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Challenges in Management of the Adult Vascular Anomalies Population: A Case Report and Review of the Literature. 成人血管异常人群管理中的挑战：病例报告和文献综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791193
David Strain, Kari J Nelson
{"title":"Challenges in Management of the Adult Vascular Anomalies Population: A Case Report and Review of the Literature.","authors":"David Strain, Kari J Nelson","doi":"10.1055/s-0044-1791193","DOIUrl":"https://doi.org/10.1055/s-0044-1791193","url":null,"abstract":"<p><p>Vascular anomalies (VAs) are a group of rare diseases affecting 0.01 to 0.02% of the population. VA may be associated with complex disorders affecting multiple organ systems, requiring a multidisciplinary approach to treatment. Multidisciplinary clinics are most frequently affiliated with pediatric centers. Multidisciplinary clinics in the adult setting are rare. Many adult VA patients find it difficult to establish care with individual providers, let alone a multidisciplinary clinic, leading to barriers to lifelong comprehensive care.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"336-338"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630773","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
Imaging of Vascular Anomalies. 血管异常成像。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791205
Edward Gayou, Alex Chau, Shellie Josephs
{"title":"Imaging of Vascular Anomalies.","authors":"Edward Gayou, Alex Chau, Shellie Josephs","doi":"10.1055/s-0044-1791205","DOIUrl":"https://doi.org/10.1055/s-0044-1791205","url":null,"abstract":"<p><p>Vascular anomalies (VAs) are a heterogeneous group of vascular malformations and tumors that are frequently encountered in daily practice. While most are benign, malignant vascular tumors exist, as do other nonvascular soft-tissue malignancies that may masquerade as a benign VA. The subtleties of arriving at an accurate diagnosis can be intimidating, as new entities are described and names of conditions have been modified. Therefore, the goal of this article is to describe the classic imaging findings of VAs so that the interventional radiologist can confidently and competently contribute to management decisions, with special attention to ominous imaging features that should prompt biopsy or further imaging workup.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"339-349"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630787","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 Role of Medical Management in Vascular Anomalies. 医疗管理在血管异常中的作用。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791538
Michael H White, C Matthew Hawkins
{"title":"The Role of Medical Management in Vascular Anomalies.","authors":"Michael H White, C Matthew Hawkins","doi":"10.1055/s-0044-1791538","DOIUrl":"https://doi.org/10.1055/s-0044-1791538","url":null,"abstract":"<p><p>Historically, the care for patients with vascular anomalies has been challenging due to the complex nature and diversity of these anomalies with a wide array of symptomatology. In the recent past, most therapies for vascular anomalies focused on surgical, procedural, and supportive care measures to treat local symptoms, but many patients still experienced significant disease with excess morbidity and mortality. Today, the pharmacotherapeutic options available for treating vascular anomalies have greatly expanded due to the increased understanding of the genetic and molecular pathways causing these anomalies, with the subsequent development of more targeted pharmacotherapies. In addition to the growth in targeted medications available to treat patients with vascular anomalies, there has been an improved understanding of the hematologic abnormalities related to these diseases and how to manage them. While interventional radiologists do not typically primarily manage systemic medications to treat vascular anomalies, a baseline understanding of the medical management of these diseases is essential to ensuring that a contemporary, multidisciplinary, multimodal approach to treatment is pursued when appropriate. Ultimately, patients are now benefitting from having multiple modalities of treatments available to them and are experiencing improved quality of life and less morbidity.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"404-412"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630814","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
IR and Transitions of Care. IR 和护理过渡。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791537
Charles E Ray
{"title":"IR and Transitions of Care.","authors":"Charles E Ray","doi":"10.1055/s-0044-1791537","DOIUrl":"https://doi.org/10.1055/s-0044-1791537","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"317"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630789","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
Management of Iliofemoral Venous Stent Thrombosis. 髂股静脉支架血栓的处理。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791191
Teodora Bochnakova
{"title":"Management of Iliofemoral Venous Stent Thrombosis.","authors":"Teodora Bochnakova","doi":"10.1055/s-0044-1791191","DOIUrl":"https://doi.org/10.1055/s-0044-1791191","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"424-429"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630793","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
Medical and Interventional Management of Hereditary Hemorrhagic Telangiectasia. 遗传性出血性远端血管扩张症的药物和介入治疗。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791186
Jeffrey M Lynch, Elizabeth Stevens, Mary E Meek
{"title":"Medical and Interventional Management of Hereditary Hemorrhagic Telangiectasia.","authors":"Jeffrey M Lynch, Elizabeth Stevens, Mary E Meek","doi":"10.1055/s-0044-1791186","DOIUrl":"https://doi.org/10.1055/s-0044-1791186","url":null,"abstract":"<p><p>Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder of the blood vessels that leads to the formation of telangiectasias and arteriovenous malformations (AVMs). HHT affects ∼1/5,000 people, but this varies significantly by geography and ancestry. The Curaçao criteria for HHT consist of four diagnostic criteria: spontaneous epistaxis, first-degree relative with HHT, AVMs in characteristic location (liver, lung, brain), and telangiectasias. Sequelae and major symptomology include recurrent epistaxis, dyspnea, heart failure, and stroke from paradoxical emboli among others. HHT patients are best cared for by a multidisciplinary team, ideally all with HHT-specific experience, but in this review, we will discuss the major aspects of the disease including etiology, diagnosis, and treatment recommendations.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"325-335"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630795","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
