Peripheral congenital arteriovenous fistulae: observe, operate, or obturate?

Abstract:

:In 1976, we presented our experience in the surgical management of patients with peripheral congenital arteriovenous fistulae (CAVF). This report updates our experience and specifically describes subsequent experience with intraarterial embolization therapy. Twenty-six infants and children with CAVFs have been treated at Children's Hospital of Los Angeles from 1966 to 1990. The majority of lesions were lower extremity (12), followed by upper extremity (8), shoulder girdle (3), and thorax/neck (3). Seventeen patients had lesions in multiple locations. All patients under 1 year of age had upper extremity lesions, all in the 5- to 10-year age group had lower extremity lesions, and all over 15 years of age at presentation required amputation. Twelve patients had initial embolization therapy and 12 had surgery. Seven of eight patients followed after embolization have improved. Embolization is not effective in large or ulcerated lesions. All patients with embolization alone have residual disease and three of eight have discrepancy in extremity length. Surgery has a 50% complication rate and 7 of 10 followed surgery patients have residual disease. Radiologic catheter techniques and embolization provide a valuable alternative therapy for CAVFs and should be used as the primary form of treatment in most cases.

journal_name

J Pediatr Surg

authors

Ford EG,Stanley P,Tolo V,Woolley MM

doi

10.1016/s0022-3468(05)80098-3

subject

Has Abstract

pub_date

1992-06-01 00:00:00

pages

714-9

issue

6

eissn

0022-3468

issn

1531-5037

pii

S0022346892002537

journal_volume

27

pub_type

杂志文章
  • Outcomes of infants with congenital diaphragmatic hernia treated with venovenous versus venoarterial extracorporeal membrane oxygenation: A propensity score approach.

    abstract:PURPOSE:Previous studies comparing extracorporeal membrane oxygenation (ECMO) modality for congenital diaphragmatic hernia (CDH) have not accounted for confounding by indication. We therefore hypothesized that using a propensity score (PS) approach to account for selection bias may identify outcome differences based on...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2018.06.003

    authors: Guner YS,Harting MT,Fairbairn K,Delaplain PT,Zhang L,Chen Y,Kabeer MH,Yu P,Cleary JP,Stein JE,Stolar C,Nguyen DV

    更新日期:2018-11-01 00:00:00

  • A single center 26-year experience with treatment of esophageal achalasia: is there an optimal method?

    abstract:PURPOSE:Treatment modalities for achalasia are evolving and remain controversial. Herein, we report the relative efficacy and outcomes after dilatation or myotomy in children with achalasia. METHODS:A retrospective analysis of all children treated for achalasia at a tertiary center from 1981 to 2007 was performed (n =...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2008.10.117

    authors: Pastor AC,Mills J,Marcon MA,Himidan S,Kim PC

    更新日期:2009-07-01 00:00:00

  • The embryology of foregut malformations.

    abstract::Developmental disorders in the period of the differentiation of the primitive foregut leads to atresia of the esophagus with tracheoesophageal fistula. Most authors think that this differentiation is caused by lateral foregut folds, which fuse in midline, thus forming the tracheoesophageal septum. In order to gain inf...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(87)80254-3

    authors: Kluth D,Steding G,Seidl W

    更新日期:1987-05-01 00:00:00

  • Congenital lip pits and Hirschsprung's disease.

    abstract::A newborn infant with aganglionosis of the entire colon and terminal ileum also had congenital lip pits and a submucous cleft palate. These anomalies may be added to the growing list of conditions associated with Hirschsprung's disease. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(79)90010-1

    authors: Schwarz KB,Keating JP,Holtmann B,Ternberg J

    更新日期:1979-04-01 00:00:00

  • Pelviureteric obstruction in infancy.

    abstract::Of 33 infants with pelviureteric obstruction, most presented in the first month of life with an abdominal mass and most were males. Half of these patients had bilateral renal pathology. The association between cystic dysplasia in the hydronephrotic kidney and contralateral cystic renal abnormality in patients with uni...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(76)90170-6

    authors: Robson WJ,Rudy SM,Johnston JH

    更新日期:1976-02-01 00:00:00

  • Perioperative antimicrobial prophylaxis in pediatric patients in Greece: Compliance with guidelines and impact of an educational intervention.

