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A Case of Ischemic Monomelic Neuropathy following Endovascular Arteriovenous Fistula Creation and Assisted Maturation. 一例血管内动静脉瘘创建和辅助成熟后的缺血性单膜神经病。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769765
Kyle Sonnabend, Simon Park, Ketan Shah, Andrew J Lipnik, Matthew M Niemeyer
{"title":"A Case of Ischemic Monomelic Neuropathy following Endovascular Arteriovenous Fistula Creation and Assisted Maturation.","authors":"Kyle Sonnabend, Simon Park, Ketan Shah, Andrew J Lipnik, Matthew M Niemeyer","doi":"10.1055/s-0043-1769765","DOIUrl":"10.1055/s-0043-1769765","url":null,"abstract":"<p><p>Dialysis access steal syndrome (DASS) is a phenomenon known to occur following creation of an arteriovenous fistula or arteriovenous graft. The clinical presentation of DASS is characterized by symptoms of limb ischemia due to diversion of arterial flow from the distal extremity. Ischemic monomelic neuropathy (IMN) is a rare subtype of DASS classically described as an acute, isolated presentation of peripheral neuropathy following dialysis access creation. Although the underlying pathophysiology is not entirely understood, the clinical manifestation of IMN is often described as severe distal limb pain that progresses to motor and sensory defects. The onset of IMN may occur immediately following dialysis access creation or intervention. Here, we present a case of IMN following assisted maturation of an endovascular fistula.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"290-293"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9864682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Balloon-Assisted Retrieval of a Retained Vascular Sheath during Complex Inferior Vena Cava Filter Removal. 在复杂的下腔静脉滤器移除手术中球囊辅助取回滞留的血管鞘。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769747
Michael Samuel, Bashar Nahab, Seetharam Chadalavada
{"title":"Balloon-Assisted Retrieval of a Retained Vascular Sheath during Complex Inferior Vena Cava Filter Removal.","authors":"Michael Samuel, Bashar Nahab, Seetharam Chadalavada","doi":"10.1055/s-0043-1769747","DOIUrl":"10.1055/s-0043-1769747","url":null,"abstract":"<p><p>A potential complication of complex endovascular procedures is retained foreign bodies such as fragmented catheters, wires, stents, or sheaths in the intravascular space. Different techniques are available for retrieval of intravascular foreign bodies including snares, forceps, baskets, tip-deflecting wires, and balloon catheters. The aim of this article is to describe our experience in which a lost large intravascular sheath was retrieved using balloon assistance. We also provide a review of different techniques used for intravascular large sheath retrieval and methods to avoid this complication during endovascular procedures such as complex inferior vena cava filter removal.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"298-303"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9864685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Sticky Situation: Glue Migration during Hepatic Vein Embolization. 棘手的情况：肝静脉栓塞术中的胶水迁移。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769773
Koustav Pal, Joshua D Kuban, Ravi Murthy, Bruno C Odisio, Zeyad A Metwalli
{"title":"A Sticky Situation: Glue Migration during Hepatic Vein Embolization.","authors":"Koustav Pal, Joshua D Kuban, Ravi Murthy, Bruno C Odisio, Zeyad A Metwalli","doi":"10.1055/s-0043-1769773","DOIUrl":"10.1055/s-0043-1769773","url":null,"abstract":"<p><p>The addition of hepatic venous embolization to portal venous embolization to achieve ipsilateral liver venous deprivation before major hepatectomy has been suggested to increase the extent of hypertrophy of the future liver remnant. The presented case discusses a hepatic vein embolization procedure complicated by the unintended migration of a glue cast used to achieve hepatic venous occlusion and subsequent management with endovascular retrieval of the glue cast from the inferior vena cava. The emerging role of hepatic venous embolization and associated complications are also discussed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"254-257"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10221912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intercostal Artery Laceration after Adrenal Mass Cryoablation. 肾上腺肿块冷冻消融术后肋间动脉撕裂。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769766
Shantanu Warhadpande, Amber Liles, Daniel Kirkpatrick
