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https://www.readbyqxmd.com/read/29882187/electroanatomic-mapping-guided-catheter-ablation-of-supraventricular-tachycardia-in-children-with-ebstein-s-anomaly
#1
Yakup Ergul, Serhat Koca, Celal Akdeniz, Volkan Tuzcu
In Ebstein's anomaly (EA), tachycardia substrates are complex, and accessory pathway (AP) ablations are often challenging. This study demonstrates the utility of the EnSite Velocity system (St. Jude Medical, St Paul, MN) in the catheter ablation of supraventricular tachycardia in children with EA. Twenty patients [Female/Male = 8/12, median age 11.5 years (2.6-18)] with EA who underwent catheter ablation guided by the EnSite Velocity system between December 2011 and December 2016 were retrospectively evaluated...
June 7, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29873601/unique-challenges-to-the-approach-and-management-of-pediatric-headscarf-pin-aspiration
#2
Shadi Hamouri, Faisal Swesi, Nathan Michael Novotny
BACKGROUND: Headscarf use is becoming more common throughout the world. Many articles describe the problem of aspirated headscarf pins but few if any give technical details for retrieval or innovative methods of removal if traditional bronchoscopy fails particularly in the pediatric population. Herein, we describe our method of deep sedation with laryngeal mask airway (LMA) and flexible bronchoscopy (FB) and retrieval with a stepwise algorithm if traditional FB fails. METHODS: A retrospective review of pediatric patients with aspirated headscarf pins was performed...
June 6, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29806318/-effectiveness-comparison-of-titanium-elastic-nail-and-locking-compression-plate-fixation-in-treating-femoral-subtrochanteric-fractures-in-older-children
#3
Xuepeng Xu, Xiaobo Lu, Leiming Luo, Xihai Zhang, Yuanhui Wang
Objective: To compare the effectiveness of titanium elastic nail (TEN) and locking compression plate fixation in treating femoral subtrochanteric fracture in older children. Methods: Between April 2015 and September 2016, 35 older children (aged 7-13 years) with femoral subtrochanteric fractures were treated, the clinical data were retrospectively reviewed. TEN fixation was used in 19 cases (group A) and locking compression plate fixation in 16 cases (group B). There was no significant difference in age, gender, sides, fracture causes, type of fracture, and time from injury to operation between 2 groups ( P >0...
October 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29761226/renal-stone-composition-does-not-affect-the-outcome-of-percutaneous-nephrolithotomy-in-children
#4
Onur Kaygısız, Fethi Ahmet Türegün, Nihat Satar, Ender Özen, Serdar Toksöz, Hasan Serkan Doğan, Mehmet Mesut Pişkin, Volkan İzol, Şaban Sarıkaya, Hakan Kılıçarslan, Tufan Çiçek, Ahmet Öztürk, Serdar Tekgül, Bülent Önal
PURPOSE: We sought to investigate the association between renal stone composition and percutaneous nephrolithotomy outcomes in pediatric patients and define the characterization of the stone composition. METHODS: The data of 1157 children who underwent percutaneous nephrolithotomy between 1991 and 2012 were retrieved from the multicenter database of the Turkish Pediatric Urology Society. The study population comprised 359 children (160 girls, 199 boys) with stone analyses...
May 14, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29748933/common-genitourinary-catheters-a-systematic-approach-for-the-radiologist
#5
Helen Hr Kim, Sheryl Tulin-Silver, Richard N Yu, Jeanne S Chow
Catheters are commonly used to treat and diagnose urinary tract abnormalities in the pediatric population. This pictorial essay reviews commonly placed genitourinary catheters imaged by radiography, fluoroscopy, computed tomography (CT) and ultrasonography (US). The purpose of the catheter, how the catheter is placed, and the imaging findings associated with appropriately positioned catheters as well as misplaced and displaced catheters are described. It is important for radiologists to recognize common genitourinary catheters, and be familiar with their normal and abnormal positions as displacement is often first recognized by diagnostic imaging...
May 10, 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29726634/successful-exclusion-of-an-aortic-aneurysm-with-a-novel-ptfe-tube-covered-cobalt-chromium-stent-in-a-pediatric-patient-with-native-coarctation-of-the-aorta
#6
Johannes Nordmeyer, Peter Kramer, Felix Berger, Stephan Schubert
Treatment of aneurysmal lesions in the context of coarctation of the aorta (CoA) is a challenging task and these lesions are rare in children. An 11-year-old boy was incidentally diagnosed with native CoA and concomitant complex aneurysmal lesions during medical check-up for arterial hypertension. Pre-catheterization imaging was performed with computed tomography (CT), which showed a mild CoA and two native aneurysms that were juxtaposed to the origin of the left subclavian artery. For planning and guidance of the catheter procedure, image fusion software was used with an overlay from pre-registered three-dimensional reconstruction images on live fluoroscopy...