    abstract:BACKGROUND/PURPOSE:Appropriate antimicrobial prophylaxis (PAP) prevents surgical site infections (SSI). The aim of this study was to evaluate the effectiveness of an educational intervention to improve adherence to PAP guidelines in pediatric patients. METHODS:A three-phase prospective study with a pre-post design was...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2015.11.017

    authors: Dimopoulou A,Kourlaba G,Psarris A,Coffin S,Spoulou V,Zaoutis T

    更新日期:2016-08-01 00:00:00

  • Absorbable mesh and skin flaps or grafts in the management of ruptured giant omphalocele.

    abstract:PURPOSE:The authors report the use of absorbable mesh closure with subsequent skin graft or skin flap coverage for giant ruptured omphalocele. METHODS:Retrospective review of a single surgeon's experience was conducted from 1996 through 2001. RESULTS:Four infants were identified presenting an average of 4 weeks prema...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/jpsu.2003.50193

    authors: Bawazir OA,Wong A,Sigalet DL

    更新日期:2003-05-01 00:00:00

  • The implication of intestinal bacterial translocation in central line associated blood stream infections in the pediatric population.

    abstract:INTRODUCTION:Bacterial intestinal translocation plays an important role in neonatal sepsis. We aimed to elucidate the importance of such translocation in causing central line associated blood stream infection (CLABSI) in patients undergoing gastrointestinal surgery (GIS). METHODS:Using a database of pediatric patients...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2020.02.012

    authors: Haddad FC,Rao R,Kaur S,Redkey J,Karcz A,Ladd AP

    更新日期:2020-08-01 00:00:00

  • Preoperative embolization as an adjunct to the operative management of mediastinal Castleman disease.

    abstract::Castleman disease usually presents in children as a localized mass with prominent feeding vessels. The mainstay of treatment of Castleman disease is surgical resection; historically, resection is associated with excessive blood loss. These tumors are well known to have large feeding vessels and, thus, are amenable to ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(03)00421-4

    authors: Safford SD,Lagoo AS,Mahaffey SA

    更新日期:2003-09-01 00:00:00

  • Pediatric firearm injuries in Los Angeles County: Younger children are more likely to be the victims of unintentional firearm injury.

    abstract:BACKGROUND:Firearm injuries are now the third leading cause of death in children. Understanding the circumstances surrounding pediatric firearm injuries will allow for targeted injury prevention efforts. We hypothesized that younger children are more likely to be victims of unintentional firearm injury. METHODS:A mult...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpedsurg.2018.10.050

    authors: Barry WE,Barin E,McLaughlin CM,Strumwasser A,Shekherdimian S,Arbogast H,Upperman JS,Jensen AR

    更新日期:2019-02-01 00:00:00

  • A novel antireflux procedure: gastroplasty with restricted antrum to control emesis (GRACE).

    abstract:PURPOSE:Nissen fundoplication is the most commonly performed operation to treat gastroesophageal reflux disease and vomiting in children with neurologic impairment. However, failure rates of Nissen fundoplication in this population are higher, and alternatives to Nissen fundoplication have technical and functional disa...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2011.10.024

    authors: Neff LP,Becher RD,Blackham AU,Banks NA,Mitchell EL,Petty JK

    更新日期:2012-01-01 00:00:00

  • Clinical features of children with Haddad syndrome: A single-center experience.

    abstract:BACKGROUND/PURPOSE:Haddad syndrome (HS) is a very rare disease considered a form of neurocristopathy. It is characterized by a combination of congenital central hypoventilation syndrome (CCHS) and Hirschsprung's disease (HD). We report the clinical features and disease progression of HS to provide better care for HS pa...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2019.01.066

    authors: Woo HY,Oh C,Han JW,Kim HY,Jung SE

    更新日期:2020-03-01 00:00:00

  • Repeated mechanical lengthening of intestinal segments in a novel model.

    abstract:PURPOSE:Currently, animal models used for mechanical intestinal lengthening utilize a single lengthening procedure prior to analysis or restoration back into continuity. Here we developed a novel surgical model to examine the feasibility of repeated lengthening of intestinal segments. METHODS:A Roux-en-Y jejunojejunos...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2015.03.020

    authors: Scott A,Sullins VF,Steinberger D,Rouch JD,Wagner JP,Chiang E,Lee SL,Wu BM,Dunn JC

    更新日期:2015-06-01 00:00:00

  • First employment characteristics for the 2011 pediatric surgery fellowship graduates.