{"title":"Intercostal Artery Laceration after Adrenal Mass Cryoablation.","authors":"Shantanu Warhadpande, Amber Liles, Daniel Kirkpatrick","doi":"10.1055/s-0043-1769766","DOIUrl":"10.1055/s-0043-1769766","url":null,"abstract":"<p><p>We present a case of a 69-year-old male with profound Cushing's syndrome and hypercortisolemia secondary to a cortisol-secreting adrenocortical carcinoma. Patient was not a surgical candidate and subsequently underwent a successful posterior approach tumor cryoablation. The procedure was complicated by a T11 intercostal artery injury and hemothorax. The detection of the culprit injury was almost immediate and the quick response time, and treatment of the injury via an intercostal artery embolization was critical to limiting the patient's morbidity and mortality. This case discusses the technical challenges of a posterior-approach ablation, the pitfalls to avoid, and the importance of attaining rapid hemostasis.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"286-289"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical Considerations for Artificial Intelligence in Interventional Radiology: Balancing Innovation and Patient Care. 介入放射学中人工智能的伦理考虑：平衡创新与患者护理。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769905
Helena D Rockwell, Eric D Cyphers, Mina S Makary, Eric J Keller
{"title":"Ethical Considerations for Artificial Intelligence in Interventional Radiology: Balancing Innovation and Patient Care.","authors":"Helena D Rockwell, Eric D Cyphers, Mina S Makary, Eric J Keller","doi":"10.1055/s-0043-1769905","DOIUrl":"10.1055/s-0043-1769905","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"323-326"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transplant Hepatic Artery Rupture. 移植肝动脉破裂。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769764
Keith B Quencer
{"title":"Transplant Hepatic Artery Rupture.","authors":"Keith B Quencer","doi":"10.1055/s-0043-1769764","DOIUrl":"10.1055/s-0043-1769764","url":null,"abstract":"<p><p>A case of transplant hepatic artery thrombosis treated with thrombolysis and vascular stenting is presented. Stenting was complicated by hepatic artery rupture necessitating emergent stent graft placement. Hepatic artery occlusion in a liver transplant often leads to biliary complications such as ischemic cholangiopathy, biliary necrosis, cholangitis, biloma formation, intrahepatic abscesses, and liver failure. Prompt recognition and appropriate treatment of hepatic artery thrombosis are necessary to avoid graft failure and possible death.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"279-282"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Pancreatitis following Percutaneous Electrohydraulic Lithotripsy. 经皮电液碎石术后的急性胰腺炎。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769768
Asad Malik, Kent T Sato, Ahsun Riaz
{"title":"Acute Pancreatitis following Percutaneous Electrohydraulic Lithotripsy.","authors":"Asad Malik, Kent T Sato, Ahsun Riaz","doi":"10.1055/s-0043-1769768","DOIUrl":"10.1055/s-0043-1769768","url":null,"abstract":"<p><p>The gold-standard treatment of acute calculous cholecystitis is cholecystectomy. For patients not suitable for surgery, endoscopic or percutaneous techniques can be used for gallbladder decompression. The national percutaneous cholecystostomy rates have increased by 567% from 1994 to 2009*. Some of these patients are still not surgical candidates after the acute cholecystitis episode has resolved. Hence, it is crucial to have a management plan in place for such patients. There are several peroral endoscopic treatment options available, including ultrasound-guided transmural drainage, lithotripsy, and transpapillary stenting**. Furthermore, due to the advent of percutaneous biliary endoscopes, interventional radiology (IR) can now perform percutaneous lithotripsy and gallstone removal followed by cystic duct stenting. This method aims to internalize gallbladder drainage without the need for a long-term external cholecystostomy tube. Acute pancreatitis is a rare complication that can arise following interventions involving the biliary and cystic ducts. Acute pancreatitis can occur after retrograde ampullary manipulation during endoscopic retrograde cholangiopancreatography. However, this can sometimes happen after percutaneous antegrade interventions performed by IR. In this report, we will examine a rare complication that occurred in a patient with acute calculous cholecystitis: acute pancreatitis following percutaneous electrohydraulic lithotripsy with cystic duct stenting performed by IR.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"294-297"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diaphragmatic Injury with Empyema Development after Microwave Ablation of a Liver Dome Lesion. 肝穹隆病变微波消融术后横膈膜损伤并出现水肿
