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Optimizing Care and Maintenance of Enteric Tubes: Insights into Percutaneous Radiologically Placed Gastrointestinal Luminal Tubes. 优化肠管的护理和维护：透视经皮放射放置胃肠道管。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-28 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801332
Mohammad Mahdi Khavandi, Nariman Nezami, Steven Y Huang, Alda L Tam, Bruno C Odisio, Armeen Mahvash, Mohamed E Abdelsalam, Joshua D Kuban, Rahul A Sheth, Peiman Habibollahi
{"title":"Optimizing Care and Maintenance of Enteric Tubes: Insights into Percutaneous Radiologically Placed Gastrointestinal Luminal Tubes.","authors":"Mohammad Mahdi Khavandi, Nariman Nezami, Steven Y Huang, Alda L Tam, Bruno C Odisio, Armeen Mahvash, Mohamed E Abdelsalam, Joshua D Kuban, Rahul A Sheth, Peiman Habibollahi","doi":"10.1055/s-0044-1801332","DOIUrl":"10.1055/s-0044-1801332","url":null,"abstract":"<p><p>Percutaneous enteric tubes, including gastrostomy, gastrojejunostomy, and percutaneous transesophageal gastrostomy, are essential for patients who cannot maintain adequate oral nutrition or require gastric decompression due to conditions like malignant bowel obstruction. Proper care and maintenance are crucial to prevent complications and maintain function. Enteric tubes are inserted using various techniques at different locations based on patient needs and anatomical considerations. Enteric tubes play a vital role in patient care, and continued research and innovation are necessary to improve outcomes and reduce complications. Routine care involves regular flushing and site maintenance to prevent occlusion and infection. While complications are common, they can be effectively managed or avoided with proper care. This review outlines the care, maintenance protocols, and post-placement complication management for enteric tubes.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 1","pages":"48-56"},"PeriodicalIF":1.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021619","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 Transgastric Endoscopic Interventions. 经皮胃内镜干预。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-28 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801333
Neil K Jain, Aazrin Mir, Nariman Nezami, John B Smirniotopoulos
{"title":"Percutaneous Transgastric Endoscopic Interventions.","authors":"Neil K Jain, Aazrin Mir, Nariman Nezami, John B Smirniotopoulos","doi":"10.1055/s-0044-1801333","DOIUrl":"10.1055/s-0044-1801333","url":null,"abstract":"<p><p>Gastrointestinal and hepatobiliary diseases are managed by various specialists, including gastroenterologists, surgeons, and interventional radiologists. Percutaneous cholangioscopy and endoscopy have immense potential within the field of interventional radiology (IR), especially given the unique ability to combine fluoroscopic guidance with direct visualization of internal structures. Transgastric endoscopy, in particular, is valuable for patients who already have established gastrostomy access or those unsuitable for surgery or traditional esophagogastroduodenoscopy. Cases of transgastric endoscopy have shown successful treatments for choledocolithiasis, duodenal collections, pancreatic leaks, and foreign body removal. As more research is conducted, percutaneous endoscopy could become an integrated part of various IR procedures, providing personalized treatment for patients who have exhausted conventional approaches.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 1","pages":"71-74"},"PeriodicalIF":1.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993022","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
Important Anatomy in Lymphatic Interventions: A Practical Review. 淋巴介入的重要解剖学：实用回顾。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-28 eCollection Date: 2025-04-01 DOI: 10.1055/s-0045-1801877
Daniel A Crawford, Indravadan J Patel, Sailendra G Naidu, Alex Wallace, Merve Ozen, Sadeer Alzubaidi
{"title":"Important Anatomy in Lymphatic Interventions: A Practical Review.","authors":"Daniel A Crawford, Indravadan J Patel, Sailendra G Naidu, Alex Wallace, Merve Ozen, Sadeer Alzubaidi","doi":"10.1055/s-0045-1801877","DOIUrl":"10.1055/s-0045-1801877","url":null,"abstract":"<p><p>New understanding of the lymphatic system as well as increasing recognition of its importance in various pathologies have increased the opportunity to perform lymphatic interventions. Advancement in our understanding of the lymphatic system anatomy, including variations, combined with improved imaging has renewed interest in both surgical and interventional management of a wide range of complex lymphatic pathologies. It is important for the proceduralist to recognize the anatomy, variability, and physiology of the lymphatic system, including lower extremity lymphatic drainage, cisterna chyli location, and thoracic duct drainage. The purpose of this study is to convey the practical aspects of performing lymphatic interventions in an effort to improve the speed and reliability of these procedures.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 2","pages":"133-138"},"PeriodicalIF":1.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081460","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 Jejunostomy. 经皮空肠造口术。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-24 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801745
