The Arab Journal of Interventional Radiology最新文献

{"title":"Single-Session Mechanical Thrombectomy of Lower Extremity Deep Venous Thrombosis Using the ClotTriever System: A Single-Institution Experience","authors":"V. Wadhwa, A. Malhotra, A. Kesselman","doi":"10.1055/s-0041-1742088","DOIUrl":"https://doi.org/10.1055/s-0041-1742088","url":null,"abstract":"\u0000 Purpose The aim of this study was to provide a single-center experience in utilization of the ClotTriever mechanical thrombectomy system in acute and subacute deep vein thrombosis (DVT).\u0000 Methods Retrospective review was performed for all patients who underwent DVT thrombectomy using the ClotTriever system at a single academic medical center. Data recorded included age, gender, etiology, laterality of DVT, fluoroscopy time, perioperative parameters, type of anesthesia, concomitant usage of thrombolytics and/or stents. Follow-up Doppler ultrasounds or diagnostic venograms were reviewed, and time of reintervention (if performed) and Villalta scores were recorded.\u0000 Results Ten patients were included in the study, with 6/10 female (60%), mean age 54.6 years (range: 24–80). Eight patients presented with acute iliofemoral DVT, one patient with subacute iliofemoral DVT, and one patient with subacute inferior vena cava thrombosis. Only one patient required concomitant intraprocedural thrombolytic administration, and four patients underwent same-session venous stent placement. Technical success was achieved in 90% patients and no procedure-related adverse events were observed. Reintervention within 30 days was required in two (20%) patients at 12 and 13 days. No patient required intensive care unit (ICU) stay, and mean postprocedure hospital length of stay was 2.3 days. On follow-up (mean: 214 days), five patients had no evidence of DVT and four patients showed chronic postthrombotic changes in femoropopliteal veins not requiring intervention.\u0000 Conclusion The ClotTriever mechanical venous thrombectomy system demonstrates high efficacy in removal of thrombus from lower extremities in a single session, often obviating the need for thrombolytic therapy with low reintervention rates and short postprocedure hospital stay.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48238180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vascular and Interventional Radiology in Sudan","authors":"Alaaeldeen Mohammed","doi":"10.1055/s-0041-1742089","DOIUrl":"https://doi.org/10.1055/s-0041-1742089","url":null,"abstract":"There are only 4 interventional radiologists working in Sudan with many difficulties such as lack of resources and high cost of interventional equipments and procedures. This result in shortage of interventional radiology services which is severely affecting the quality of patient care.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45973498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trans-Colostomy Placement of a Button Gastrostomy Tube for Malignant Bowel Obstruction in Patients with Peritoneal Carcinomatosis","authors":"Mizuki Ozawa, M. Sone, Y. Arai, S. Sugawara, Chihiro Itou, Shintaro Kimura, D. Okamoto, M. Kusumoto","doi":"10.1055/s-0041-1741372","DOIUrl":"https://doi.org/10.1055/s-0041-1741372","url":null,"abstract":"\u0000 Purpose The aim of the study is to evaluate the feasibility, safety, and efficacy of the trans-colostomy placement of a button gastrostomy tube for patients with malignant bowel obstruction due to peritoneal carcinomatosis.\u0000 Material and Methods Data from seven consecutive patients who presented with malignant bowel obstruction due to peritoneal carcinomatosis involving the colostomy site and underwent trans-colostomy button gastrostomy tube placement between 2013 and 2020 were retrospectively reviewed. We assessed technical and clinical success rate, procedure time, duration of improvement, and complication rate.\u0000 Results The technical success rate of the trans-colostomy button gastrostomy tube placement was 100%, and average procedure time was 25 minutes. Clinical symptoms of malignant bowel obstruction resolved in four out of seven (57%) patients. Average duration of improvement in the four patients with clinical success was 170.8 days. There were no complications associated with the procedure.\u0000 Conclusion Trans-colostomy button gastrostomy tube placement might be a safe and feasible treatment option for patients with malignant bowel obstruction due to peritoneal carcinomatosis.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47158019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular Management of Internal Carotid Artery Pseudoaneurysm Secondary to Pediatric Deep Neck Space Infection: A Case Report and Review of Literature","authors":"R. Rajagopal, Smily Sharma, M. Bagarhatta, S. Tiwari, R. Bagarhatta","doi":"10.1055/s-0041-1740341","DOIUrl":"https://doi.org/10.1055/s-0041-1740341","url":null,"abstract":"Abstract Pseudoaneurysms of extracranial internal carotid artery (ICA) are rare in children. Main causes include trauma, iatrogenic causes, and neck space infection. Prompt diagnosis and management is vital, in view of life-threatening complications like fatal airway hemorrhage and stroke. Endovascular management has currently become the preferred treatment strategy due to its minimally invasive nature and lower complication rates. We report a rare case of mycotic pseudoaneurysm of extracranial ICA in a 4-year-old child as a complication of neck space infection, which was successfully managed with endovascular parent artery occlusion.