Amaral Jason,  Schultz Rebecca,  Rosenfeld Scott,  Kan J.

Final Pr. ID: Poster #: EDU-067

This technical innovation describes our institution’s standardized technique for palliative steroid injections in children with symptomatic neuromuscular hip dysplasia. Children with neuromuscular hip dysplasia are at risk for developing painful hip dislocation, which can dramatically affect their quality of life. Read More

Authors:  Amaral Jason , Schultz Rebecca , Rosenfeld Scott , Kan J.

Keywords:  Hip Dysplasia, Cerebral Palsy, Steroid Injection

Reading Brenton,  Cully Brent,  Theut Stephanie,  Robinson Amie,  Anderson John,  Rivard Douglas

Final Pr. ID: Poster #: SCI-051

Minimally invasive procedures are common practice for pain management in pediatrics. The use of image guided therapies for axial skeletal pain management have been proven to not only be safe and effective, but also can be performed routinely in the interventional radiology (IR) department. The goal of this educational exhibit is to illustrate image guided techniques for pain management in pediatric patients. Specifically, techniques involving image-guided injections for treatment of headache, back pain, and other axial skeletal sources will be highlighted. Read More

Authors:  Reading Brenton , Cully Brent , Theut Stephanie , Robinson Amie , Anderson John , Rivard Douglas

Keywords:  Pain Management, Steroid Injection, Nerve Block

Faruqui Sami,  Lucin Michael,  Sato T Shawn

Final Pr. ID: Poster #: EDU-122

In pediatric patients with inflammatory arthritis, steroid injections of the joints are an important therapeutic tool to help augment or avoid systemic steroid treatment. In adult patients, fluoroscopy is often used for diagnostic and therapeutic joint injections. In pediatric patients, ultrasound is an excellent modality for joint injections as resolution is very good for superficial structures, there is no radiation, real time imaging can be performed with non-cooperative patients, and steroid dosage can be maximized in small joints without wasting space in the joint with confirmatory contrast, as with fluoroscopy. Pediatric ultrasound guided joint injections are not commonplace at every radiology practice, but with some training, it can be performed safely and effectively to provide patient care. The purpose of this exhibit is to familiarize the reader with proper technique for ultrasound-guided joint injections. Read More

Authors:  Faruqui Sami , Lucin Michael , Sato T Shawn

Keywords:  Ultrasound, joint, injection

Foo Madeline,  Mcdaniel Janice

Final Pr. ID: Poster #: CR-011

Pseudoaneurysms are uncommon vascular abnormalities contained by surrounding adventitial and perivascular tissues, often caused by a disruption of the arterial wall secondary to arterial injury or inflammation. Post-traumatic and iatrogenic pseudoaneurysms in children are especially rare, contributing to the insufficient literature regarding their care. Traditional treatment in adults for these lesions include surgical repair and angiography with embolization. Recently, minimally invasive endovascular techniques, such as percutaneous ultrasound-guided thrombin injection (UGTI), have become the first-line therapeutic choice for certain types of pseudoaneurysm. We present 3 patients with pseudoaneurysms treated with UGTI in uncommon locations.

Cases:
Case 1: 6-year-old female with trauma to the spleen from a bike accident who later developed a 1.6cm pseudoaneurysm of the spleen, which was treated with an injection of thrombin using ultrasound guidance.
Case 2: 9-year-old female with trauma to the lower leg after falling through a glass table who developed a 3.8cm pseudoaneurysm off the anterior tibial artery, which was treated with an injection of thrombin using ultrasound guidance.
Case 3: 13-year-old female with a 2.3cm iatrogenic pseudoaneurysm off the gluteal artery related to percutaneous transgluteal abscess drain placement, which was treated with an injection of thrombin using ultrasound guidance. Read More

Authors:  Foo Madeline , Mcdaniel Janice

Keywords:  Pseudoaneurysms, Ultrasound-Guided Thrombin Injection, Pediatric IR

Gnannt Ralph,  Connolly Bairbre,  Mubarak Walid,  Fehlings Darcy,  Parra Dimitri

Final Pr. ID: Poster #: EDU-084

The purpose of this educational poster is to describe and illustrate our technique to perform Ultrasound Guided Botulinum Toxin A muscle injections in children. We explain the pre-procedural preparation including clinical assessment, injection planning and obtaining informed consent. Intra-procedure we describe limb positioning and preparation on the procedure table; showing and explaining in detail the equipment that we use. We illustrate muscle schematics with ultrasound correlation. The identification of different muscle groups on ultrasound is the main goal of this educational poster. Additionally, we will provide technical tips and potential pitfalls, which an interventional radiologist may encounter performing this procedure. The post-procedural management will wrap up our educational poster. Read More

Authors:  Gnannt Ralph , Connolly Bairbre , Mubarak Walid , Fehlings Darcy , Parra Dimitri

Keywords:  Botulinum Toxin A, Musculoskeletal, Sonography, Injection