    abstract:PURPOSE:Information regarding initial employment of graduating pediatric surgery fellows is limited. More complete data could yield benchmarks of initial career environment. METHODS:An anonymous survey was distributed in 2011 to 41 pediatric surgery graduates from all ACGME training programs interrogating details of i...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2012.10.024

    authors: Stolar CJ,Aspelund G

    更新日期:2013-01-01 00:00:00

  • Renal tumors in infants less than 6 months of age.

    abstract:BACKGROUND/PURPOSE:Renal tumors are rare in infants less than 6 months of age and may have associated paraneoplastic symptoms. To better define the characteristics of these tumors the authors reviewed their 10-year institutional experience. METHODS:The authors searched the pathology database to identify all renal tumo...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpedsurg.2003.12.007

    authors: Glick RD,Hicks MJ,Nuchtern JG,Wesson DE,Olutoye OO,Cass DL

    更新日期:2004-04-01 00:00:00

  • Mathematical modeling to define optimum operating room staffing for pediatric patients in trauma centers.

    abstract:BACKGROUND:Adult trauma centers (TCs) in the United States may be verified with an on-call operating room team if the performance improvement program shows no adverse outcome. Using queuing and simulation methodology, this study attempts to add a volume guideline for injured children. METHODS:Data from 63 verified TCs...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2010.08.048

    authors: Tuggle D,Lucas CE,Coscia RL,Hurst JM,Meredith JW,Middleton JD,Rinker CR,Vlahos AL,Wilberger J

    更新日期:2010-12-01 00:00:00

  • Massive gastrointestinal bleeding in infants with ascariasis.

    abstract::Although infestation with Ascaris lumbricoides causes various intestinal complications, massive gastrointestinal bleeding is rare. The authors report on 2 infants who presented with massive hematemesis. In the first patient, a gastroduodenoscopy was performed. Roundworms were found adhering to an oozing duodenal ulcer...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(03)00584-0

    authors: Sangkhathat S,Patrapinyokul S,Wudhisuthimethawee P,Chedphaopan J,Mitamun W

    更新日期:2003-11-01 00:00:00

  • Effects of trapidil on renal ischemia-reperfusion injury.

    abstract::There is increasing evidence to suggest that reactive oxygen and nitrogen species play a role in the pathogenesis of renal ischemia-reperfusion (I/R) injury. This study was designed to determine the possible protective effects of trapidil treatment against oxidative and nitrosative tissue injury of kidney induced by I...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2006.05.064

    authors: Avlan D,Tamer L,Ayaz L,Polat A,Oztürk C,Ozturhan H,Camdeviren H,Aksöyek S

    更新日期:2006-10-01 00:00:00

  • Comparison of the incidence of complications in open and laparoscopic pyloromyotomy: a concurrent single institution series.

    abstract:PURPOSE:The purpose of this study was to compare the incidence and type of technical complications seen in a concurrent series of pyloromyotomies done open and laparoscopically. METHODS:The medical records of all patients who underwent pyloromyotomy for congenital hypertrophic pyloric stenosis over a 66-month period w...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2003.11.047

    authors: Yagmurlu A,Barnhart DC,Vernon A,Georgeson KE,Harmon CM

    更新日期:2004-03-01 00:00:00

  • Robotic repair of a Bochdalek congenital diaphragmatic hernia in a small neonate: robotic advantages and limitations.

    abstract::Minimally invasive repair for a Bochdalek congenital diaphragmatic hernia has been performed over the last few years with mixed results. Although the anomaly has been approached from both the abdomen and the chest, the defect can be difficult to close as the posterolateral region may be difficult to reach with precise...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2007.06.013

    authors: Meehan JJ,Sandler A

    更新日期:2007-10-01 00:00:00

  • Wandering spleen as a cause of mesenteric and portal varices: a new etiology?

    abstract::Wandering spleen is a rare clinical entity characterized by spleen hypermobility due to lack or weakness of one or more splenic ligaments. We report two patients with the diagnosis of wandering spleen with portal and mesenteric varices. A 16 year-old girl presented with abdominal pain, an abdominal mass and pancytopen...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2012.12.042

    authors: Zarroug AE,Hashim Y,El-Youssef M,Zeidan MM,Moir CR

    更新日期:2013-03-01 00:00:00

  • Anorectal anomalies associated with Kabuki make-up syndrome.

    abstract::A case report of a 3-year-old girl with Kabuki make-up syndrome (KMS) associated with anovestibular fistula is presented. To our knowledge, 62 patients with KMS have been reported in the literature, three of whom were described as having an anorectal anomaly. Including the present patient, all four KMS patients were f...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(92)90523-a

    authors: Matsumura M,Yamada R,Kitani Y,Nishi T,Yamamoto H,Oahama Y,Kuroki Y

    更新日期:1992-12-01 00:00:00

  • Abdominoscrotal hydrocele.

