Gómez F M, Martínez J J, Lloret-Larrea M, García-Marcos R, Martí-Bonmatí L
Clínical Area of Medical Imaging and Biomedical Imaging Research Group (GIBI230), Hospital Universitario y Politécnico La Fe - Instituto de Investigación Sanitaria La Fe, Valencia, Spain.
Cardiovasc Intervent Radiol. 2025 Jan 16. doi: 10.1007/s00270-024-03918-3.
Pediatric pain management presents unique challenges due to the intrinsic characteristics of children such as their developmental stages, communication barriers, and varying pain perceptions. Life-limiting conditions affecting children are a growing medical concern, requiring a comprehensive, multidisciplinary approach to improve quality of life or ensure a dignified end of life. Interventional radiology (IR) plays a critical role in this strategy, similar to its role in adult care. Not only life-limiting conditions pose a challenge in pediatric chronic pain management, but also other benign chronic diseases (e.g., cystic fibrosis, muscular dystrophy, neurodegenerative disorders, metabolic disorders). This review focuses on specific IR strategies for pediatric pain management, including ablation, embolization/chemoembolization, and nerve blocks. It emphasizes the importance of tailored approaches for pediatric patients, considering genetic disorders and oncological diseases, which may require a diverse range of IR treatments. The aim is to provide a summary of these interventional techniques and highlight the unique considerations necessary for effective pediatric pain management.
由于儿童的内在特征,如发育阶段、沟通障碍和不同的疼痛感知,儿科疼痛管理面临着独特的挑战。影响儿童的危及生命的病症是一个日益受到关注的医学问题,需要采取全面、多学科的方法来提高生活质量或确保有尊严的生命终结。介入放射学(IR)在这一策略中发挥着关键作用,类似于其在成人护理中的作用。不仅危及生命的病症在儿科慢性疼痛管理中构成挑战,其他良性慢性疾病(如囊性纤维化、肌肉萎缩症、神经退行性疾病、代谢紊乱)也是如此。本综述重点关注儿科疼痛管理的特定IR策略,包括消融、栓塞/化疗栓塞和神经阻滞。它强调了针对儿科患者量身定制方法的重要性,同时考虑到遗传疾病和肿瘤疾病,这可能需要多种IR治疗方法。目的是总结这些介入技术,并突出有效进行儿科疼痛管理所需的独特考量因素。