Donaldson James S
Department of Medical Imaging, Children's Memorial Hospital, Northwestern University, Feinberg School of Medicine, 2300 Children's Plaza, No. 9, Chicago, IL 60614, USA.
Pediatr Radiol. 2006 May;36(5):386-97. doi: 10.1007/s00247-006-0118-1. Epub 2006 Mar 15.
Pediatric interventional radiologists are ideally suited to provide vascular access services to children because of inherent safety advantages and higher success from using image-guided techniques. The performance of vascular access procedures has become routine at many adult interventional radiology practices, but this service is not as widely developed at pediatric institutions. Although interventional radiologists at some children's hospitals offer full-service vascular access, there is little or none at others. Developing and maintaining a pediatric vascular access service is a challenge. Interventionalists skilled in performing such procedures are limited at pediatric institutions, and institutional support from clerical staff, nursing staff, and technologists might not be sufficiently available to fulfill the needs of such a service. There must also be a strong commitment by all members of the team to support such a demanding service. There is a slippery slope of expected services that becomes steeper and steeper as the vascular access service grows. This review is intended primarily as general education for pediatric radiologists learning vascular access techniques. Additionally, the pediatric or adult interventional radiologist seeking to expand services might find helpful tips. The article also provides education for the diagnostic radiologist who routinely interprets radiographs containing vascular access devices.
儿科介入放射科医生非常适合为儿童提供血管通路服务，因为其具有内在的安全优势，且使用影像引导技术的成功率更高。在许多成人介入放射学实践中，血管通路操作已成为常规操作，但这项服务在儿科机构的发展并不广泛。尽管一些儿童医院的介入放射科医生提供全面的血管通路服务，但其他医院提供的很少或根本没有。开展和维持儿科血管通路服务是一项挑战。在儿科机构中，熟练掌握此类操作的介入医生有限，而且文书工作人员、护理人员和技术人员的机构支持可能不足以满足此类服务的需求。团队所有成员还必须坚定地支持这项要求苛刻的服务。随着血管通路服务的发展，预期服务会有一个滑坡效应，而且这个滑坡会越来越陡。这篇综述主要是为学习血管通路技术的儿科放射科医生提供的一般性教育。此外，寻求扩大服务的儿科或成人介入放射科医生可能会找到有用的提示。本文还为经常解读包含血管通路装置的X光片的诊断放射科医生提供教育。
