Preservation of venous access in children is a major concern in pediatric interventional radiology. If a peripherally inserted central catheter (PICC) breaks, there are two options: repair the line with a repair kit or exchange the line over a wire in the interventional suite. The purpose of this study is to explore the outcome (patency, success and infection) of PICC repairs in children and to compare those risks to that of PICC exchange. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Gnannt Ralph, Patel Premal, Amaral Joao, Parra Dimitri, Connolly Bairbre
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
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Gnannt Ralph, Connolly Bairbre, Mubarak Walid, Fehlings Darcy, Parra Dimitri
Keywords: Botulinum Toxin A, Musculoskeletal, Sonography, Injection
To analyze the use of implanted port-a-caths in<i> </i>Children with Medical Complexity (CMC), neurological impairment and difficult venous access. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Pezeshkpour Paymun, Armstrong Nicholas, Mahant Sanjay, Muthusami Prakash, Amaral Joao, Parra Dimitri, Temple Michael, Connolly Bairbre
Keywords: Difficult venous access, Technology dependence, Reduced morbidity