May 4, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29719747/the-influence-of-resident-level-of-training-on-fluoroscopy-time-in-pediatric-supracondylar-humeral-fractures-treated-with-closed-reduction-and-percutaneous-pinning
#7
Önder Kalenderer, Ali Turgut, Emre Bilgin, Serkan Erkus, Fikri B İpci, Tunc P Edizsoy
Objective The purpose of this study was to evaluate the effect of resident level of training on fluoroscopy duration in pediatric supracondylar humeral fractures treated with closed reduction and percutaneous pinning (CRPP). Methods After classifying the surgeons according to their seniorities, the duration of fluoroscopy time of 80 patients with extension type III supracondylar fractures during reduction and pinning was recorded. Results The time duration of reduction procedures was similar in all groups with respect to the surgical experience; however, time durations of percutaneous pinning procedures were found statistically different between groups (p=0...
February 28, 2018: Curēus
https://www.readbyqxmd.com/read/29698335/pediatric-veno-veno-extracorporeal-membrane-oxygenation-rescue-from-carbon-monoxide-poisoning
#8
David A Baran, Kelly Stelling, Derrick McQueen, Mark Pearson, Vaishali Shah
BACKGROUND: Carbon monoxide poisoning affects approximately 5000 children per year and can be challenging to diagnose and treat (Pediatr Emerg Med Pract. 2016;13:1-24). It is in the differential diagnosis of a patient presented with altered consciousness. Patients may look quite "pink" and well perfused, but are often in serious distress. We present the first case in the literature of carbon monoxide poisoning treated with the use of veno-veno extracorporeal membrane oxygenation (ECMO)...
April 25, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29678454/top-100-cited-articles-on-radiation-exposure-in-medical-imaging-a-bibliometric-analysis
#9
Jason Kinnin, Tarek N Hanna, Marc Jutras, Babar Hasan, Rick Bhatia, Faisal Khosa
BACKGROUND: Bibliometric analyses by highest number of citations can help researchers and funding agencies in determining the most influential articles in a field. The main objective of this analysis was to identify the top 100 cited articles addressing radiation exposure from medical imaging and assess their characteristics. METHODS: Relevant articles were extracted from the Scopus database after a systematic search by researchers using an iteratively defined Boolean search string...
March 20, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29622327/imaging-gently
#10
REVIEW
Amy L Puchalski, Christyn Magill
Advances in medical imaging are invaluable in the care of pediatric patients in the emergent setting. The diagnostic accuracy offered by studies using ionizing radiation, such as plain radiography, computed tomography, and fluoroscopy, are not without inherent risks. This article reviews the evidence supporting the risk of ionizing radiation from medical imaging as well as discusses clinical scenarios in which clinicians play an important role in supporting the judicious use of imaging studies.
May 2018: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/29551881/novel-modified-seldinger-technique-for-gastrojejunal-feeding-tube-placement
#11
Maitham A Moslim, Gavin A Falk, Federico G Seifarth
Background: Temporary or long-term nutritional support through gastrojejunal (GJ) feeding tubes is a safe and common means of enteral feeding in adults and children. It is indicated in patients with severe gastroesophageal reflux disease, gastric outlet obstruction, or severe gastric dysfunction or gastroparesis. Several techniques for GJ feeding tube placement have been reported. The most technically challenging part of GJ tube placement is the advancement and optimal positioning of the jejunal extension into the proximal jejunum...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29546772/peripherally-inserted-central-catheters-in-the-treatment-of-children-with-cancer-results-of-a-multicenter-study
#12
Maxim Yu Rykov, Sergei V Zaborovskij, Alexander N Shvecov, Vladimir V Shukin
PURPOSE: To review our experience with peripherally inserted central catheters in pediatric cancer patients. METHODS: The analysis included 353 patients (3 months up to 17 years, mean age 11.2 years) with a variety of cancers diseases, which in 2011-2016, 354 peripherally inserted central catheters were placed. All settings are carried out using ultrasound guidance. In 138 (39%) patients, external anatomical landmarks were used and in 216 (61%) intraoperative fluoroscopy...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29532274/preventing-the-risk-of-coronary-injury-in-posteroseptal-accessory-pathway-ablation-in-children-different-strategies-and-advantages-of-fluoroscopy-integrated-3d-mapping-system-carto-univu%C3%A2
#13
Margaux Alazard, Jérôme Lacotte, Jérôme Horvilleur, Mina Ait-Said, Fiorella Salerno, Vladimir Manenti, Jean-François Piechaud, Jérôme Garot, Damien Bonnet, Alice Maltret
PURPOSE: To evaluate various strategies in order to minimize the risk of coronary injury during posteroseptal accessory pathways ablation in children. METHODS: We retrospectively reviewed 68 posteroseptal accessory pathways ablation procedures (20 decremental and 48 typical accessory pathways) performed in 62 pediatric patients at our institution between July 2009 and December 2016. Only posteroseptal accessory pathways targeted near or within the coronary sinus were included and ablation was mostly performed using irrigated tip radiofrequency...
