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Pediatric fluoroscopy

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https://www.readbyqxmd.com/read/29678454/top-100-cited-articles-on-radiation-exposure-in-medical-imaging-a-bibliometric-analysis
#1
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
#2
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
#3
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
#4
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
#5
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...
March 12, 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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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...
January 30, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29406414/pediatric-musculoskeletal-interventional-mri
#12
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
https://www.readbyqxmd.com/read/29397406/ultrasound-guided-lumbar-puncture-in-pediatric-patients-technical-success-and-safety
#13
David B Pierce, Giri Shivaram, Kevin S H Koo, Dennis W W Shaw, Kirby F Meyer, Eric J Monroe
BACKGROUND: Disadvantages of fluoroscopically guided lumbar puncture include delivery of ionizing radiation and limited resolution of incompletely ossified posterior elements. Ultrasound (US) allows visualization of critical soft tissues and the cerebrospinal fluid (CSF) space without ionizing radiation. OBJECTIVE: To determine the technical success and safety of US-guided lumbar puncture in pediatric patients. MATERIALS AND METHODS: A retrospective review identified all patients referred to interventional radiology for lumbar puncture between June 2010 and June 2017...
February 3, 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29395220/comparison-of-two-closed-surgical-techniques-at-isolated-pediatric-radial-neck-fractures
#14
Mahmut Kalem, Ercan Şahin, Hakan Kocaoğlu, Kerem Başarır, Hakan Kınık
INTRODUCTION: This paper aims to compare the clinical and radiological results of children operated using elastic stable intramedullary nailing as described by Métaizeau to those with the closed reduction and percutaneous pinning (CRPP). METHODS: Results of 21 pediatric patients with radial neck fracture who were treated by two pediatric surgeons between January 2011 and December 2013 were reviewed retrospectively. 10 were treated with the Métaizeau method versus 11 with the CRPP...
January 25, 2018: Injury
https://www.readbyqxmd.com/read/29368009/percutaneous-nephrolithotomy-versus-retrograde-intrarenal-surgery-for-pediatric-patients-with-upper-urinary-stones-a-systematic-review-and-meta-analysis
#15
REVIEW
Yiwen Chen, Tuo Deng, Xiaolu Duan, Wei Zhu, Guohua Zeng
The objective of this study is to compare the efficacy and safety of the percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in surgical treatment of pediatric patients with upper urinary stones based on the published literature. A comprehensive literature search of Pubmed, Embase, Cochrane Library and CNKI was conducted to identify studies comparing outcomes of PCNL and RIRS for treating pediatric patients with upper urinary stones before May 2017. A total of 11 studies, including one randomized controlled trial, four retrospective case-control studies and six case series studies, containing 822 children with upper urinary stones were included in this systematic review...
January 24, 2018: Urolithiasis
https://www.readbyqxmd.com/read/29349571/fluoroscopy-free-ultrasonography-guided-percutaneous-nephrolithotomy-in-pediatric-patients-a-single-center-experience
#16
Akbar Nouralizadeh, Farzaneh Sharifiaghdas, Hamid Pakmanesh, Abbas Basiri, Mohammad Hadi Radfar, Mohammad Hossein Soltani, Mahmoodreza Nasiri, Esmaeil Rezghi Maleki, Emal Lesha, Mohammad Ghasemi-Rad, Behzad Narouie
OBJECTIVES: To present the safety and efficacy of fluoroscopy-free ultrasound-guided PCNL for the treatment of renal calculi in pediatric patients of all ages. METHODS: 30 children with mean age of 5 years (6 months-12 years) underwent totally ultrasound-guided PCNL from March 2013 to August 2016. The pyelocalyceal system was punctured in prone position using only ultrasonography guidance, and the tract was dilated using a single shot dilation technique. No fluoroscopy was used during any of the stages of renal access...
April 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29324528/titanium-elastic-nailing-has-superior-value-to-plate-fixation-of-midshaft-femur-fractures-in-children-5-to-11-years
#17
Jerad D Allen, Kevin Murr, Ferras Albitar, Cale Jacobs, Eric S Moghadamian, Ryan Muchow
BACKGROUND: American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guidelines for pediatric femoral shaft fractures indicate titanium elastic nails (TENs) for children 5 to 11 years old. Growing evidence suggests these fractures may also be treated with open or submuscular plating. The purpose of this study was to compare estimated blood loss (EBL), operative time, fluoroscopy time, cost, and subjective and objective pain scores between TENs and plating techniques used in 5- to 11-year-old children with midshaft femur fractures based on length stability...
March 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29239803/ultrasound-guided-ureteroscopy-in-children-safety-and-success
#18
Jeffrey C Morrison, Jason P Van Batavia, Kassa Darge, Christopher J Long, Aseem R Shukla, Arun K Srinivasan
INTRODUCTION: Ureteroscopy has been shown to be a highly efficacious and safe modality for the treatment of pediatric urolithiasis. However, conventional ureteroscopy relies on fluoroscopy for intraoperative guidance, exposing both patient and operating room personnel to ionizing radiation. Pediatric urolithiasis patients are at a particularly increased risk from this radiation exposure. The use of ultrasound in place of fluoroscopy for intraoperative guidance has emerged as one modification that can reduce radiation exposure during ureteroscopy...
February 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29239226/the-efficacy-of-ureteroscopy-without-fluoroscopy-for-ureteral-and-renal-stones-in-pediatric-patients
#19
Mustafa Kirac, Giray Ergin, Yusuf Kibar, Burak Köprü, Hasan Biri
OBJECTIVES: In the pediatric population, there have been significant improvements in the treatment of stones in recent years. Conventionally, ureteroscopy (URS) and/or retrograde intrarenal surgery are techniques performed with fluoroscopy. When using fluoroscopy, problems, including malignancy, may arise because of radiation exposure in the patient, physician, and operation room staff. The aim of this study is to evaluate the possibility of ureteroscopic treatment without fluoroscopy in children with ureteral and renal stones...
February 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29221922/pediatric-percutaneous-nephrostomy-a-multicenter-experience
#20
Sphoorti Shellikeri, Robert Daulton, Madeleine Sertic, Bairbre Connolly, Mark Hogan, Francis Marshalleck, Anne Marie Cahill
PURPOSE: To analyze technique, outcomes, and complications of a large series of pediatric percutaneous nephrostomy (PCN) procedures performed at 4 tertiary pediatric centers. MATERIALS AND METHODS: Retrospective multicenter study of PCNs performed during an 11-year period. Six hundred seventy-five PCNs were performed on 441 patients (median age: 4 y, range: 1 d-18 y, median weight: 17 kg, range: 0.7-112 kg); 31% were younger than 1 year. The most frequent indications for PCN procedures included hydronephrosis (57%), calculus (14%), and infection (12%)...
March 2018: Journal of Vascular and Interventional Radiology: JVIR
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