    abstract::Abdominoscrotal hydrocele is a very rare finding, especially in infants. The authors describe the case of a 7-month-old boy presenting an abdominoscrotal mass, the diagnosis of which was made by sonography and which was excised totally through an extensive inguinal incision. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s0022-3468(86)80118-x

    authors: Burgués PL,Alvarez JA,Hernandez L,Teixidor JL

    更新日期:1986-11-01 00:00:00

  • Does application of topical steroids for lichen sclerosus (balanitis xerotica obliterans) affect the rate of circumcision? A systematic review.

    abstract:PURPOSE:To determine whether treatment of lichen sclerosus et atrophicus (LS), with topical steroids reduces the rate of circumcision. METHODS:Two independent reviewers performed a literature search of studies reporting treatment of LS with topical steroids using EMBASE and MEDLINE database(s). INCLUSION CRITERIA:boy...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2017.12.021

    authors: Folaranmi SE,Corbett HJ,Losty PD

    更新日期:2018-11-01 00:00:00

  • Prediction of affected MEN2A gene carriers by DNA linkage analysis for early total thyroidectomy: a progress in clinical screening program for children with hereditary cancer syndrome.

    abstract::The gene predisposing to multiple endocrine neoplasia type 2A (MEN 2A) has been assigned to chromosome 10, and affected gene carriers can be identified before the development of associated malignancy in some informative families. We applied these advances in gene mapping to clinical screening for possible pediatric su...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(92)90332-2

    authors: Shimotake T,Iwai N,Yanagihara J,Tokiwa K,Tanaka N,Yamamoto M,Takai S

    更新日期:1992-04-01 00:00:00

  • Factors associated with pediatric firearm injury and enrollment in a violence intervention program.

    abstract:PURPOSE:To identify factors associated with firearm injury (FI) and willingness to enroll in a violence intervention program amongst pediatric victims of violence. METHODS:Cross-sectional study of victims of violence age 6-19 years presenting to a children's hospital emergency department from 2014 to 2017. Participant...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2020.06.025

    authors: Bernardin ME,Moen J,Schnadower D

    更新日期:2020-06-24 00:00:00

  • Primary squamous cell carcinoma arising at a gastrostomy tube site.

    abstract::Gastrostomy tubes are commonly used in children with feeding impairment. Postoperative complications such as the formation of granulation tissue are common and represent a type of chronic nonhealing wound. We present a case of a 24-year-old man with no history of malignancy who developed a primary cutaneous squamous c...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2011.01.018

    authors: Oh PS,Gill KZ,Lynch LJ,Cowles RA

    更新日期:2011-04-01 00:00:00

  • Community distress predicts youth gun violence.

    abstract:BACKGROUND:The purpose of this study was to investigate our institution's experience with pediatric firearm events. We sought to determine the relationship between a community's level of socioeconomic distress and the incidence of youth gun violence. METHODS:We performed a retrospective review of children <18 years in...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.jpedsurg.2019.03.021

    authors: Tracy BM,Smith RN,Miller K,Clayton E,Bailey K,Gerrin C,Eversley-Kelso T,Carney D,MacNew H

    更新日期:2019-11-01 00:00:00

  • Experimental reovirus type 3-induced murine biliary tract disease.

    abstract::The aims of this experiment were: (1) to establish a reovirus type 3-induced murine model of biliary atresia/neonatal hepatitis that as far as possible corresponds to the human disease; (2) to demonstrate that the disease is histologically similar to the human disease, and to investigate the natural history of reoviru...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(92)90380-p

    authors: Parashar K,Tarlow MJ,McCrae MA

    更新日期:1992-07-01 00:00:00

  • Paratesticular neuroblastoma with N-myc activation.

    abstract::The authors describe a case of disseminated neuroblastoma discovered as a paratesticular tumor in a 7-month-old boy. The ectopic adrenal tissues adjacent to the paratesticular tumor and multiple lesions in the adrenal gland and skin suggested the possibility of multifocal primary tumors. Although infantile neuroblasto...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/0022-3468(93)90117-4

    authors: Matsunaga T,Takahashi H,Ohnuma N,Tanabe M,Yoshida H,Enomoto H,Horie H,Shirasawa H,Simizu B

    更新日期:1993-12-01 00:00:00