Adam P Jacobs, Nancy Ann B Little, Junaid Raja, Stephen R Brown, Andrew J Gunn, Junjian Huang
{"title":"Percutaneous Jejunostomy.","authors":"Adam P Jacobs, Nancy Ann B Little, Junaid Raja, Stephen R Brown, Andrew J Gunn, Junjian Huang","doi":"10.1055/s-0044-1801745","DOIUrl":"10.1055/s-0044-1801745","url":null,"abstract":"<p><p>Direct percutaneous jejunostomy placement is an often underutilized procedure that can allow for supplemental enteral nutrition in a certain subset of patients, in which percutaneous gastrostomy is not technically feasible, or in patients who require post-pyloric feeding. Percutaneous jejunostomy catheter placement was first described in the 1980s; since that time there have been minimal case series on the procedural technique and outcomes. At our institution, we perform percutaneous jejunostomy placement as a planned two-stage procedure. During the initial stage, direct jejunostomy is performed under a combination of fluoroscopic and ultrasound guidance, after distending the jejunum through a nasojejunal tube. After confirming intraluminal access, at least one Cope suture anchor is deployed, and guidewire access is maintained. Subsequently, the track is serially dilated, and a 14-Fr pigtail catheter is placed into the jejunum. Approximately 4 to 6 weeks later, the patient returns for conversion of the pigtail drain into a formal jejunostomy catheter with retention balloon, under fluoroscopic guidance. Several of the prior larger studies on the technique have noted major complications to occur in 12% of patients and minor complications to occur in 9.8% of patients. While percutaneous jejunostomy placement is not a frequently performed procedure, technical success and complication rates are comparable to that of surgical jejunostomy.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 1","pages":"43-47"},"PeriodicalIF":1.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035865","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
Rectal Artery Embolization for the Treatment of Hemorrhoidal Disease. 直肠动脉栓塞治疗痔疮病。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-24 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801360
Seyed S Zakavi, Mohammad Mirza-Aghazadeh-Attari, Arian Mansur, Peiman Habibollahi, Nariman Nezami, Juan C Camacho
{"title":"Rectal Artery Embolization for the Treatment of Hemorrhoidal Disease.","authors":"Seyed S Zakavi, Mohammad Mirza-Aghazadeh-Attari, Arian Mansur, Peiman Habibollahi, Nariman Nezami, Juan C Camacho","doi":"10.1055/s-0044-1801360","DOIUrl":"10.1055/s-0044-1801360","url":null,"abstract":"<p><p>The term \"hemorrhoid\" is commonly invoked to characterize the pathologic process of symptomatic hemorrhoidal disease instead of the normal anatomic structure. While often treated with conservative measures, rectal artery embolization offers a minimally invasive alternative for patients with persistent or severe symptoms. This technique involves blocking the blood supply to the hemorrhoids using embolic agents, reducing blood flow, and alleviating symptoms. This review explores the clinical evaluation, techniques, and outcomes associated with rectal artery embolization for the treatment of hemorrhoidal disease. A discussion of the pathophysiology of hemorrhoids, the anatomy of rectal arteries, and the embolization procedure is provided in detail. Additionally, the safety and efficacy of the technique, including potential complications and outcomes, are reviewed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 1","pages":"93-100"},"PeriodicalIF":1.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051361","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 Cecostomy Catheters. 经皮结肠造口导管。
IF 1 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":1.0,"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 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":1.0,"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 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":1.0,"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 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":1.0,"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 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":1.0,"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
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