Murari Karthi,  Reading Brenton,  Hayatghaibi Shireen,  Ashton Daniel,  Buckley Jennifer,  Robinson Amie,  Noel-macdonnell Janelle,  Rivard Douglas,  Theut Stephanie,  Cully Brent

Final Pr. ID: Paper #: 070

Gastro-Jejunostomy (GJ) tubes are commonly placed and exchanged by interventional radiologists (IR) in pediatric patients requiring transpyloric feeds. GJ tubes with slight variations are available from different manufacturers, most frequently used are Avanos Medical, Inc. (previously Halyard Medical Devices) and Applied Medical Technology (AMT). There is currently no published data available comparing complication rates between the different GJ tubes. The goal of this study is to compare complication rates at two different pediatric institutions and reasons for non-elective required exchange/replacement of GJ tubes manufactured by Avanos and AMT in pediatric patients. Read More

Authors:  Murari Karthi , Reading Brenton , Hayatghaibi Shireen , Ashton Daniel , Buckley Jennifer , Robinson Amie , Noel-macdonnell Janelle , Rivard Douglas , Theut Stephanie , Cully Brent

Keywords:  Gastrojejunostomy, G-tube, Complications

Hirsig Leslie,  Verma Nupur,  Sharma Priya,  Rajderkar Dhanashree

Final Pr. ID: Poster #: EDU-115

Congenital and childhood findings of pulmonary artery anomalies are uncommon but not infrequently encountered by referral centers. We present by case examples anomalies of pulmonary arterial vasculature, and discuss their clinical presentation, associated cardiothoracic anomalies, and overall prognosis. Read More

Authors:  Hirsig Leslie , Verma Nupur , Sharma Priya , Rajderkar Dhanashree

Keywords:  Pulmonary anamolies, Congenital malformations, Pulmonary Origin, Pulmonary Hypertension, Pulmonary complications

De Ruiter Chantel,  Yewchuk Lila

Final Pr. ID: Poster #: EDU-079

1. To educate Radiologists on the various potential radiographic findings in a pediatric diagnosis of HSP.
2. To bring awareness to the potentially life threatening ramifications of HSP that could be discovered first by the Radiologist. Read More

Authors:  De Ruiter Chantel , Yewchuk Lila

Keywords:  HSP complications found on imaging

Saadat Vandad,  Loo Jerry,  Chen Johnathan,  Iskander Paul,  Chawla Soni,  Ghahremani Shahnaz

Final Pr. ID: Poster #: EDU-002

Orthotopic heart transplant (OHT) is the treatment of choice for patients with end-stage heart disease including pediatric patients. Imaging has an essential role in evaluation of the perioperative and postoperative heart transplant patients. Although some of the imaging is performed and interpreted by cardiologists, a substantial portion of images are read by radiologist, therefore radiologists must be familiar with common normal and abnormal posttreatment imaging features.



Many end stage heart failure patients require circulatory support as a bridge to transplant, with a ventricular assist device or intra-aortic balloon pump. The ventricular assist devices specially increase the risk of infection, and intra-aortic balloon pump requires frequent radiographic monitoring to ensure appropriate placement in the proximal descending aorta, just distal to the left subclavian artery. Proximal placement may result in great vessel compromise and distal placement may cause occlusion of mesenteric and/or renal vasculature.

Expected postoperative findings in the first few weeks after surgery included enlarged cardiac silhouette, small pneumomediastinum, pneumothorax, pneumopericardium, subcutaneous emphysema, small atelectasis, and mediastinal widening.

Transplant-related complications are divide to:
Early complications (0-30 days): pulmonary infection, interstitial and/or alveolar pulmonary edema, and allograft failure, also symptomatic pneumothorax, mediastinal hematoma, mediastinal infection, sternal dehiscence and vascular complications.

Intermediate term complications (1-12 months): acute antibody related allograft rejection, acute cellular rejection (T-cell mediated response) which is the most common form of rejection, also tricuspid regurgitation, constrictive pericarditis, drug toxicity can happen in this time period.

