PAEDIATRIC VASCULAR SURGERY: A review of cases from a dedicated paediatric vascular surgery clinic
Kay, Mark
Kay, Mark
Abstract
Background: The experience in paediatric vascular diseases is limited in the UK and worldwide due to their rarity and variations in practice. We looked at types of cases presenting to a dedicated paediatric vascular clinic.
Methods: Medical records of children seen in a dedicated paediatric vascular clinic at a tertiary referral service between 2016 and 2022 were reviewed. These patients were either seen for the first time in that clinic or had their appointments as a follow up after inpatient review or intervention while being under care of paediatric teams in local hospitals.
Results: 55 patients (34 males) were seen aged between 4 months and 17 years (mean 9.5 years). Common presentations were limb length discrepancy secondary to iatrogenic arterial occlusion, follow up after bypass for trauma, lower limb swelling or discolouration and varicose veins. Operative procedures included lower limb bypass, angioplasty, ligation of aneurysms and varicose vein surgery.
Conclusion: Paediatric vascular conditions are uncommon and therefore most vascular surgeons and trainees will have little exposure to such cases. Intervention is needed for arterial injury secondary to penetrating or iatrogenic trauma. National registry is required for these rare cases to gain prospective data that can help build up more evidence for educational purposes and to establish guidelines.
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Date
2023-11-06
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Citation
Elsabbagh, M. A., Kay, M., & Tiwari, A. (2023). PAEDIATRIC VASCULAR SURGERY: A review of cases from a dedicated paediatric vascular surgery clinic. Annals of vascular surgery, S0890-5096(23)00742-2. Advance online publication. https://doi.org/10.1016/j.avsg.2023.09.083