Abstract:
:Deep venous thrombosis (DVT) is being increasingly recognized as a significant issue in children. Despite the low incidence of DVT, the risks of pulmonary embolism and death in children are significant. Post-thrombotic syndrome, a syndrome of chronic venous insufficiency, can have long-term adverse consequences in children and adolescents. Adult studies have shown that catheter-directed therapy can reduce the incidence of post-thrombotic syndrome. Safety of catheter-directed therapy in adolescents has also been demonstrated. These reasons compelled us to institute a pediatric endovascular thrombolysis program at our institute for management of pediatric DVT. We describe the process of developing a multi-disciplinary thrombolysis program involving interventional radiology (pediatric and adult), pediatric hematology, critical care, anesthesia and vascular surgery, and describe the role of each specialty in the development of the program. We also describe our experience with patient selection, endovascular therapy procedure, pre-, intra- and post-procedure monitoring, and follow-up management for endovascular therapy for DVT.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Kukreja K,Gruppo R,Chima R,Ristagno R,Racadio Jdoi
10.1007/s00247-013-2634-0subject
Has Abstractpub_date
2013-08-01 00:00:00pages
1024-9issue
8eissn
0301-0449issn
1432-1998journal_volume
43pub_type
杂志文章abstract::Three children with adult cadaveric bone allografts for the treatment of bone malignancies are presented. Follow-up magnetic resonance (MR) imaging demonstrated decreased signal on T1-weighted imaging and increased signal on T2-weighted imaging in the allograft without clinical evidence of recurrent disease. These sig...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015006
更新日期:1994-01-01 00:00:00
abstract::The clinical, pathologic and roentgenographic features of a case of congenital oxalosis are discussed and contrasted to the more common forms of primary oxalosis. The ease of demonstration of the cortical deposition of calcium oxalate crystals on the CT scanner is reported. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01001753
更新日期:1980-11-01 00:00:00
abstract:BACKGROUND:Despite regulations, insufficient information is provided to adult patients prior to their radiologic examinations. Information regarding paediatric patients has not been systematically studied. OBJECTIVE:To survey parents' experience and wishes for information in connection with their child's radiographic ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-018-4300-z
更新日期:2019-02-01 00:00:00
abstract::Xanthogranulomatous pyelonephritis (XGP), a rare chronic renal infection in children, usually presents as high fever, pyuria and an abdominal mass. This child with clinical and radiologic evidence of osteomyelitis was not suspected of renal disease until a non-functioning kidney was discovered during a bone scan. The ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388099
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Renal artery stenosis (RAS) causes significant hypertension in children. Frequently, pediatric RAS occurs with systemic disorders. In these cases, stenoses are often complex and/or include long segments. We believed that hypertensive children without comorbid conditions had a different lesion distribution an...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0253-8
更新日期:2006-10-01 00:00:00
abstract::Comparative radiologic/pathologic study of 45 newborns with primary and secondary pulmonary hypoplasia is presented and 43 cases were proven at autopsy. From 9 cases with primary pulmonary hypoplasia, 7 could be identified by 3 independent observers on chest radiographs. The roentgen criteria of primary pulmonary hypo...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02456280
更新日期:1986-01-01 00:00:00
abstract::Fourteen intracranial tumors were diagnosed by means of mechanical sector scanning through the infant's open fontanelle in a series consisting of 1150 examinations. In addition, integrated pulsed Doppler-sonography (duplex-scan technique) was used to diagnose malformations of intracranial vessels. We established five ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01601876
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:Artificial intelligence models have been successful in analyzing ordinary photographic images. One type of artificial intelligence model is object detection, where a labeled bounding box is drawn around an area of interest. Object detection can be applied to medical imaging tasks. OBJECTIVE:To demonstrate o...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04895-8
更新日期:2021-01-05 00:00:00
abstract:OBJECTIVE:To evaluate skeletal abnormalities on post-mortem radiographs of fetuses with Down's syndrome. MATERIALS AND METHODS:Biometrical and morphological criteria, which are used for US prenatal detection of trisomy 21, were assessed. Limb long bones, biparietal diameter (BPD)/occipito-frontal diameter (OFD) ratio,...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050675
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:There are many controversies surrounding the effectiveness of endoscopic treatment of vesicouretheral reflux (VUR) in children, thus it is of highest priority to analyze factors influencing the outcome of therapy and to search for new methods that would increase the success rate and reduce the number of rein...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-2963-7
更新日期:2014-09-01 00:00:00
abstract::The anatomical anomalies that characterize septo-optic-dysplasia (deMorsier Syndrome) are variable and often subtle. We report imaging studies of nine patients with septo-optic-dysplasia which provide radiologic and ultrasonographic clues to this disorder. In addition, we propose that cerebral schizencephaly may be a ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388642
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:We have previously shown that urinary bladder volume index (BVI = length x width x depth of bladder) and bladder volume wall thickness index (BVWI = BVI at full bladder/average bladder wall thickness) are useful indicators of bladder dysfunction in children with enuresis and urinary tract infection. These in...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0376-y
更新日期:2007-02-01 00:00:00
abstract::In 3 (9 %) of 34 children with biliary atresia, US revealed gallbladder contraction following an oral feed, given on admission, but not with subsequent feeds. Surgery revealed a Kasai type IIIa biliary atresia with a patent communication between the gallbladder and duodenum. We propose that the bile ducts may initiall...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050380
