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Semin intervent Radiol
DOI: 10.1055/s-0045-1809628
Review Article

The Role of IR in Pediatric Pain and Palliation

Michael L. Leshen
1   Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
2   Division of Pediatric Radiology, Department of Radiology and Imaging Sciences, Emory & Children's Pediatric Institute, Emory University School of Medicine, Children's Healthcare of Atlanta at Arthur M Blank Hospital, Atlanta, Georgia
,
C. Matthew Hawkins
1   Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
2   Division of Pediatric Radiology, Department of Radiology and Imaging Sciences, Emory & Children's Pediatric Institute, Emory University School of Medicine, Children's Healthcare of Atlanta at Arthur M Blank Hospital, Atlanta, Georgia
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Abstract

Pediatric chronic pain is a significant problem that is often underreported and therefore not always adequately addressed. Causes include anatomic variants, trauma, local inflammation, and malignancy. Nerve blocks and cryoneurolysis can aid as an adjunct to pain management for these patients and significantly improve their quality of life. This article will describe specific procedures in which interventional radiology can aid in several specific procedures for pediatric pain management: splanchnic cryoneurolysis, sphenopalatine ganglion nerve block/cryoneurolysis, inferior alveolar nerve block, intercostal cryoneurolysis, and cryoablation of painful bone metastases, notably in the setting of metastatic sarcoma.

Keywords

interventional radiology - pediatric - palliation - nerve block - cryoneurolysis


Publikationsverlauf

Artikel online veröffentlicht:
09. Juni 2025

© 2025. Thieme. All rights reserved.

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