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Seminars in Interventional Radiology最新文献

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Percutaneous Cecostomy Catheters. 经皮结肠造口导管。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-08 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801331
Oluwanifemi G Akinduro, Adam P Jacobs, Andrew J Gunn
{"title":"Percutaneous Cecostomy Catheters.","authors":"Oluwanifemi G Akinduro, Adam P Jacobs, Andrew J Gunn","doi":"10.1055/s-0044-1801331","DOIUrl":"10.1055/s-0044-1801331","url":null,"abstract":"<p><p>Percutaneous cecostomy catheters can be placed in the setting of either fecal incontinence or large bowel obstruction. While there are several etiologies for these disorders, the purpose of the cecostomy catheter is to provide ease of access for antegrade enemas in patients with fecal incontinence or relieve pain and discomfort in patients with a large bowel obstruction. Image-guided, percutaneous catheter placement into the cecum fits easily into the skillset of the interventional radiologist. Even though the literature consists of mostly single-center, retrospective case series, the procedure shows high rates of technical success, outstanding clinical outcomes, excellent patient satisfaction scores, and low rates of major adverse events. The purpose of this article is to review indications for cecostomy catheter placement, outline preprocedural patient evaluation, describe intraprocedural steps of catheter placement, detail postprocedural follow-up, and review both technical and clinical outcomes of cecostomy catheter placement.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 1","pages":"66-70"},"PeriodicalIF":1.3,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023507","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
When Endovascular Interventions for Endoleaks Fail. 当血管内介入治疗渗漏失败时。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-06 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800954
Luciano Delbono, Robert J Beaulieu
{"title":"When Endovascular Interventions for Endoleaks Fail.","authors":"Luciano Delbono, Robert J Beaulieu","doi":"10.1055/s-0044-1800954","DOIUrl":"10.1055/s-0044-1800954","url":null,"abstract":"<p><p>In the appropriate patient population, endovascular aortic repair (EVAR) has become the standard of care for abdominal aortic aneurysms. While the initial success rates of EVAR are very high, reinterventions occur in a significant minority of patients, most of which consist of the repair of endoleaks. When indicated, such procedures are typically performed via endovascular or percutaneous approaches; however, in certain patients, these minimally invasive repairs fail. In these patients, surgical techniques can be used to treat the endoleaks. This article describes the open surgical techniques used in the repair of endoleaks where standard endovascular techniques fail.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"554-559"},"PeriodicalIF":1.3,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796865","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
Percutaneous Interventions and Necrosectomy in the Management of Peripancreatic Collections. 经皮介入治疗及坏死性切除术在胰周收集中的应用。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-06 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801358
Mohammad Mirza-Aghazadeh-Attari, Seyed Sina Zakavi, Kamyar Ghabili, Melike N Harfouche, Reena Jha, Juan C Camacho, Jamil Shaikh, Pejman Radkani, Walid M Chalhoub, Merve Ozen, Peiman Habibollahi, John B Smirniotopoulos, Nariman Nezami
{"title":"Percutaneous Interventions and Necrosectomy in the Management of Peripancreatic Collections.","authors":"Mohammad Mirza-Aghazadeh-Attari, Seyed Sina Zakavi, Kamyar Ghabili, Melike N Harfouche, Reena Jha, Juan C Camacho, Jamil Shaikh, Pejman Radkani, Walid M Chalhoub, Merve Ozen, Peiman Habibollahi, John B Smirniotopoulos, Nariman Nezami","doi":"10.1055/s-0044-1801358","DOIUrl":"10.1055/s-0044-1801358","url":null,"abstract":"<p><p>Acute pancreatitis (AP) is a severe inflammatory condition of the pancreas with significant morbidity and mortality, particularly in its necrotizing form. This review explores the management of peripancreatic collections and in particular necrotizing pancreatitis, focusing on the evolution from traditional open surgical methods to contemporary minimally invasive image-guided techniques. AP can lead to various local complications, including pancreatic pseudocysts, acute necrotic collections, and walled-off necrosis. Imaging plays a crucial role in diagnosing complications of AP, while treatment approaches have shifted toward a step-up strategy involving percutaneous, endoscopic, and minimally invasive methods. Percutaneous necrosectomy, combining mechanical and chemical debridement, has shown promising results. Mechanical necrosectomy uses devices like baskets and retrieval nets, while chemical necrosectomy adds agents like hydrogen peroxide and streptokinase. Current evidence suggests that the step-up approach, starting with percutaneous drainage or necrosectomy and escalating to endoscopic or surgical interventions, if necessary, improves patient outcomes. The review underscores the need for a multidisciplinary approach in managing complicated AP and highlights ongoing advancements in minimally invasive techniques.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 1","pages":"82-92"},"PeriodicalIF":1.3,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988756","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
