%0 Journal Article %@ 1535-7732 %A Patel, PA %A Stuart, S %A Robertson, F %A Rennie, A %A De Coppi, P %A Roebuck, DJ %D 2018 %F discovery:10055675 %J Journal of Vascular and Interventional Radiology %N 10 %P 1410-1414 %T Arterial Recanalization for Access for Arterial Intervention in Children: Techniques and Outcomes %U https://discovery.ucl.ac.uk/id/eprint/10055675/ %V 29 %X PURPOSE: To assess technical success of arterial recanalization in children requiring repeated arterial access and intervention. MATERIALS AND METHODS: Over 14 years, 41 attempts to cross 30 arterial occlusions were made in 22 patients (13 male, 9 female). Median patient age was 12 months (15 days-14 years), and weight was 7.6 kg (3.0-77.3 kg). Techniques and outcomes were recorded. RESULTS: Twenty-five of 41 (61%) attempts at crossing an arterial occlusion were successful. Nineteen of 30 (63%) first attempts to cross occlusions were successful, and 6 of 11 (55%) repeat attempts were successful. The occluded segments were combinations of common femoral artery (n = 4), external iliac artery (n = 36), common iliac artery (n = 11), and aorta (n = 1). Complications occurred in 5 of 41(12%) attempts: 3 minor complications (hematoma, extravasation, and transient leg ischemia) and 2 major complications (rupture and thrombosis). CONCLUSIONS: Arterial access by recanalization of occluded segments is technically feasible in children, with a low complication rate. %Z This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.