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Paediatric interventional radiology

Department of Radiology, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK

• Indications for paediatric interventional radiology are growing rapidly, with high volume, low complexity work, for example vascular access and enteric procedures, dominating.
  
• Many image guided procedures are easier in children than in adults, and only vascular access is consistently more difficult.
  
• The choice of sedation or general anaesthesia for intervention in children depends upon the nature of the procedure, patient characteristics, operator preference and institutional practice.
  
• Ultrasound scanning is often preferred to CT for image guidance in aspiration and biopsy procedures in children.
  
• Biopsy of childhood tumours should only be performed in recognized paediatric oncology centres.
  
• Airway intervention in children requires specialized skills and the support of an interdisciplinary team, in contrast to diagnostic bronchography, which can be performed in any children's hospital.
  

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