Endovascular Treatment of Type II Endoleaks: Update and Overview. II型血管内渗漏的血管内治疗：最新进展和综述。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-24 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800956
Christina G Dalzell, Daniel P Sheeran, John F Angle, Luke R Wilkins
{"title":"Endovascular Treatment of Type II Endoleaks: Update and Overview.","authors":"Christina G Dalzell, Daniel P Sheeran, John F Angle, Luke R Wilkins","doi":"10.1055/s-0044-1800956","DOIUrl":"10.1055/s-0044-1800956","url":null,"abstract":"<p><p>Endoleaks are a common complication following endovascular aneurysm repair, despite EVAR being the preferred method for the repair of abdominal aortic aneurysms. Endoleaks are continued blood flow into the aneurysmal sac, or more broadly elevated pressure outside of the endograft, and are classified into five types based on the source of blood flow or elevated pressure. Type II endoleaks are the most common and are a result of retrograde flow to the sac most commonly from the inferior mesenteric artery or lumbar artery. Endovascular treatment options for type II endoleaks include transarterial, transcaval, translumbar, and transabdominal approaches. This review discusses the indication for endovascular treatment of type II endoleaks, the selection of approach, and technical considerations.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"547-553"},"PeriodicalIF":1.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796838","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
Aortic Endograft Sizing. 主动脉内植片大小。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800953
Andrew T Ray, Luke R Wilkins, Daniel P Sheeran, W Darrin Clouse, J Fritz Angle
{"title":"Aortic Endograft Sizing.","authors":"Andrew T Ray, Luke R Wilkins, Daniel P Sheeran, W Darrin Clouse, J Fritz Angle","doi":"10.1055/s-0044-1800953","DOIUrl":"10.1055/s-0044-1800953","url":null,"abstract":"<p><p>Thoracic endovascular aortic repair (TEVAR) and endovascular abdominal aortic aneurysm repair (EVAR) have become widely accepted techniques for the treatment of aortic aneurysms and dissections. Central to the success of TEVAR and EVAR is accurate endograft sizing. Key aspects to be discussed in this article include the importance of preprocedural centerline imaging with computed tomography angiography to evaluate the proximal and distal seal zones. This article will review TEVAR and EVAR endograft sizing, providing the interventionalist with practical advice to optimize patient selection and to improve procedural success.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"581-587"},"PeriodicalIF":1.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796823","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
Large-Bore Transfemoral Arterial Access: Techniques and Troubleshooting. 大口径经股动脉通路：技术与故障排除。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800957
Amber L Liles, Geogy Vatakencherry
{"title":"Large-Bore Transfemoral Arterial Access: Techniques and Troubleshooting.","authors":"Amber L Liles, Geogy Vatakencherry","doi":"10.1055/s-0044-1800957","DOIUrl":"10.1055/s-0044-1800957","url":null,"abstract":"<p><p>Aortic pathologies such as dissection, aneurysm, or blunt aortic injury have historically been treated via open surgical repair; however, the advent of endovascular stent graft technology has allowed for endovascular aortic repair in more and more patients. With improvements in stent graft technology and delivery systems, more patients are now candidates for endovascular aortic repair; however, many will require large-bore transfemoral arterial access. Percutaneous transfemoral arterial access includes the introduction of a large-bore sheath directly into the iliofemoral arterial system for the deployment of aortic stent grafts. Advancements in percutaneous arterial closure and reductions in device delivery profiles have further refined this technique; however, careful preprocedural planning and technical precision are required to minimize complications. This article covers the fundamentals of large-bore transfemoral arterial access as well as technical pearls for successful outcomes.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"560-565"},"PeriodicalIF":1.3,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796848","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
Advanced Intraprocedural Image Guidance for Endovascular Aortic and Branch-Vessel Procedures Using the Intraoperative Positioning System (IOPS). 使用术中定位系统 (IOPS) 为血管内主动脉和分支血管手术提供先进的术中图像引导。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800958
Behzad S Farivar
