Advertisement

Interventional Radiology Management of Pediatric Chest Disorders

  • William E. ShielsII
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

This chapter will focus on diagnostic and therapeutic applications of interventional radiology in the pediatric chest. Diagnostic interventional radiologic topics discussed include patient care and sedation concepts, CT- and US-guided intrathoracic biopsy, thoracic angiography for aortic trauma and other causes of thoracic hemorrhage, and percutaneous intrathoracic lymphangiography. Therapeutic interventional radiologic topics discussed include balloon dilation of esophageal strictures, transesophageal and percutaneous foreign body removal, transarterial embolization treatment for hemoptysis thoracic duct embolization, thermal ablation of treatment of benign and malignant thoracic masses, percutaneous drainage of pulmonary and mediastinal abscesses, transcatheter fibrinolytic therapy for empyema, percutaneous sclerotherapy of vascular malformations, and definitive percutaneous treatment of thoracic aneurysmal bone cysts.

Keywords

Thoracic Duct Aneurysmal Bone Cyst Bronchial Artery Percutaneous Catheter Drainage Lymphatic Malformation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Alomari AI, Karian VE, Lord DJ, Padua HM, Burrows PE (2006) Percutaneous sclerotherapy for lymphatic malformations: a retrospective analysis of patient-evaluated improvement. J Vasc Interv Radiol 17:1639–1648PubMedCrossRefGoogle Scholar
  2. Althof PA, Ohmori K, Zhou M et al (2004) Cytogenetic and molecular cytogenetic findings in 43 aneurysmal bone cysts: aberrations of 17p mapped to 17p13.2 by fluorescence in situ hybridization. Mod Pathol 17:518–525PubMedCrossRefGoogle Scholar
  3. Ball WS, Strife JL, Rosenkrantz J et al (1984) Esophageal strictures in children treatment with balloon dilation. Radiology 150:263–264PubMedCrossRefGoogle Scholar
  4. Barben J, Robertson D, Olinsky A, Ditchfield M (2002) Bronchial artery embolization for hemoptysis in young patients with cystic fibrosis. Radiology 224:124–130PubMedCrossRefGoogle Scholar
  5. Baruffi MR, Barbieri Neto JB, Barbieri CH, Casartelli C (2001) Aneurysmal bone cyst with chromosomal changes involving 7q and 16p. Cancer Genet Cytogenet 129:177–180PubMedCrossRefGoogle Scholar
  6. Burrows PE, Mitri RK, Alomari A et al (2008) Percutaneous sclerotherapy of lymphatic malformations with doxycycline. Lymphatic Res Biol 6:209–216CrossRefGoogle Scholar
  7. Campbell JB, Davis WS (1973) Catheter technique for extraction of blunt esophageal foreign bodies. Radiology 108:438–440PubMedCrossRefGoogle Scholar
  8. Chung J, Connolly B, Langer J, Marcon M, Temple M, Amaral JG (2010) Fluoroscopy-guided topical application of mitomycin-C in a case of refractory esophageal stricture. J Vasc Interv Radiol 21:152–155PubMedCrossRefGoogle Scholar
  9. Cipolli M, Perini S, Valletta EA, Mastella G (1995) Bronchial artery embolization in the management of hemoptysis in cystic fibrosis. Pediatr Pulmonol 19:344–347PubMedCrossRefGoogle Scholar
  10. Close JK, Shiels WE, Foster JA, Powell DA (2009) Percutaneous ultrasound-guided intraorbital foreign body removal. Ophthalmic Plast Reconstr Surg 25:335–337CrossRefGoogle Scholar
  11. Cohen AM, Doershuk CF, Stern RC (1990) Bronchial artery embolization to control hemoptysis in cystic fibrosis. Radiology 175:401–405PubMedCrossRefGoogle Scholar
  12. Cooper A, Barlow B, DiScala C, String D (1994) Mortality and truncal injury: the pediatric perspective. J Pediatr Surg 29:33–38PubMedCrossRefGoogle Scholar
  13. Cope C, Salem R, Kaiser LR (1999) Management of chylothorax by percutaneous catheterization and embolization of the thoracic duct: prospective trial. J Vasc Interv Radiol 10:1248–1254PubMedCrossRefGoogle Scholar
  14. Dal Cin P, Kozakewich HP, Goumnerova L et al (2000) Variant translocations involving 16q22 and 17p13 in solid variant and extraosseous forms of aneurysmal bone cyst. Genes Chromosom Cancer 28:233–234PubMedCrossRefGoogle Scholar
