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Intravenous digital subtraction angiography (IVDSA) in children

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Abstract

Forty-one intravenous digital subtraction angiographic (IVDSA) studies were performed in 39 patients aged 4 weeks to 19 years (mean: 9.4 years) in order to evaluate the heart, great vessels and palliative shunts. Contrast agents were injected via antecubital vein cannulation in 14 examinations. In the remaining 27, injections were made through centrally-placed catheters inserted via right antecubital or femoral veins. All but one of the centrally-injected procedures resulted in technically satisfactory images. Four of the peripherally-injected IVDSA studies were unsafisfactory or of limited value due to motion artefacts, insufficient contrast, equipment failure or perivenous extravasations. Systemic-pulmonary shunt lesions were difficult to image, but IVDSA of the aorta and pulmonary arteries provided consistently useful information.

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Authors and Affiliations

  1. Division of Pediatric Radiology, University Hospitals of Cleveland, 2074 Abington Road, 44106, Cleveland, Ohio, USA

    B. D. Fletcher & S. C. Morrison

  2. Department of Pediatrics, Rainbow Babies and Childrens Hospital, Cleveland, Ohio, USA

    M. D. Jacobstein

Authors
  1. B. D. Fletcher
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  2. M. D. Jacobstein
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  3. S. C. Morrison
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Fletcher, B.D., Jacobstein, M.D. & Morrison, S.C. Intravenous digital subtraction angiography (IVDSA) in children. Pediatr Radiol 14, 425–430 (1984). https://doi.org/10.1007/BF02343434

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  • DOI: https://doi.org/10.1007/BF02343434

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