%0 Journal Article %T Advanced Interventional Treatments in Retinoblastoma Management: A Comprehensive Review. %A Kolyvas P %A Mir A %A Stirrat T %A Brookner B %A Pilar N %A Monroe E %A Ahuja R %J Cardiovasc Intervent Radiol %V 47 %N 4 %D 2024 Apr 20 %M 38509339 %F 2.797 %R 10.1007/s00270-024-03692-2 %X Retinoblastoma is the most common eye malignancy in children that if left untreated can invade intraocular structures, metastasize, and rarely lead to death. Traditionally treated with systemic chemotherapy, Intra-arterial chemotherapy is gaining popularity as it allows for the direct administration of chemotherapy through the ophthalmic artery, thus reducing systemic side effects. Intra-arterial chemotherapy procedures have evolved, with refinements to reduce risks and radiation exposure. Intra-arterial chemotherapy boasts an impressive technical success rate and one year ocular survival even amongst advanced cases. This review offers a thorough examination of the technique, indications, contraindications, outcomes, and alternative options for Intra-arterial chemotherapy.