  15. Dormans JP, Hanna BG, Johnston DR, Khurana JS (2004) Surgical treatment and recurrence rate of aneurysmal bone cysts in children. Clin Orthop Relat Res 421:205–211PubMedCrossRefGoogle Scholar
  16. Dubois J, Chigot V, Grimard G, Isler M, Garel L (2003) Sclerotherapy in aneurysmal bone cysts in children: a review of 17 cases. Pediatr Radiol 33:365–372PubMedCrossRefGoogle Scholar
  17. Dubois J, Garel L, Abela A, Laberge L, Yazbeck S (1997) Lymphangiomas in children: percutaneous sclerotherapy with an alcoholic solution of Zein. Radiology 204:651–654PubMedCrossRefGoogle Scholar
  18. Eddy AC, Rusch VW, Fligner CL, Reay DT, Rice CL (1990) The epidemiology of traumatic rupture of the thoracic aorta in children: a 13-year review. J Trauma 30:989–991PubMedCrossRefGoogle Scholar
  19. Fellows KE, Khaw KT, Schuster S, Shwachman H (1979) Bronchial artery embolization in cystic fibrosis: technique and long-term results. J Pediatr 95:959–963PubMedCrossRefGoogle Scholar
  20. Fisher RG, Sanchez-Torres M, Whighan CJ, Thomas JW (1997) “Lumps” and “bumps” that mimic acute aortic and brachiocephalic vessel injury. Radiographics 17:825–834PubMedCrossRefGoogle Scholar
  21. Freiberg AA, Loder RT, Heidelberger KP, Hensinger RN (1994) Aneurysmal bone cysts in young children. J Pediatr Orthop 14:86–91PubMedCrossRefGoogle Scholar
  22. Gasior AC, Knott EM, Sharp SW et al (2013) Experience with an evidence-based protocol using fibrinolysis as first line treatment for empyema in children. J Pediatr Surg 48:1312–1315PubMedCrossRefGoogle Scholar
  23. Gates RI, Hogan M, Weinstein S et al (2004) Drainage, fibrinolytics, or surgery: A comparison of treatment options in pediatric empyema. J Pediatr Surg 39:1638–1642PubMedCrossRefGoogle Scholar
  24. George HL, Unnikrishnan PN, Garg NK, Sampath JS, Bass A, Bruce CE (2009) Long-term follow-up of Ethibloc injection in aneurysmal bone cysts. J Pediatr Orthop 18:375–380Google Scholar
  25. Giguere CM, Bauman NM, Sato Y et al (2002a) Treatment of lymphangiomas with OK-432 (Picibanil) sclerotherapy: a prospective multi-institutional trial. Arch Otolaryngol Head Neck Surg 128:1137–1144PubMedCrossRefGoogle Scholar
  26. Giguere CM, Bauman NM, Smith RJ (2002b) New treatment options for lymphangioma in infants and children. Ann Otol Rhinol Laryngol 111:1066–1075PubMedGoogle Scholar
  27. Gulsen F, Cantasdemir M, Solak S, Gulsen G, Ozluk E, Numan F (2011) Percutaneous sclerotherapy of peripheral venous malformations in pediatric patients. Pediatr Surg Int 27:1283–1287PubMedCrossRefGoogle Scholar
  28. Heran MK, Baird R, Blair GK et al (2008) Topical mitomycin-C for recalcitrant esophageal strictures: a novel endoscopic/fluoroscopic technique for safe endoluminal delivery. J Pediatr Surg 43:815–818PubMedCrossRefGoogle Scholar
  29. Hill RH 3rd, Shiels WE 2nd, Foster JA et al (2012) Percutaneous drainage and ablation as first line therapy for macrocystic and microcystic orbital lymphatic malformations. Ophthalmic Plast Reconstr Surg 28:119–125CrossRefGoogle Scholar
  30. Hoffer FA, Chung T, Diller L, Kozakewich H, Fletcher JA, Shamberger RC (1996) Percutaneous biopsy for prognostic testing of neuroblastoma. Radiology 200:213–216PubMedCrossRefGoogle Scholar
  31. Itkin M, Chen E (2011) Thoracic duct embolization. Semin Intervent Radiol 29:261–266CrossRefGoogle Scholar
  32. Kim KH, Sung MW, Roh JL, Han MH (2004) Sclerotherapy for congenital lesions in the head and neck. Otolaryngol Head Neck Surg 131:307–316PubMedCrossRefGoogle Scholar
  33. Ko HK, Shin JH, Song HY, Kim YJ, Ko GY, Yoon HK, Sung KB (2006) Balloon dilation of anastomotic strictures secondary to surgical repair of esophageal atresia in a pediatric population: long-term results. J Vasc Interv Radiol 17:1327–1333PubMedCrossRefGoogle Scholar
  34. Kok K, McCafferty I, Monaghan A, Nishikawa H (2012) Percutaneous sclerotherapy of vascular malformations in children using sodium tetradecyl sulphate: the Birmingham experience. J Plast Reconstr Aesthetic Surg 65:1451–1460CrossRefGoogle Scholar
