eprintid: 10055675 rev_number: 26 eprint_status: archive userid: 608 dir: disk0/10/05/56/75 datestamp: 2018-09-19 10:27:23 lastmod: 2021-12-05 01:02:38 status_changed: 2018-09-19 10:27:23 type: article metadata_visibility: show creators_name: Patel, PA creators_name: Stuart, S creators_name: Robertson, F creators_name: Rennie, A creators_name: De Coppi, P creators_name: Roebuck, DJ title: Arterial Recanalization for Access for Arterial Intervention in Children: Techniques and Outcomes ispublished: pub subjects: GOSH divisions: UCL divisions: B02 divisions: D13 divisions: G22 divisions: B04 divisions: C05 divisions: F42 note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: 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. date: 2018-10 date_type: published official_url: https://doi.org/10.1016/j.jvir.2018.06.001 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1582244 doi: 10.1016/j.jvir.2018.06.001 pii: S1051-0443(18)31252-1 lyricists_name: De Coppi, Paolo lyricists_name: Patel, Premal lyricists_id: PDECO50 lyricists_id: PAPAT20 actors_name: Patel, Premal actors_id: PAPAT20 actors_role: owner full_text_status: public publication: Journal of Vascular and Interventional Radiology volume: 29 number: 10 pagerange: 1410-1414 event_location: United States issn: 1535-7732 citation: Patel, PA; Stuart, S; Robertson, F; Rennie, A; De Coppi, P; Roebuck, DJ; (2018) Arterial Recanalization for Access for Arterial Intervention in Children: Techniques and Outcomes. Journal of Vascular and Interventional Radiology , 29 (10) pp. 1410-1414. 10.1016/j.jvir.2018.06.001 <https://doi.org/10.1016/j.jvir.2018.06.001>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10055675/1/For_UCL_Arterial_recanalization_in_children.pdf