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Archive for January, 2010

True posterior tibial artery aneurysm in a young patient: surgical or endovascular treatment?

21 Jan, 10 | by Emilia Demetriou

In this case report the authors describe the endovascular approach to a tibial artery aneurysm in a young patient. Aneurysms are unusual in this age group and this less invasive approach is a useful alternative to the standard surgical technique.

True posterior tibial artery aneurysm in a young patient: surgical or endovascular treatment?

“Pediatric” case reports now in vogue?

11 Jan, 10 | by Dr Dean Jenkins

The American Academy of Pediatrics’ journal ‘Pediatrics’ has made public its New Year’s resolutions in an editorial called “The Next Generation of Pediatrics”.

First LR, Moyer VA, Puskarz J. The Next Generation of Pediatrics. PEDIATRICS. 2010 1;125(1):193-194.

In it they announce the relaunch of case reports with some excellent selection criteria namely reports that:

“(1) challenge an existing clinical or pathophysiological paradigm; (2) provide a starting point for novel hypothesis-testing, clinical research; and/or (3) offer a clinical “lesson” that may allow pediatric colleagues to provide improved care.”

Dr Jeffrey Malatack, associate editor, will direct the online case report collection after their 1 year “sabbatical” from the journal.

This is encouraging news for those of us who believe that case reports are a valuable source of early evidence and education.

What value is there in broader, more comprehensive collections of case reports BMJ Case Reports? Often challenging cases can span disciplines or, especially in diseases familiar to paediatricians, present at different ages such as in adulthood.

We look forward to more publications and increasing enthusiasm for Case Reports.

Metal-free valvuloplasty technique uses MRI instead of X-Rays

9 Jan, 10 | by Dr Dean Jenkins

“A British six-year-old boy has become the first person in the world to have a heart valve widened using an MRI scan for guidance rather than X-ray imaging.”

http://news.bbc.co.uk/1/hi/health/8448787.stm

The catheters for the pulmonary valvuloplasty were stiffened with glass fibre instead of the usual steel wire. Being able to monitor with MRI means less radiation and additional information about soft tissues during the procedure.

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