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5. 777. Implementation of Antimicrobial Impregnated Catheters to Reduce Central Line Associated Bloodstream Infections (CLABSI) in a Pediatric Setting

Author

Patel, Ami B, primary, Schroeder, Sangeeta, additional, Hadzic, Armela, additional, Schulz, Nadine A, additional, Bichl, Jannell A, additional, Smith, Craig M, additional, Hahn, Grant R, additional, DeRose, Erin, additional, Collins, Catherine, additional, Clark, Jade, additional, Wainer, Carolyn, additional, Hugo, Maria, additional, Rae, Mary Lynn, additional, Evans, Michael A, additional, Vu, Eric L, additional, Sohn, Lisa, additional, Pedersen, Jerusha, additional, Lund, Anna M, additional, Greenwood, Angela, additional, Davies, Josephine A, additional, Newburn, Antoinette, additional, Rajeswaran, Shankar, additional, and Jhaveri, Ravi, additional

Published
2021
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9. Management of Portal Hypertension in the Pediatric Population: A Primer for the Interventional Radiologist.

Author

Young, Victoria and Rajeswaran, Shankar

Subjects
*BLOOD-vessel transplantation, *PORTAL vein surgery, *PORTAL hypertension, *SURGICAL arteriovenous shunts, *BLOOD vessel prosthesis, *CIRRHOSIS of the liver, *LIVER diseases, *POSTOPERATIVE care, *PREOPERATIVE care, *INTERVENTIONAL radiology, *VENOUS thrombosis, *SURGICAL anastomosis, *RETINAL vein occlusion, *CHILDREN, *THERAPEUTICS, TREATMENT of surgical complications
Abstract

Interventional radiology's role in the management of portal hypertension in the pediatric population differs from the management of adult portal hypertension. In the pediatric population, portal hypertension is frequently secondary to thrombosis and cavernous transformation of the extrahepatic portion of the portal vein. Transjugular intrahepatic portosystemic shunt can be utilized to manage portal hypertension in children with intrinsic liver disease that results in cirrhosis and portal hypertension, and is often used as a bridge to transplant. While technically feasible in extrahepatic portal vein occlusion, the sequelae of portosystemic shunting are less desirable in a child. The Meso-Rex bypass procedure, which represents the mainstay of management for pediatric portal hypertension, provides surgical relief of extrahepatic portal vein obstruction and restores mesenteric venous blood flow to the liver. This article aims to review management of portal hypertension in children as it pertains to the interventional radiologist, including preoperative assessment, postoperative evaluation, and the management of complications of the Meso-Rex bypass. [ABSTRACT FROM AUTHOR]

Published
2018
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