• Brianna M Donnelly, Andre Monteiro, Matthew J Recker, Jaims Lim, Pui Man Rosalind Lai, Wady T Jacoby, Wasiq I Khawar, Alexander B Becker, Muhammad Waqas, Justin M Cappuzzo, Jason M Davies, Kenneth V Snyder, Renee M Reynolds, Adnan H Siddiqui, and Elad I Levy.
• Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
• World Neurosurg. 2024 Sep 1; 189: e696e708e696-e708.

ObjectiveEndovascular treatment of complex vascular pathologies in the pediatric population is often performed by nonpediatric subspecialists with adaptation of equipment and techniques developed for adult patients. We aimed to report our center's experience with safety and outcomes of endovascular treatments for pediatric vascular pathologies.MethodsWe performed a retrospective review of our endovascular database. All patients ≤18 years who underwent endovascular treatment between January 1, 2004 and December 1, 2022 were included.ResultsDuring the study time frame, 118 cerebral angiograms were performed for interventional purposes in 55 patients. Of these patients, 8(14.5%) had intracranial aneurysms, 21(38.2%) had intracranial arteriovenous malformations, 6(10.9%) had tumors, 5(9.1%) had arterial occlusions (n = 3) or dissections (n = 2), 8(14.5%) had vein of Galen malformations, and 7(12.7%) had other cerebrovascular conditions. Of the total 118 procedures, access-site complications occurred in 2(1.7%), intraprocedural complications occurred in 3(2.5%), and transient neurological deficits were observed after 2(1.7%). Treatment-related mortality occurred in 1(1.8%) patient.ConclusionsNeurointervention in pediatric patients was safe and effective in our experience.Copyright © 2024 Elsevier Inc. All rights reserved.

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