Evidence map›Paper›PMID 36760130›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025

Evolving indications for pediatric neurointerventional radiology: A single institutional 25-year experience in infants less than one year of age and a brief historical review.

Amanda Baker, Michael Travis Caton, Eric R Smith, Kazim H Narsinh, Matthew R Amans, Randall T Higashida, Daniel L Cooke, Christopher F Dowd, Steven W Hetts

Open access · greenAbstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Amanda BakerDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.ORCID 0000-0001-9973-5792
Michael Travis CatonDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.ORCID 0000-0003-1581-7702
Eric R SmithDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Kazim H NarsinhDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.ORCID 0000-0002-2019-5461
Matthew R AmansDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Randall T HigashidaDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Daniel L CookeDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Christopher F DowdDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Steven W HettsDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.ORCID 0000-0001-5885-7259
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and PurposePediatric neurointerventional radiology is an evolving subspecialty with growing indications and technological advancement such as miniaturization of devices and decreased radiation dose. The ability to perform these procedures is continuously balanced with necessity given the inherently higher risks of radiation and cerebrovascular injury in infants. The purpose of this study is to review our institution's neurointerventional experience in infants less than one year of age to elucidate trends in this patient population.MethodsWe retrospectively identified 132 patients from a neurointerventional database spanning 25 years (1997-2022) who underwent 226 procedures. Treatment type, indication, and location as well as patient demographics were extracted from the medical record.ResultsNeurointerventional procedures were performed as early as day of life 0 in a patient with an arteriovenous shunting malformation. Average age of intervention in the first year of life is 5.9 months. Thirty-eight of 226 procedures were completed in neonates. Intra-arterial chemotherapy (IAC) for the treatment of retinoblastoma comprised 36% of neurointerventional procedures completed in infants less than one year of age followed by low flow vascular malformations (21.2%), vein of Galen malformations (11.5%), and dural arteriovenous fistulas (AVF) (9.3%). Less frequent indications include non-Galenic pial AVF (4.4%) and tumor embolization (3.0%). The total number of interventions has increased secondary to the onset of retinoblastoma treatment in 2010 at our institution.ConclusionThe introduction of IAC for the treatment of retinoblastoma in the last decade is the primary driver for the increased trend in neurointerventional procedures completed in infants from 1997 to 2022.

Indexed as

Radiography, InterventionalRadiology, InterventionalFemaleHumansInfantInfant, NewbornMaleRetinoblastomaRetrospective StudiesangiographybraincongenitalhistoryPediatric

Identifiers

PMID36760130
PMCPMC12035269
OpenAlexW4319812085

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.