Late postoperative complications (>12 months): posttransplant lymphoproliferative disease, cardiac allograft vasculopathy, infection, kaposi sarcoma and other malignancies, aortic dissection, pseudoaneurysm formation, and thromboembolism. Read More

Authors:  Saadat Vandad , Loo Jerry , Chen Johnathan , Iskander Paul , Chawla Soni , Ghahremani Shahnaz

Keywords:  OHT, Complications, Imaging

Kerwin Clara,  Ahmed Umer,  Tippetts Madison,  Setty Bindu

Final Pr. ID: Poster #: EDU-007

Penetrating trauma among pediatric patients, while less common than among adults, carries significant morbidity and mortality. In the pediatric population, penetrating trauma to the torso may be due to accidental injuries with sharp objects, animal bites, and, increasingly, gunshot wounds. While children with penetrating torso trauma are often managed following the same protocols as adults, pediatric patients are anatomically more vulnerable to multi-organ involvement due to the disproportionately large size of their organs, relative paucity of musculature, and elasticity of the ribcage. In addition to solid and hollow organ involvement, blood vessel injuries are crucial to recognize given the smaller intravascular volume of pediatric patients.

The mainstay of imaging evaluation of penetrating trauma to the torso centers on contrast-enhanced CT, often with CT angiography. These modalities enable the radiologist not only to assess for visceral injury, but also to detect the trajectory of penetration, the presence of retained foreign bodies, and any signs of active bleeding. Given the relative rarity of penetrating trauma among children, pediatric radiologists play a pivotal role in promptly identifying injury extent, recognizing subtle patterns of organ/vessel involvement, and informing appropriate surgical management.

The objectives of this educational poster are as follows:
1. To review the demographic risk factors associated with pediatric penetrating trauma to the torso as may be seen at an urban Level 1 trauma center.
2. To detail the common causes of penetrating trauma (e.g. gunshot wounds) and characterize how injury patterns among children are affected by pediatric anatomy.
3. To provide radiologists with pediatric-specific imaging protocol recommendations that can ensure comprehensive evaluation of injury and help guide further management. Read More

Authors:  Kerwin Clara , Ahmed Umer , Tippetts Madison , Setty Bindu

Keywords:  Trauma, Penetrating Complications, Anatomy

Martinez-rios Claudia,  Tijerin Bueno Marta,  Ahmad Tahani,  Oudjhane Kamaldine,  Navarro Oscar

Final Pr. ID: Poster #: EDU-091

Pediatric liver transplant (PLT) is an established treatment for many hepatic conditions in children. In recent years there has been a significant increase in the number of PTL associated with an improved survival. In children however, due to the complex surgical procedures and peculiar hemodynamic physiology there is also an increased risk for vascular and biliary complications. High resolution ultrasonography (US) is the modality of choice to evaluate and monitor the evolution of pediatric liver graft. This exhibit intends to illustrate fellows and residents with the US characteristics of the normal hepatic anatomy, the normal early and late US appearances of the graft, and the US features of complications that may compromise graft’s survival. Read More

Authors:  Martinez-rios Claudia , Tijerin Bueno Marta , Ahmad Tahani , Oudjhane Kamaldine , Navarro Oscar

Keywords:  liver, transplant, ultrasound, normal, complications

Lacroix Caroline,  Perez Maria,  Ahyad Rayan,  Zani Augusto,  Navarro Oscar

Final Pr. ID: Poster #: SCI-038

Development of complications in patients treated for acute appendicitis is not rare. Some authors have advocated the important role of CT in this clinical setting. Increased awareness of radiation-related safety issues in the past years has brought focus on the role and safety of ultrasound (US) to diagnose acute appendicitis in children. However, no study has specifically addressed the role of US for assessment of complications in children operated for acute appendicitis. Our purpose is to evaluate if US is an accurate and safe imaging modality in this setting. Read More

Authors:  Lacroix Caroline , Perez Maria , Ahyad Rayan , Zani Augusto , Navarro Oscar

Keywords:  Complications, Abscess, Collections