Obstetric Interventional Radiology: Periprocedural Considerations When Caring for the Pregnant and Postpartum Patient. 产科介入放射学：为孕妇和产后患者提供护理时的围手术期注意事项。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1790559
Nicole Keefe, Naishal Patel, Priya Mody, Kathleen Smith, Johanna Quist-Nelson, Claire Kaufman, Maureen Kohi, Gloria Salazar
{"title":"Obstetric Interventional Radiology: Periprocedural Considerations When Caring for the Pregnant and Postpartum Patient.","authors":"Nicole Keefe, Naishal Patel, Priya Mody, Kathleen Smith, Johanna Quist-Nelson, Claire Kaufman, Maureen Kohi, Gloria Salazar","doi":"10.1055/s-0044-1790559","DOIUrl":"https://doi.org/10.1055/s-0044-1790559","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"413-423"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630798","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
Atlas for Cholangioscopy and Cholecystoscopy: A Primer for Diagnostic and Therapeutic Endoscopy in the Biliary Tree and Gallbladder. 胆道镜和胆囊镜图谱：胆道镜和胆囊镜检查图集：胆道和胆囊诊断与治疗内镜入门》（A Primer for Diagnostic and Therapeutic Endoscopy in the Biliary Tree and Gallbladder）。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-08-19 eCollection Date: 2024-06-01 DOI: 10.1055/s-0044-1788340
Ali Husnain, Aziz Aadam, Amir Borhani, Ahsun Riaz
{"title":"Atlas for Cholangioscopy and Cholecystoscopy: A Primer for Diagnostic and Therapeutic Endoscopy in the Biliary Tree and Gallbladder.","authors":"Ali Husnain, Aziz Aadam, Amir Borhani, Ahsun Riaz","doi":"10.1055/s-0044-1788340","DOIUrl":"10.1055/s-0044-1788340","url":null,"abstract":"<p><p>Percutaneous endoscopy of the biliary system (cholangioscopy) and gallbladder (cholecystoscopy) has significantly impacted diagnostic and therapeutic approaches to many diseases in interventional radiology, overcoming previous challenges related to scope size and rigidity. The current endoscopes offer enhanced maneuverability within narrow tubular structures such as bile ducts. Before endoscopy, reliance on 2D imaging modalities limited real-time visualization during percutaneous procedures. Percutaneous endoscopy provides 3D perspectives, enabling a better appreciation of normal structures, targeted biopsy of lesions, and accurate deployment of therapeutic interventions. This review aims to explore percutaneous endoscopic findings across various biliary and gallbladder pathologies.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 3","pages":"278-292"},"PeriodicalIF":1.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009749","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
Imaging Guidelines during Percutaneous Liver Ablation to Optimize Outcomes and Patient Safety. 经皮肝脏消融术中的成像指南，以优化疗效和患者安全。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-08-19 eCollection Date: 2024-06-01 DOI: 10.1055/s-0044-1788058
J Tyler Hammett, Milan N Patel, Bruno C Odisio, Ketan Shah
{"title":"Imaging Guidelines during Percutaneous Liver Ablation to Optimize Outcomes and Patient Safety.","authors":"J Tyler Hammett, Milan N Patel, Bruno C Odisio, Ketan Shah","doi":"10.1055/s-0044-1788058","DOIUrl":"10.1055/s-0044-1788058","url":null,"abstract":"<p><p>Image-guided ablation procedures have become a mainstay in cancer therapy. Typically performed from a percutaneous approach, thermal-based ablation procedures rely heavily on imaging guidance both prior to and during the procedure itself. Advances in imaging as they relate to ablation procedures are as important to successful treatments as advancements in the ablation technology itself. Imaging as it relates to procedural planning, targeting and monitoring, and assessment of procedural endpoint is the focus of this article.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 3","pages":"258-262"},"PeriodicalIF":1.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010244","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
Imaging in Interventional Radiology: Applications of Contrast-Enhanced Ultrasound. 介入放射学成像：对比增强超声的应用。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-08-19 eCollection Date: 2024-06-01 DOI: 10.1055/s-0044-1787833
Curtis HonShideler, Breyen Coffin, David Guez
{"title":"Imaging in Interventional Radiology: Applications of Contrast-Enhanced Ultrasound.","authors":"Curtis HonShideler, Breyen Coffin, David Guez","doi":"10.1055/s-0044-1787833","DOIUrl":"10.1055/s-0044-1787833","url":null,"abstract":"<p><p>This review explores the applications of contrast-enhanced ultrasound (CEUS) in interventional radiology, focusing on its role in endoleak detection after endovascular abdominal aortic aneurysm repair (EVAR), periprocedural thermal ablation guidance, and transarterial chemoembolization (TACE) for hepatocellular carcinoma (HCC). CEUS offers a dynamic assessment for the detection of endoleak following EVAR, facilitating accurate diagnosis and classification. In periprocedural thermal ablation, CEUS enhances target lesion delineation with the visualization of real-time perfusion changes, optimizing treatment strategies and reducing residual tumor rates. Finally, CEUS has demonstrated efficacy in intraprocedural evaluation and postprocedural follow-up in TACE for HCC, offering early detection of residual tumor enhancement and providing an alternative for patients with contraindications to contrast-enhanced computed tomography or magnetic resonance imaging. Overall, CEUS is a versatile and valuable tool with many applications to offer interventional radiologists enhanced diagnostic capabilities and improved patient management.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 3","pages":"241-245"},"PeriodicalIF":1.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010245","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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