%0 Journal Article
%T Endovascular Treatment for Complex Vascular Pathologies in the Pediatric Population: Experience from a Center with Dual-Trained Neurosurgeons.
%A Donnelly BM
%A Monteiro A
%A Recker MJ
%A Lim J
%A Rosalind Lai PM
%A Jacoby WT
%A Khawar WI
%A Becker AB
%A Waqas M
%A Cappuzzo JM
%A Davies JM
%A Snyder KV
%A Reynolds RM
%A Siddiqui AH
%A Levy EI
%J World Neurosurg
%V 0
%N 0
%D 2024 Jul 2
%M 38964463
%F 2.21
%R 10.1016/j.wneu.2024.06.151
%X <B>OBJECTIVE: </B>Endovascular treatment of complex vascular pathologies in the pediatric population is often performed by non-pediatric subspecialists with adaptation of equipment and techniques developed for adult patients. We aimed to report our center's experience with safety and outcomes of endovascular treatments for pediatric vascular pathologies.<BR><B>METHODS: </B>We performed a retrospective review of our endovascular database. All patients ≤18 years who underwent endovascular treatment between January 1, 2004 and December 1, 2022 were included.<BR><B>RESULTS: </B>During the study time frame, 118 cerebral angiograms were performed for interventional purposes in 55 patients. Of these patients, 8(14.5%) had intracranial aneurysms, 21(38.2%) had intracranial arteriovenous malformations (AVMs), 6(10.9%) had tumors, 5(9.1%) had arterial occlusions (n=3) or dissections (n=2), 8(14.5%) had vein of Galen malformations, and 7(12.7%) had other cerebrovascular conditions. Of the total 118 procedures, access-site complications occurred in 2(1.7%), intraprocedural complications occurred in 3(2.5%), and transient neurological deficits were observed after 2(1.7%). Treatment-related mortality occurred in 1(1.8%) patient.<BR><B>CONCLUSIONS: </B>Neurointervention in pediatric patients was safe and effective in our experience.