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42848473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sharp Needle Recanalization: A Salvage Procedure for Failing Arteriovenous Fistula Due to Tight Uncrossable Venous Stenosis","authors":"Sultan R. Alharbi","doi":"10.1055/s-0041-1739304","DOIUrl":"https://doi.org/10.1055/s-0041-1739304","url":null,"abstract":"A 33-yearold male presented with malfunctioning brachiobasilic arteriovenous fistula (AVF) due to short tight juxta anastomotic stenosis (►Fig. 1). Access was gained into the AVF draining vein, and multiple trials to cross the tight stenosis using catheter and wire failed (►Fig. 2). Sharp needle recanalization was performed under ultrasound guidance, using 21G needle and wire to cross this tight stenosis (►Fig. 3a,b). Wire passed into the AVF","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43932007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience of Radiology Technologists Performing Peripherally Inserted Central Catheters (PICC)","authors":"I. Aljediea, M. Alshehri, K. Alenazi, A. Memesh, M. Fleet","doi":"10.1055/s-0041-1739303","DOIUrl":"https://doi.org/10.1055/s-0041-1739303","url":null,"abstract":"Abstract Purpose We conducted this study to review our local experience of performing peripherally inserted central catheters by interventional radiology technologists. Materials and Methods This is a retrospective study of peripherally inserted central catheters performed by interventional radiology technologists. These procedures were performed using ultrasound guidance for venous puncture and fluoroscopy or electrocardiography guidance followed by chest X-ray to confirm tip location. Results We reviewed all peripherally inserted central catheters performed in interventional radiology between May 2017 and July 2020. The review process included the success rate, number of venous puncture attempts, method of guidance, procedure time, fluoroscopy time, catheter duration to removal, and complications. Conclusion Interventional radiology technologists can perform peripherally inserted central catheters safely with high success rate. Extending interventional radiology technologists' role to perform peripherally inserted central catheters allow interventional radiologists to do more complex procedures. This enhances the workflow, increases the interventional radiology team efficiency, and improves the waiting time.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44664586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uterine Artery Embolization after Internal Iliac Artery Ligation","authors":"Abeer F. Aldhawi, M. H. Almetlag, Laila Almutairi, Hatim Alobaidi, Fares Garad","doi":"10.1055/s-0042-1757781","DOIUrl":"https://doi.org/10.1055/s-0042-1757781","url":null,"abstract":"Abstract Uterine artery embolization (UAE) is one of the primary therapies to treat symptomatic uterine fibroids. Even if the patient underwent internal iliac artery ligation during a massive pelvic hemorrhage or peripartum bleeding previously, UAE can be done through the collaterals for any other reasons. We report a 44-year-old woman who underwent UAE for symptomatic multiple uterine fibroids after internal iliac artery ligation with collaterals originating from the left external iliac artery. We briefly present the case's details and review collaterals pathways after left internal iliac artery ligation that might be encountered during UAE.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"06 1","pages":"102 - 105"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48776847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound guided percutaneous biopsy of omentum: a safest technique to detect the causes of omental thickening","authors":"J. Iqbal, Nauman Al-Qamari, A. Sattar, S. Rashid","doi":"10.18203/2319-2003.ijbcp20212372","DOIUrl":"https://doi.org/10.18203/2319-2003.ijbcp20212372","url":null,"abstract":"Background: The objective of our study was to determine the diagnostic value and safety of ultrasound guided percutaneous biopsy of omental thickening.Methods: We prospectively analyzed 60 patients who underwent USG-guided omental biopsies in our institute from January 2016 to December 2016.Results: Total 60 patients were included in our study. There were 40 (66.7%) female and 20 (33.3%) male patients. There were total 36 (60%) malignant cases, 20 (33.3%) chronic inflammation suggestive of TB while 4 (6.7%) were chronic peritoneal infection. Out of 36 malignant cases, majority 24 (66.7%) had ovarian cancer, 8 (22.2%) had endometrium cancer and 4 (11.1%) had large bowel cancer. Repeat biopsies were performed only in 4 (6.7%) cases.Conclusions: Ultrasound-guided percutaneous biopsy of omentum is less expensive, safe and effective method with a high diagnostic accuracy.