Review
Catheter-directed therapy for pulmonary embolism in pediatrics: a systematic review and meta-analysis
Thrombosis journal, v 23(1), pp 4-20
17 Jan 2025
PMID: 39825435
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Acute pulmonary embolism (PE) is a serious and potentially fatal condition that is relatively rare in the pediatric population. In patients presenting with massive/submassive PE, catheter-directed Therapy (CDT) presents an emerging therapeutic modality by which PE can be managed.
Electronic databases were systematically searched through May 2024. This systematic review was performed in line with recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement guidelines and was registered in PROSPERO (Reg. no. CRD42024534229).
Sixteen case reports/series were included in the quantitative analysis with a total population of 40 children diagnosed with PE. Of them, 21 were females and 19 were males. Massive PE was diagnosed in 15 patients and submassive PE was diagnosed in 17 patients. Complete resolution of PE happened at a rate of 68% (95%CI = 46-80%). Mortality was encountered at a rate of 18% (95%CI = 0.7-36%). PE recurred after CDT at a rate of 15% (95%CI = 2-28%). Non-major bleeding complicated CDT at a rate of 46% (95%CI = 25-66%, p = 0.163).
CDT can be utilized in the management of PE in children as a potential therapeutic option for selected patients. While the results of CDT interventions for pediatric PE are promising, further research -including well-conducted cohort studies- is required to validate those results.
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Details
- Title
- Catheter-directed therapy for pulmonary embolism in pediatrics: a systematic review and meta-analysis
- Creators
- Basel F Alqeeq - Islamic University of GazaDina Essam Abo-Elnour - Zagazig UniversityMohamed Rifai - Menoufia UniversityLuis L Gamboa - St. Christopher's Hospital for ChildrenIbrahim Qattea - Nassau University Medical CenterMohammed Hamzah - Advocate Children's HospitalKhaled M Al-Farawi - Lone Star College KingwoodAlaa Ahmed Elshanbary - Alexandria UniversityIbrahim Kamal - Al-Azhar UniversityMohammed Alsabri - University of Modern Sciences
- Publication Details
- Thrombosis journal, v 23(1), pp 4-20
- Publisher
- BMC; LONDON
- Number of pages
- 20
- Resource Type
- Review
- Language
- English
- Academic Unit
- Pediatrics; College of Medicine; Emergency Medicine
- Web of Science ID
- WOS:001398874500001
- Scopus ID
- 2-s2.0-85217661206
- Other Identifier
- 991022019492004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Hematology
- Peripheral Vascular Disease