include aspiration or drainage of pleural effusion, pneumothorax, and lung abscess, catheter-directed thrombolysis (CDT) of massive or sub-massive pulmonary embolism (PE), and bronchial artery embolization (BAE) for the treatment of massive hemoptysis. Abdominal procedures described include abscess drainage; management of gastrostomy tubes, gastrojejunostomy tubes, and cecostomy tubes; embolization for the management of massive gastrointestinal (GI) bleeding; and embolization for splenic or hepatic trauma. The renal procedures include nephrostomy tube placement and embolization for renal trauma. Musculoskeletal procedures, including arthrocentesis for suspected septic joint and bone biopsy for osteomyelitis, will also be reviewed. We also describe issues related to emergent vascular access in children.

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Author information

Authors and Affiliations

  1. Department of Medical Imaging, CHEO, Ottawa, University of Toronto, Toronto, ON, Canada

    Gali Shapira-Zaltsberg

  2. Division of Image-Guided Therapy (IGT), Department of Diagnostic Imaging, The Hospital for Sick Children, Medical Imaging department, University of Toronto, Toronto, ON, Canada

    Michael Temple & Joao Amaral

Authors
  1. Gali Shapira-Zaltsberg
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  2. Michael Temple
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  3. Joao Amaral
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Corresponding author

Correspondence to Gali Shapira-Zaltsberg .

Editor information

Editors and Affiliations

  1. Department of Radiology, McMaster University, Hamilton, ON, Canada

    Michael N. Patlas

  2. NYU Langone Hospital - Long Island and the NYU Long Island School of Medicine, Mineola, NY, USA

    Douglas S. Katz

  3. Department of Medical, Surgical and Experimental Sciences, University of Medicine and Surgery, Sassari, Italy

    Mariano Scaglione

Section Editor information

  1. Medical Imaging, University of Ottawa, Ottawa, Canada

    Elka Miller

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Shapira-Zaltsberg, G., Temple, M., Amaral, J. (2022). Pediatric Emergencies: Role of the Interventional Radiologist. In: Patlas, M.N., Katz, D.S., Scaglione, M. (eds) Atlas of Emergency Imaging from Head-to-Toe. Springer, Cham. https://doi.org/10.1007/978-3-030-92111-8_51

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  • DOI: https://doi.org/10.1007/978-3-030-92111-8_51

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-92110-1

  • Online ISBN: 978-3-030-92111-8

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