Krishnamurthy Ganesh,  Srinivasan Abhay,  Smith Christopher,  Savla Jill,  Biko David,  Pinto Erin,  Dewitt Aaron,  Dori Yoav,  Escobar Fernando

Final Pr. ID: Paper #: 069

Percutaneous lymphatic interventions (PLI) target the pulmonary lymphatic abnormalities seen in patients with plastic bronchitis (PB). Existing data in patients with congenital heart disease(CHD)indicates poor transplant-free survival after the diagnosis of PB. We describe various techniques of PLI and characterize intermediate-term survival and complications after PLI. Read More

Authors:  Krishnamurthy Ganesh , Srinivasan Abhay , Smith Christopher , Savla Jill , Biko David , Pinto Erin , Dewitt Aaron , Dori Yoav , Escobar Fernando

Keywords:  Plastic bronchitis, percutaneous lymphatic intervention

Dabrowiecki Alexander,  Gill Anne,  Hawkins C. Matthew

Final Pr. ID: Poster #: SCI-036

Aneurysmal bone cysts (ABCs) are expansile lytic lesions and can cause significant disability and pain most commonly seen in patients 10-30 years old. This study evaluates the technical feasibility, safety, and efficacy of percutaneous management of ABCs in pediatric and adolescent patients.
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Authors:  Dabrowiecki Alexander , Gill Anne , Hawkins C. Matthew

Keywords:  Aneurysmal Bone Cyst, Percutaneous therapy

Dewoolkar Suruchi,  Kazmi Faaiza,  Koenigsberg Robert

Final Pr. ID: Poster #: CR-002

The incidence of retropharyngeal abscesses in america is rising, despite the widespread use of antibiotics for symptoms of sore throat, fever, neck stiffness and stridor<!--EndFragment-->. Retropharyngeal abscesses were often considered a disease exclusively in children, requiring early recognition and aggressive management to prevent its significant risks of morbidity and mortality. The high rate of mortality associated with retropharyngeal abscesses is owed to its associated with airway obstruction, mediastinitis, aspiration pneumonia, epidural abscess, jugular venous thrombosis, necrotizing fasciitis, sepsis and erosion into the carotid artery. Often times, medical management and surgical incision and drainage attempts are unsuccessful and result in persistent abscess or worsened complications.

We studied two children, ages 9 months and age 11, each with a retropharyngeal abscess refractory to medical care. Both cases were in extremis, with respiratory and cardiac compromise. Read More

Authors:  Dewoolkar Suruchi , Kazmi Faaiza , Koenigsberg Robert

Keywords:  Percutaneous, Retropharyngeal, Ct-Guided

Ambreen Sidra,  Malkawi Ibraheem,  Marzook Farhad

Final Pr. ID: Poster #: CR-033

Mid-aortic syndrome (MAS) is a rare vascular disorder prevalent in pediatric patients, resulting in narrowing of the abdominal aorta and major branches. Patients who have MAS often suffer from hypertension, organ scarring, and ischemia. We will discuss the case of a 15-year-old male with partial occlusion of his renal arteries and mid aortic artery. This patient was initially treated for hypertension and was diagnosed with MAS after a CT scan presented bilateral renal artery stenosis. His right and left renal arteries were functioning at 40% and 60% capacity respectively, compromising adequate blood flow to his kidneys. This patient was treated through pediatric general surgery in hopes that an angioplasty would return proper blood flow to both his renal arteries, unfortunately it was unsuccessful. He was then referred to pediatric interventional radiology at a second attempt to revascularize the renal arteries and control his hypertension.
We treated this case of Mid-aortic syndrome with a balloon angioplasty for both his renal arteries, with stenting as a backup. Stenting was avoided as it can have long term complications in the pediatric population. The angioplasty was successful and restored function of both kidneys with concomitant improvement of his hypertension. As a result, the patient was able to wean off hypertension medication. This case presents the rare phenomena of managing MAS with renal arterial occlusions and the importance of prompt need to revascularize to avoid long term complications. Read More

Authors:  Ambreen Sidra , Malkawi Ibraheem , Marzook Farhad

Keywords:  Midaortic, Hypertension, Percutaneous Therapy