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67562929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous Transhepatic Biopsy for Extrahepatic Lesions","authors":"Y. Onishi, Y. Arai, M. Sone, S. Sugawara, Chihiro Itou, Shintaro Kimura","doi":"10.1055/s-0041-1731127","DOIUrl":"https://doi.org/10.1055/s-0041-1731127","url":null,"abstract":"Abstract Purpose The purpose was to assess the diagnostic accuracy and safety of percutaneous transhepatic biopsy for extrahepatic lesions. Materials and Methods Between January 2008 and December 2019, 26 patients (17 men and 9 women; median age, 60 years) underwent percutaneous transhepatic needle biopsy for extrahepatic lesions at our institution. Transhepatic biopsy was deemed appropriate compared with other biopsy routes or methods (i.e., endoscopic or surgical). The lesions were in the porta hepatis (n = 9), retroperitoneum (n = 6), right adrenal gland (n = 4), right kidney (n = 3), lesser omentum (n = 2), duodenum (n = 1), pleura (n = 1), and inferior vena cava (n = 1). The median maximal diameter of the lesions was 45.5 mm (range, 18–148 mm). Core-needle biopsy was performed in all patients. Eighteen-gauge and 21-G needles were used in 25 and one patient, respectively. Ultrasound was used for biopsy in 21 patients, and CT fluoroscopy was used in five patients. Postbiopsy tract embolization was performed in three patients. Technical success and diagnostic accuracy of the biopsy were evaluated. Complications were recorded using the systemic inflammation response (SIR) criteria. Results The pathological results of biopsy were carcinoma (n = 10), lymphoma (n = 9), and other diagnoses (n = 7). Technical success was obtained in all patients. The accurate diagnosis was achieved in 24 of the 26 patients (92.3%). A major complication, a bladder tamponade, was observed in one patient (3.8%) after biopsy of a right kidney lesion. A hematoma caused by iatrogenic renal injury likely obstructed the bladder outlet. Minor complications were observed in three patients (11.5%). Conclusions Percutaneous transhepatic biopsy for extrahepatic lesions is feasible with acceptable safety.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"5 1","pages":"041 - 044"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1731127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41371716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of Interventional Radiology among Jazan Medical Students: Assessment of Knowledge and Career Intentions","authors":"Salha M. Al Bahkali, A. Harbi, Fatimah H. Kamili, Ibrahim Al Rashidi","doi":"10.1055/s-0041-1730118","DOIUrl":"https://doi.org/10.1055/s-0041-1730118","url":null,"abstract":"Abstract Context Lack of awareness among the students in the medical field is the greatest challenge to overcome in the emergence of contemporary interventional radiology (IR). Objectives We aimed to conduct a survey among medical students of Jazan University to explore their knowledge about IR, interest in IR as a future career, and preferred methods of training in IR. Materials and Methods This was a cross-sectional, self-directed questionnaire study. The target population was all medical students at Jazan University. Surveys were sent to 600 students. The questionnaire consisted of 11 closed and open-ended questions. Statistical Analysis We calculated the size of the sample using the Raosoft Sample Size Calculator Web site. Data analysis was performed using SPSS statistics. Results A total of 270 students responded (45%); more than half of the respondents (58.5%) were in the preclinical stage, while the rest were in the clinical stage. About 62.5% of clinical students and 66.4% preclinical students reported that their perception regarding the terminology of IR was good or excellent. Regarding the identification of interventional radiologists, 50.9% from the clinical students thought them to be radiologists and 50% from preclinical students also identified them as such. About 29.5% from the clinical students and 27.8% from the preclinical students thought them special surgeons, and 31.3% clinical students compared with 30.4% preclinical students believed they are vascular surgeons working with X-rays. About 19.6% clinical students compared with 17.7% preclinical students said they are general surgeons working with X-rays, and 48.2% clinical students compared with 45.6% preclinical students said they are special radiologists who work with percutaneous techniques. There was a significant difference (p = 0.041) in the responses between preclinical and clinical students regarding knowledge about what this medical specialty does. About 60.8% of clinical students reported that their knowledge and information regarding IR are efficient in comparison to 39.2% of preclinical students. Conclusion This study demonstrated that the basic knowledge among Jazan medical students is poor. About half of the respondents were clinical students who understood the radiology specialty, compared with one-third of preclinical students. This could impact the student’s decision toward IR as a future career.","PeriodicalId":32940,"journal":{"name":"The Arab Journal of Interventional Radiology","volume":"5 1","pages":"016 - 024"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47062957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}