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769774
Ran Jing, Travis Merritt, Joseph J Gemmete
{"title":"Diaphragmatic Injury with Empyema Development after Microwave Ablation of a Liver Dome Lesion.","authors":"Ran Jing, Travis Merritt, Joseph J Gemmete","doi":"10.1055/s-0043-1769774","DOIUrl":"10.1055/s-0043-1769774","url":null,"abstract":"<p><p>Percutaneous microwave ablation (MWA) of the liver is a minimally invasive procedure that utilizes high frequency electromagnetic waves to generate heat and induce tumor necrosis. MWA has been proven to be a safe and effective treatment option for primary and metastatic liver tumors. The treatment of liver dome lesions can present a technical challenge due to the proximity of the hepatic dome to the diaphragm and lung parenchyma. In this report, we present a case of diaphragmatic injury and subsequent empyema following MWA of a liver dome lesion.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"258-261"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9864678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hepatic Encephalopathy following Transjugular Intrahepatic Portosystemic Shunt Placement. 经颈静脉肝内门体分流术后的肝性脑病。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769770
Bartley Thornburg
{"title":"Hepatic Encephalopathy following Transjugular Intrahepatic Portosystemic Shunt Placement.","authors":"Bartley Thornburg","doi":"10.1055/s-0043-1769770","DOIUrl":"10.1055/s-0043-1769770","url":null,"abstract":"<p><p>Hepatic encephalopathy (HE) is a complex condition that arises as a complication of chronic liver disease and portosystemic shunting. Its pathophysiology involves several factors, including impaired ammonia metabolism, portosystemic shunting, sarcopenia, and systemic inflammation. The symptoms of HE can vary significantly, with manifestations ranging from subclinical signs to a comatose state. The West Haven classification system is most commonly used to grade the severity of HE. There is a broad differential for the presenting symptomatology of HE and other causes of altered mental status must be excluded during the workup. HE is a well-known complication of transjugular intrahepatic portosystemic shunt (TIPS) placement. Even though newer stent designs help reduce the risk of HE with smaller diameter shunts, it is essential that patients are counseled regarding this potential risk prior to the procedure. Once a diagnosis of HE has been confirmed, the mainstay of therapy is lactulose and rifaximin. In cases where a patient has received a TIPS placement and continues to experience refractory HE despite medical therapy, it may be necessary to consider shunt reduction or closure.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"262-268"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9864684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Viatorr Stent Migration and Retrieval during Transjugular Intrahepatic Portosystemic Shunt Revision. 经颈静脉肝内门体分流术翻修过程中的 Viatorr 支架移位和回收。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769772
Stephanie H Kim, Michael Samuel, Abouelmagd Makramalla
{"title":"Viatorr Stent Migration and Retrieval during Transjugular Intrahepatic Portosystemic Shunt Revision.","authors":"Stephanie H Kim, Michael Samuel, Abouelmagd Makramalla","doi":"10.1055/s-0043-1769772","DOIUrl":"10.1055/s-0043-1769772","url":null,"abstract":"<p><p>Transjugular intrahepatic portosystemic shunt (TIPS) is an important interventional option for the treatment of complications related to cirrhosis and portal hypertension. Emergent TIPS placement can be a life-saving measure in patients with uncontrolled variceal hemorrhage. After TIPS placement, patients may benefit from additional interventions for clinical optimization including stent dilation, stent extension, and embolization of varices. Here, we describe a case of emergent TIPS placement and revision which resulted in TIPS stent migration requiring stent removal and replacement. We discuss our technique and review previously reported methods for the management of migrated TIPS stents.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"269-273"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10221911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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