SPECIAL REPORT Tiny patients,


big impact Spotlighting pediatric IR


“ The true measure of any society can be found in how it treats its most vulnerable members.”


—MAHATMA GANDHI The responsibility in caring for children is on us all.


Interventional radiology is no exception. It's a rare practice where a pediatric patient doesn't fall on your doorstep one way or another. When they do, we want to do our best to care for these kids—much like we want the best for our own children or family members.


Although pediatric interventional radiology is a fast-growing and ever- expanding arm of specialty medicine, there are estimated to be fewer than 300 pediatric interventional radiologists worldwide. Part of this trend stems from lack of exposure to the subspecialty, and part of it is the nature of practice: pediatric IRs not only must have the imaging and procedural knowledge of their adult IR colleagues, but must adapt their knowledge, approach and even tools to fit the needs of a patient demographic that varies widely in weight, disease state and needs.


Within this special section of IR Quarterly, we look at different pediatric IR practices, delve into the spirit of collaboration and weigh the value of conservative treatment. This section not only highlights the quality of care provided by pediatric IRs but aims to spread awareness for those considering pediatric IR specialization, or those who find themselves caring for pediatric patients.


From radiation considerations to nonoperative management, pediatric IRs weigh multiple factors when approaching their cases, and work closely with multiple specialties to provide collaborative care—not just to children, but their whole family as well.


Table of contents 18


When to wait: Nonoperative


management for pediatric trauma Lisa Kang, MD, Aparna Annam, DO, and Shellie C. Josephs, MD, FSIR


20


The collaborative spirit: Inside a multispecialty vascular


anomalies clinic Abhay Srinivasan, MD 22


The modality of play: Making the medical environment


comfortable for children Maddie Bozokis


24 Case presentation:


Neuro IR on a pediatric patient Anurag Chahal, MD


26 Practice profiles:


Inside two pediatric practices Elliot Sean Rinzler, MD, and Michael R. Acord, MD


28


The pediatric pathway: Education and opportunities


for pediatric IR training Gulraiz Chaudry, MD, MB, FSIR


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