{"title":"Advanced Intraprocedural Image Guidance for Endovascular Aortic and Branch-Vessel Procedures Using the Intraoperative Positioning System (IOPS).","authors":"Behzad S Farivar","doi":"10.1055/s-0044-1800958","DOIUrl":"10.1055/s-0044-1800958","url":null,"abstract":"<p><p>Endovascular aortic repair has transformed the treatment of aortic pathologies, providing minimally invasive alternatives to traditional open surgery. Despite these advancements, endovascular procedures continue to encounter substantial challenges, including navigating tortuous and calcified vessels, precise catheterization of the aortic branch vessels in complex cases, and the significant risks of radiation exposure to both patients and operators. Recent innovations in electromagnetic (EM) tracking and 3D imaging offer a promising alternative to traditional methods. This review focuses on the Intraoperative Positioning System (IOPS), a novel EM-based image guidance system developed by Centerline Biomedical, Inc. (Cleveland, OH). IOPS uses sensorized, EM-tracked devices to enhance procedural precision and safety by minimizing reliance on ionizing radiation while improving visualization and the accuracy of catheterization in vascular anatomies. This technology enables parts of the procedure to be performed without the need for ionizing radiation, offering a safer and more efficient approach to endovascular procedures.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"570-575"},"PeriodicalIF":1.3,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796765","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
Enteral Feeding in Pediatric Patients: Principles and Techniques. 儿科患者肠内喂养：原则和技术。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-18 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801291
Anne Sailer, Christine E Boone, Michael R Acord
{"title":"Enteral Feeding in Pediatric Patients: Principles and Techniques.","authors":"Anne Sailer, Christine E Boone, Michael R Acord","doi":"10.1055/s-0044-1801291","DOIUrl":"10.1055/s-0044-1801291","url":null,"abstract":"<p><p>Approximately 40 to 70% of children with chronic medical disease (congenital or acquired respiratory, cardiac, and gastrointestinal disorders) experience feeding difficulties. Enteral feeding in pediatric patients can be administered through orogastric, nasogastric, nasojejunal (NJ), gastrostomy (G) and gastrojejunostomy (GJ) tubes, all of which can be safely placed by the interventional radiologist. This article reviews NJ, G, and GJ tube placement and adjunctive techniques to ensure safe and effective enteral access placement. While feeding can also be performed via a jejunostomy tube, these are less common in children and are typically placed via a surgical approach and will not be discussed in this review. Dose reduction techniques, an important consideration in pediatrics, are also reviewed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 1","pages":"57-65"},"PeriodicalIF":1.3,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035600","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
The Interdisciplinary Aortic Team: Opportunities for Collaboration in Acute Aortic Syndromes. 跨学科主动脉组：急性主动脉综合征的合作机会。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-17 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800933
William M Sherk, Minhaj S Khaja, Himanshu J Patel, David M Williams
{"title":"The Interdisciplinary Aortic Team: Opportunities for Collaboration in Acute Aortic Syndromes.","authors":"William M Sherk, Minhaj S Khaja, Himanshu J Patel, David M Williams","doi":"10.1055/s-0044-1800933","DOIUrl":"10.1055/s-0044-1800933","url":null,"abstract":"<p><p>Interdisciplinary teams offer potential advantages over siloed care models in complex cardiovascular disease management. Consensus guidelines for aortic management have increasingly identified the interdisciplinary aortic team as a key component in delivering quality care. Acute aortic syndromes are a subset of high acuity and lethal aortic pathologies that may benefit from an interdisciplinary approach. The advantages of the interdisciplinary aortic team model in the management of acute aortic syndromes and barriers to implementation are discussed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"527-530"},"PeriodicalIF":1.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796856","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
Hybrid Endovascular and Open Interventions for Aortic Disease. 治疗主动脉疾病的混合血管内介入疗法和开放式介入疗法。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-13 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800955
Barbara C S Hamilton, Shinichi Fukuhara
{"title":"Hybrid Endovascular and Open Interventions for Aortic Disease.","authors":"Barbara C S Hamilton, Shinichi Fukuhara","doi":"10.1055/s-0044-1800955","DOIUrl":"10.1055/s-0044-1800955","url":null,"abstract":"<p><p>Traditional open surgical repair of aortic disease distal to the ascending aorta has long been associated with significant morbidity and mortality. Two specific anatomic locations of disease have proven especially challenging to manage; the transverse aortic arch and the thoracoabdominal aorta. Hybrid approaches have the potential to limit or even eliminate the need for cardiopulmonary bypass and hypothermic circulatory arrest, thus carrying the promise of improved patient outcomes. This manuscript discusses the hybrid approach to aortic repair and recent advances made in this combined multidisciplinary approach used in these treatments.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"566-569"},"PeriodicalIF":1.3,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796843","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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