  35. Kumta SM, Huang L, Cheng YY et al (2003) Expression of VEGF and MMP-9 in giant cell tumor of bone and other osteolytic lesions. Life Sci 73:1427–1436PubMedCrossRefGoogle Scholar
  36. Lee BB, Kim YW, Seo JM et al (2005) Current concepts in lymphatic malformation. Vasc Endovasc Surg. 39:67–81CrossRefGoogle Scholar
  37. Lee IH, Kim KH, Jeon P (2009) Ethanol sclerotherapy for the management of craniofacial venous malformations: the interim results. Korean J Radiol 10:269–276PubMedCentralPubMedCrossRefGoogle Scholar
  38. Lin PP, Brown C, Raymond AK, Deavers MT, Yasko AW (2008) Aneurysmal bone cysts recur at Juxtaphyseal locations in skeletally immature patients. Clin Orthop Relat Res 466:722–728PubMedCentralPubMedCrossRefGoogle Scholar
  39. Lin ZY, Li YG (2009) Artificial pneumothorax with position adjustment for computed tomography-guided percutaneous core biopsy of mediastinum lesions. Ann Thorac Surg 87:920–924PubMedCrossRefGoogle Scholar
  40. Little DC, Shah SS, St Peter SD et al (2006) Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg 41:914–918PubMedCrossRefGoogle Scholar
  41. Mitri RK, Brown SD, Zurakowski D, Chung KY, Konez O, Burrows PE, Colin AA (2002) Outcomes of primary image-guided drainage of parapneumonic effusions in children. Pediatrics 100:e37CrossRefGoogle Scholar
  42. Molitch HI, Unger EC, Witte CL et al (1995) Percutaneous sclerotherapy of lymphangiomas. Radiology 194:343–347PubMedCrossRefGoogle Scholar
  43. Nadolski G, Itkin M (2012) Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization. J Vasc Interv Radiol 23:613–616PubMedCrossRefGoogle Scholar
  44. O’Donovan JC, Donaldson JS, Morello FP et al (1997) Symptomatic hemangiomas and venous malformations in infants, children, and young adults: treatment with percutaneous injection of sodium tetradecyl sulfate. Am J Roentgenol 169:723–729CrossRefGoogle Scholar
  45. Ogita S, Tsuto T, Nakamura K et al (1994) OK-432 therapy in 64 patients with lymphangioma. J Pediatr Surg 29:784–785PubMedCrossRefGoogle Scholar
  46. Okazaki T, Iwatani S, Yanai T et al (2007) Treatment of lymphangioma in children: our experience of 128 cases. J Pediatr Surg 42:386–389PubMedCrossRefGoogle Scholar
  47. Oliveira AM, Perez-Atayde AR, Inwards CY et al (2004) USP6 and CDH11 oncogenes identify the neoplastic cell in primary aneurysmal bone cysts and are absent in so-called secondary aneurysmal bone cysts. Am J Pathol 165:1773–1780PubMedCentralPubMedCrossRefGoogle Scholar
  48. Pabon-Ramos WM, Williams DM, Strouse PJ (2010) Radiologic evaluation of blunt thoracic aortic injury in pediatric patients. Am J Roentgenol 194:1197–1203CrossRefGoogle Scholar
  49. Panoutsakopoulos G, Pandis N, Kyriazoglou I et al (1999) Recurrent (16;17) (q22;p13) in aneurysmal bone cysts. Genes Chromosom Cancer 26:265–266PubMedCrossRefGoogle Scholar
  50. Partrick DA, Bensard DD, Teitelbaum DH, Geiger JD, Strouse P, Harned RK (2002) Successful thoracoscopic lung biopsy in children utilizing preoperative CT-guided localization. J Pediatr Surg 37:970–973PubMedCrossRefGoogle Scholar
  51. Peclet MH, Newman KD, Eichelberger MR, Gotschall CS, Garcia VF, Bowman M (1990) Thoracic trauma in children: an indicator of increased mortality. J Pediatr Surg 25:961–966PubMedCrossRefGoogle Scholar
  52. Pipitone BD, McCrate ME, Shiels WE (2010) In vitro assessment of a protein foam drug delivery system. JVIR 21(2S):51CrossRefGoogle Scholar
  53. Porter DK, Van Every MJ, Anthracite RF, Mack JW (1983) Massive hemoptysis in cystic fibrosis. Arch Intern Med 143:287–290PubMedCrossRefGoogle Scholar
  54. Rastogi S, Varshney MK, Trikha V, Khan SA, Choudhury B, Safaya R (2006) Treatment of aneurysmal bone cysts with percutaneous sclerotherapy using polidocanol. A review of 72 cases with long-term follow-up. J Bone Joint Surg Br 88:1212–1216PubMedCrossRefGoogle Scholar
  55. Roebuck DJ, Hogan MJ, Connolly B, McLaren CA (2011) Interventions in the chest in children. Tech Vasc Interv Radiol 14:8–15PubMedCrossRefGoogle Scholar
