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

Final Pr. ID: Paper #: 068

Inguinal lymph node identification using ultrasound is critical in performing intranodal lymphangiography. We routinely utilize a 15 MHz “hockey stick” linear high resolution ultrasound probe (Philips Epic 7) for identification as well as to gain needle access into the inguinal lymph node. However in children with severe body wall edema and in low weight premature babied identification of lymph nodes can be difficult and sometimes impossible. Higher frequency ultrasound transducers offer the potential for improved identification of lymph nodes in such cases. The aim of this study was to compare imaging finding of high resolution US probe to the traditional 15 mHz probe in patients undergoing lymph node access for lymphangiography. Read More

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

Keywords:  Ultra high frequency ,  lymph nodes ,  lymphatic intervention

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

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

Tsitsiou Yvonne,  Rychik Jack,  Biko David,  Cahill Anne Marie,  Serai Suraj,  Durand Rachelle,  Golberg David,  Glatz Andrew,  Rand Elizabeth,  Wilkins Benjamin,  Witschey Walter,  Dodds Kathryn,  Russo Pierre

Final Pr. ID: Paper #: 071

Fontan–associated liver disease (FALD) is associated with increased risk of liver cirrhosis and hepatocellular carcinoma. Liver biopsy is the current gold standard investigation for diagnosing liver fibrosis. Magnetic Resonance Elastography (MRE) is a non-invasive procedure assessing liver stiffness. To date, only limited published studies are available describing the correlation of MRE and biopsy in Fontan-associated pediatric patients. Further, longitudinal changes in MRE require an increase in hepatic stiffness of >22% to indicate true change in stiffness (95% CI). The purpose of this study is to determine the clinical implication of MRE in FALD.

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Authors:  Tsitsiou Yvonne,  Rychik Jack,  Biko David,  Cahill Anne Marie,  Serai Suraj,  Durand Rachelle,  Golberg David,  Glatz Andrew,  Rand Elizabeth,  Wilkins Benjamin,  Witschey Walter,  Dodds Kathryn,  Russo Pierre

Keywords:  MR Elastography ,  Fontan ,  Liver Biopsy

Alam Aisha,  Maier Pia,  Smitthimedhin Anilawan,  Acord Michael,  Cahill Anne Marie,  Vatsky Seth

Final Pr. ID: Paper #: 072

Lymphoma is the most common mediastinal mass in children. Obtaining tissue for diagnosis can be challenging due to reported low diagnostic yield and risk of cardiorespiratory collapse, especially in the setting of anesthesia. We report our experience with biopsy of mediastinal masses, report the diagnostic rate for lymphoma and biopsy/anesthetic complications related to the procedure. Read More

Authors:  Alam Aisha,  Maier Pia,  Smitthimedhin Anilawan,  Acord Michael,  Cahill Anne Marie,  Vatsky Seth

Keywords:  Image guided biopsy ,  Mediastinal Mass ,  Lymphoma

Yen Christopher,  Hernandez Alberto,  Gardner Gregory,  Nazario Maricarmen,  Kukreja Kamlesh,  Desai Sudhen

Final Pr. ID: Paper #: 073

Bone biopsy for histopathology and tissue culture remains the gold standard for diagnosis of osteomyelitis. However, MRI often results in a radiologic diagnosis of osteomyelitis preceding biopsy. The purpose of this study is to examine the diagnostic yield of percutaneous bone biopsies and the effect of biopsy results on clinical management in children with suspected osteomyelitis and positive MRI findings. Read More

Authors:  Yen Christopher,  Hernandez Alberto,  Gardner Gregory,  Nazario Maricarmen,  Kukreja Kamlesh,  Desai Sudhen

Keywords:  Biopsy ,  Osteomyelitis ,  MRI

Mubarak Walid,  Zarroug Abdulla,  Robinson Ashley,  Hartzog Abigail,  Itani Abdulla,  Shaw Katerina,  Cherewko Jamie,  Quinn Diarmuid,  Alhammadi Ahmed,  Ashour Rasha,  Brisseau Guy

Final Pr. ID: Paper #: 074

To evaluate the safety, technical success and outcome of image-guided ‘one-step’ retrograde balloon gastrostomy tube insertions in children.
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Authors:  Mubarak Walid,  Zarroug Abdulla,  Robinson Ashley,  Hartzog Abigail,  Itani Abdulla,  Shaw Katerina,  Cherewko Jamie,  Quinn Diarmuid,  Alhammadi Ahmed,  Ashour Rasha,  Brisseau Guy

Keywords:  gastrostomy ,  mickey ,  one step

Baker Omar,  Hernandez Alberto,  Cleveland Heather,  Justino Henri

Final Pr. ID: Paper #: 075

Portal vein thrombosis (PVT) is a major cause of pediatric portal hypertension and gastrointestinal (GI) bleeding. Recanalization with balloon angioplasty (BA) and stent placement have emerged as a minimally invasive treatment option for PVT. We sought to review the success and complication rates of transcatheter PVT therapy in pediatric patients with native liver. Read More

Authors:  Baker Omar,  Hernandez Alberto,  Cleveland Heather,  Justino Henri

Keywords:  Portal Venous Thrombosis ,  Balloon Angioplasty ,  Stenting

Jarboe Marcus,  Ladino-torres Maria,  Hirschl Ron

Final Pr. ID: Paper #: 076

There are a number of techniques used to repair inguinal hernias, both open a laparoscopic. Here we report a case series of a novel method, inguinal herniorrhaphy using ultrasound guidance. Read More

Authors:  Jarboe Marcus,  Ladino-torres Maria,  Hirschl Ron

Keywords:  inguinal ,  ultrasound ,  hernia