June 2018: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/29502272/shock-wave-lithotripsy-or-retrograde-intrarenal-surgery-which-one-is-more-effective-for-10-20-mm-renal-stones-in-children
#14
Giray Ergin, Mustafa Kirac, Burak Kopru, Turgay Ebiloglu, Yusuf Kibar, Hasan Biri
OBJECTIVES: To compare shock wave lithotripsy and flexible ureteroscopy in children with renal stone's diameter of 10 to 20 mm. MATERIALS AND METHODS: This is a retrospective study including 79 children, who had renal stone and underwent either shock wave lithotripsy or flexible ureteroscopy between January 2007 and June 2017. Of those, 38 patients underwent shock wave lithotripsy assigned as group 1 and 41 patients underwent flexible ureteroscopy assigned as group 2...
March 3, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29496066/impact-of-low-dose-settings-on-radiation-exposure-during-pediatric-fluoroscopic-guided-interventions
#15
Moritz Wildgruber, Michael Köhler, Richard Brill, Holger Goessmann, Wibke Uller, René Müller-Wille, Walter A Wohlgemuth
PURPOSE: To evaluate the effects of lowering the detector entrance exposure in children undergoing interventional radiology procedures. MATERIALS AND METHODS: The study retrospectively investigated radiation dose levels in pediatric patients aged 0-18 years before (n = 39) and after (n = 26) lowering detector entrance dose, undergoing embolization of peripheral Arteriovenous malformations, Portal Vein Interventions or Percutaneous Transhepatic Cholangio Drainage (PTCD) between 2014 and 2017...
March 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29470294/dilation-of-esophageal-stricture-in-a-pediatric-patient-using-functional-lumen-imaging-probe-technology-without-the-use-of-fluoroscopy
#16
Jordan S Taylor, Enrico Danzer, William E Berquist, James K Wall
No abstract text is available yet for this article.
February 21, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29450731/is-mini-percutaneous-nephrolithotomy-a-safe-alternative-to-extracorporeal-shockwave-lithotripsy-in-pediatric-age-group-in-borderline-stones-a-randomized-prospective-study
#17
Ahmed Farouk, Ahmed Tawfick, Mohamed Shoeb, Mahmoud A Mahmoud, Diaa Eldin Mostafa, Mohamed Hasan, Hany M Abdalla
PURPOSE: The extracorporeal shockwave lithotripsy (ESWL) remains the most common first line of treatment for renal stones in the pediatric population. The purpose of this study is to evaluate and compare the outcomes of the ESWL and mini-percutaneous nephrolithotomy (mini-PCNL). PATIENTS AND METHODS: A total of 108 patients younger than 12 years of age with 1-2 cm single renal stone (pelvic or calyceal) were randomized into two groups, each containing 54 patients...
February 15, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29423647/image-guided-placement-of-percutaneous-de-novo-low-profile-gastrojejunostomy-tubes-in-the-pediatric-population-a-study-of-feasibility-and-efficacy
#18
Anne E Gill, Nicholas Gallagher, Barbara O McElhanon, Amy R Painter, Benjamin D Gold, C Matthew Hawkins
BACKGROUND: De novo low-profile gastrojejunostomy tubes in pediatric patients offer less external catheter bulk and decreased propensity for dislodgement as children become more mobile. While small cohort studies have evaluated de novo placement of coaxial, adjustable-length, percutaneous gastrojejunostomy (GJ) tubes in children, placement of de novo low-profile GJ tubes in pediatric patients has not been analyzed. OBJECTIVE: This study evaluates technical feasibility, safety and clinical efficacy of percutaneous, retrograde placement of de novo low-profile GJ tubes in infants and children...
February 8, 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29407250/comparison-of-the-outcomes-of-pediatric-tibial-shaft-fractures-treated-by-different-types-of-orthopedists-a-prospective-cohort-study
#19
Wenhao Zheng, Chunhui Chen, Zhenyu Tao, Chuanxu Zhang, Hui Zhang, Hang Li, Zhenhua Feng, Liang Cheng, Hua Chen
BACKGROUND: The objective of this study was to compare the outcomes of pediatric tibial shaft fractures treated with titanium elastic nail (TEN) by pediatric orthopedists and non-pediatric orthopedists. MATERIALS AND METHODS: We conducted a prospective cohort study of 90 children of tibial shaft fractures, who were randomized to operative stabilization either by pediatric orthopedists (Group A, 45 cases) or by non-pediatric orthopedists (Group B, 45 cases) from April 2010 to May 2015...
March 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29406414/pediatric-musculoskeletal-interventional-mri
#20
Roberto Blanco Sequeiros, Juha-Jaakko Sinikumpu, Risto Ojala, Jyri Järvinen, Jan Fritz
Minimally invasive procedures play a crucial role in the diagnosis and treatment of many pediatric musculoskeletal conditions. Although computed tomography and fluoroscopy are commonly used for image guidance, the associated exposure to ionizing radiation is especially concerning in pediatric patients. Ultrasonography may be used successfully in a subset of interventions, but it is often not useful for complex, deep, and osseous targets. Interventional magnetic resonance imaging (iMRI) facilitates targeting and treatment of musculoskeletal lesions at many locations with high accuracy due to its excellent tissue contrast...
February 2018: Topics in Magnetic Resonance Imaging: TMRI
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