更新日期:1998-06-01 00:00:00
abstract::A 6-year-old boy with Bannayan-Riley-Ruvalcaba syndrome (BRRS) presented to the emergency department with periumbilical abdominal pain for 12 h. A contrast-enhanced abdominal and pelvis CT examination revealed significant interval change in the size and appearance of a previously seen hypoattenuating right mesocolic f...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3083-0
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:New developments in processing of digital radiographs (DR), including multi-frequency processing (MFP), allow optimization of image quality and radiation dose. This is particularly promising in children as they are believed to be more sensitive to ionizing radiation than adults. OBJECTIVE:To examine whether...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-012-2385-3
更新日期:2012-09-01 00:00:00
abstract::58 paediatric patients with pneumonia, in whom an etiological agent had been isolated, were reviewed. The patients were designated to have either viral or bacterial pneumonia on the basis of proposed clinical and radiological criteria. These presumed diagnoses were then compared to the microbiologically proven diagnos...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00974077
更新日期:1988-01-01 00:00:00
abstract::We present a case of neonatal acute gastric outlet obstruction related to prostaglandin-induced gastric foveolar hyperplasia, which developed following infusion of prostaglandin E1 (PGE1) for treatment of hypoplastic left heart syndrome. Abdominal distension occurred after administration of PGE1 in a cumulative dose o...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050064
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Fetal MRI at 3 T is associated with increased acoustic noise relative to 1.5 T. OBJECTIVE:The goal of this study is to determine if there is an increased prevalence of congenital hearing loss in neonates who had a 3-T prenatal MR vs. those who had it at 1.5 T. MATERIALS AND METHODS:We retrospectively ident...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-018-4261-2
更新日期:2019-01-01 00:00:00
abstract::Orbital sonography with color-flow Doppler imaging is a relatively new technology with significant application in the pediatric patient. This review stresses the primary indications for pediatric ophthalmic ultrasound and also discusses those instances where the use of ultrasound supplements other imaging studies. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/BF01372106
更新日期:1996-01-01 00:00:00
abstract::Extensive vascular calcification in an 8-year-old girl with perinatally acquired AIDS is reported. Complicating factors included cardiomyopathy, chronic lung disease, disseminated Mycobacterium avium complex (MAC), and wasting syndrome with total nutrition dependence. Plain abdominal films and CT of the abdomen immedi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01395718
更新日期:1996-01-01 00:00:00
abstract::Leigh syndrome by definition is (1) a neurodegenerative disease with variable symptoms, (2) caused by mitochondrial dysfunction from a hereditary genetic defect and (3) accompanied by bilateral central nervous system lesions. A genetic etiology is confirmed in approximately 50% of patients, with more than 60 identifie...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-015-3523-5
更新日期:2016-04-01 00:00:00
abstract:PURPOSE:To describe the CT features of complicated pleural tuberculosis in children and to define the use of CT in children with pleural tuberculosis. MATERIALS AND METHODS:The CT findings in 11 children with complicated pleural tuberculosis were retrospectively analysed. CT was performed to evaluate persistent pleura...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050561
更新日期:1999-03-01 00:00:00
abstract::The risks associated with total splenectomy, including overwhelming postsplenectomy infection, have led to an interest in the use of partial splenectomy as an alternative surgical option for children with congenital hemolytic anemias and hypersplenism. Partial splenectomy, a procedure designed to remove enough spleen ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-009-1519-8
更新日期:2010-07-01 00:00:00
abstract::We present a rare case of a broken umbilical artery catheter retrieved via a transumbilical approach with biopsy forceps. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::During halothane anaesthesia the hepatic blood flow may be reduced. This effect interferes with the angiographic investigation of the liver and this is demonstrated by the case presented. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973989
更新日期:1977-03-17 00:00:00
abstract:OBJECTIVE:The purpose of this paper is to review and categorize the CT appearances of primary and secondary intraperitoneal neoplasms in children. MATERIALS AND METHODS:We retrospectively reviewed the CT images of 14 cases of intraperitoneal neoplasms. They were reviewed for bowel wall thickening, mesenteric nodules, ...
journal_title:Pediatric radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s002470050363
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:The filamin-1 (FLN-1) gene is responsible for periventricular nodular heterotopia (PNH), which is an X-linked dominant neuronal migration disorder. OBJECTIVE:To review the clinical and imaging findings in a series of patients with documented filamin-1 mutations. MATERIALS AND METHODS:A retrospective review...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000312
更新日期:2000-11-01 00:00:00
abstract::Peutz-Jeghers syndrome (PJS) is a rare, though well-described, hereditary polyposis syndrome associated with mucocutaneous pigmentation that typically presents in the second decade of life with complications related to intestinal polyps. We present two cases of teenaged girls presenting with small-bowel intussusceptio...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0695-6
更新日期:2002-09-01 00:00:00
abstract::Uterine didelphys with obstructed hemivagina and ipsilateral renal anomalies is a rare congenital malformation of the female urogenital tract. While the urinary anomalies almost always involve renal agenesis, we report a rare case of a 17-year-old girl with the malformation associated with ectopic ureteral insertion i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1454-8
更新日期:2010-03-01 00:00:00
abstract::We describe an Egyptian boy with osteogenesis imperfecta who was born with thumb contractures and bilateral antecubital pterygia. He was seen at 16 months of age with femur and tibial fractures, thoracic vertebral compression fractures, scoliosis and Wormian bones. The findings are consistent with a diagnosis of Bruck...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050309
更新日期:1998-02-01 00:00:00