Endovascular stenting in pediatric trauma: A critical analysis of long-term outcomes and follow-up gaps

jpedsurg.org

We are writing in response to the article “Stent it and Forget it? Not in Kids: Endovascular Treatment of Traumatic Arterial Injuries in Adolescents” by Sutyak et al., published in Journal of Pediatric Surgery [1]. The study presents a valuable investigation into the use of endovascular stenting as a treatment for traumatic arterial injuries in pediatric patients. While the study offers important insights into the feasibility of stenting for children and adolescents, there are several areas of critical analysis that merit attention.

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Article · Oct 2025 · 1 min read

In brief

This critical commentary examines endovascular stenting for traumatic arterial injuries in pediatric and adolescent patients, highlighting gaps in long-term follow-up data. The analysis responds to recent literature on the feasibility of stenting in children while raising important questions about durability and surveillance protocols in this unique population.

Endovascular stenting is feasible for traumatic arterial injuries in pediatric patients but requires careful patient selection.
Long-term follow-up protocols are inadequate in current pediatric endovascular trauma literature.
Growth-related complications and stent durability remain underexplored in the adolescent population.
Standardized surveillance imaging protocols are needed to detect delayed vascular complications in pediatric stent patients.
Multidisciplinary collaboration between pediatric surgery and interventional radiology is essential for optimal outcomes.

Written by the GCMD Library team from the article.

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