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Evolution of Endovascular Treatment in Pediatric Population

  • Silky Chotai
  • Abhishek Agrawal
Chapter

Abstract

Endovascular treatment has been increasingly used for treatment of various cerebrovascular pathologies in pediatric population. Endovascular treatment is considered the primary treatment modality for dural AVFs or vein of Galen malformations, while it is often used as adjuvant therapy for AVMs and tumors. A number of studies have reported the safety of the endovascular procedures in children and have reported the complication rates similar to that in adults. The management of vascular diseases in children is challenging. The pediatric patients are not only small adults, but also differ substantially with regards to factors such as growth and development of child and different morphology and natural history of the pathology. Furthermore, these patients have longer life span demanding a more durable treatment options, close surveillance and follow-up compared to adults. Standardized treatment recommendations on endovascular management in pediatric population are lacking. The focus of this chapter is to describe history and evolution of endovascular neurosurgery in pediatric population.

Keywords

Endovascular Neurointervention Pediatric History Evolution Neurosurgery 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Orthopedics and NeurosurgeryVanderbilt University Medical CenterNashvilleUSA
  2. 2.Department of NeurosurgeryThe Methodist Neurological InstituteHoustonUSA

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