  56. Sola C, Choquet O, Prodhomme O, Capdevila X, Dadure C (2013) Management of mediastinal syndromes in pediatrics: a new challenge of ultrasound guidance to avoid high-risk general anesthesia. Pediatr Anaesth doi:  10.1111/pan.12300 [Epub ahead of print]
  57. Sciot R, Dorfman H, Brys P, Dal Cin P, De Wever I et al (2000) Cytogenetic-morphologic correlations in aneurysmal bone cyst, giant cell tumor of bone and combined lesions. A report from the CHAMP study group. Mod Pathol 13:1206–1210PubMedCrossRefGoogle Scholar
  58. Shiels WE (2007) Soft tissue foreign bodies: sonographic diagnosis and therapeutic management. Ultrasound Clin 2:669–681CrossRefGoogle Scholar
  59. Shiels WE, Babcock DS, Wilson JL, Burch RA (1990) Localization and guided removal of soft-tissue foreign bodies with sonography. Am J Roentgenol 155:1277–1281CrossRefGoogle Scholar
  60. Shiels WE II, Brown SD (2005) Radiofrequency tumor ablation in children. In: van Sonnenberg E, McMullen WN, Solbiati L (eds) Tumor ablation: principles and practice. Springer, New YorkGoogle Scholar
  61. Shiels WE, Kang D, Murakami J, Hogan M, Wiet G (2009) Percutaneous treatment of lymphatic malformations. Otolaryngol Head Neck Surg 141:219–224PubMedCrossRefGoogle Scholar
  62. Shiels WE, Kenney B, Caniano D, Besner G (2008) Definitive percutaneous treatment of lymphatic malformations of the trunk and extremities. J Pediatr Surg 43:136–140PubMedCrossRefGoogle Scholar
  63. Shiels WE II, Mayerson JL (2013) Percutaneous doxycycline treatment of aneurysmal bone cysts with low recurrence rate: a preliminary report. Clin Orthop Relat Res 47:2675–2683CrossRefGoogle Scholar
  64. Shisha T, Marton-Szucs G, Dunay M et al (2007) The dangers of intraosseous fibrosing agent injection in the treatment of bone cysts. The origin of major complications shown in rabbit model. Int Orthop 31:359–362PubMedCentralPubMedCrossRefGoogle Scholar
  65. Spiliopoulos S, Sabharwal T, Krokidis M et al (2012) Fluoroscopically guided dilation of esophageal strictures in patients with dystrophic epidermolysis bullosa: long-term results. Am J Roentgenol 199:208–212CrossRefGoogle Scholar
  66. Sweezey NB, Fellows KE (1990) Bronchial artery embolization for severe hemoptysis in cystic fibrosis. Chest 97:1322–1326PubMedCrossRefGoogle Scholar
  67. Trachiotis GD, Sell JE, Pearson GD, Martin GR, Midgley FM (1996) Traumatic thoracic aortic rupture in the pediatric patient. Ann Thorac Surg 62:724–731PubMedCrossRefGoogle Scholar
  68. Topouchian V, Mazda K, Hamze B, Laredo JD, Pennecot GF (2004) Aneurysmal bone cysts in children; complications of fibrosing agent injection. Radiology 232:522–526PubMedCrossRefGoogle Scholar
  69. Vignon P, Lagrange P, Boncoeur MP, Francois B, Gastinne H, Lang RM (1996) Routine transesophageal echocardiography for the diagnosis of aortic disruption in trauma patients without enlarged mediastinum. J Trauma 40:422–427PubMedCrossRefGoogle Scholar
  70. Warren PS, Hogan MJ, Shiels WE (2013) Percutaneous transcervical thoracic duct embolization for treatment of a cervical lymphocele following anterior spinal fusion: a case report. J Vasc Interv Radiol 24:1901–1905PubMedCrossRefGoogle Scholar
  71. Ye Y, Pringle LM, Lau AW et al (2010) TRE17/USP6 oncogene translocated in aneurysmal bone cyst induces matrix metalloproteinase production via activation of NF-xB. Oncogene 29:3619–3629PubMedCentralPubMedCrossRefGoogle Scholar
  72. Young AS, Shiels WE, Murakami JW, Coley BD, Hogan MJ (2010) Self-embedded behavior: radiological management of self-inflicted soft tissue foreign bodies. Radiology 257:233–239PubMedCrossRefGoogle Scholar
  73. Zhang J, Li HB, Zhou SY (2013) Comparison between absolute ethanol and bleomycin for the treatment of venous malformation in children. Exp Ther Med 6:305–309PubMedCentralPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of Radiology, Children’s HospitalChildren’s Radiological InstituteColumbusUSA

Personalised recommendations