Seminars in Interventional Radiology最新文献

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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 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":1.0,"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
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 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":1.0,"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
Enteral Feeding in Pediatric Patients: Principles and Techniques. 儿科患者肠内喂养:原则和技术。
IF 1 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":1.0,"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 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":1.0,"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 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":1.0,"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
Controversies in Chronic Aortic Dissection. 慢性主动脉夹层的争议。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-11 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800849
Yanqing Zhao, Shinichi Fukuhara, Minhaj S Khaja
{"title":"Controversies in Chronic Aortic Dissection.","authors":"Yanqing Zhao, Shinichi Fukuhara, Minhaj S Khaja","doi":"10.1055/s-0044-1800849","DOIUrl":"10.1055/s-0044-1800849","url":null,"abstract":"<p><p>Chronic type B aortic dissection (cTBAD) often requires intervention due to complications like aortic aneurysmal dilatation and rupture, traditionally managed via open surgery. With the continued rise of endovascular therapies, thoracic endovascular aortic repair (TEVAR) is increasingly used, although its role in cTBAD is debated due to challenges such as a thick dissection septum, poor landing zones, and persistent false lumen flow. However, mounting evidence demonstrates TEVAR is a viable option for cTBAD, particularly for patients with high risks treated with open surgery. Advances in endovascular techniques, such as false lumen obliteration techniques and landing zone optimization strategies, have enhanced its technical success rate and clinical outcomes. However, continued research is needed to validate these methods and confirm their long-term benefits. In this review article, we not only update the emerging endovascular armamentarium but also discuss the technical considerations in catheter-based treatment approaches and respective outcomes.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"588-594"},"PeriodicalIF":1.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796833","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
Bone Biopsies: Practical Considerations and Technical Tips. 骨活检:实际考虑和技术提示。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1791720
Andrew E Williams, Jessie W Ho, Narayan Sundaram
{"title":"Bone Biopsies: Practical Considerations and Technical Tips.","authors":"Andrew E Williams, Jessie W Ho, Narayan Sundaram","doi":"10.1055/s-0044-1791720","DOIUrl":"10.1055/s-0044-1791720","url":null,"abstract":"<p><p>Percutaneous image-guided needle biopsies are a safe and minimally invasive method of obtaining tissue of bone lesions. Radiologists are an integral part of a multidisciplinary team (MDT) approach to patient care in obtaining tissue for both pathologic diagnosis and advanced genetic/molecular testing. By utilizing image guidance, radiologists can target bone lesions with a very low complication rate. This review will discuss our approach to image-guided biopsies of bone lesions. Radiologists should be familiar with patient selection and imaging workup prior to performing biopsies, as well as the importance of coordinating the biopsy approach and sampling with the patient's clinical team. Management of bleeding and thrombotic risk in patients undergoing bone biopsies is also an important preprocedural consideration and will be discussed. The majority of bone biopsies are performed utilizing moderate sedation for patient analgesia and comfort, but close attention should be paid to patient comorbidities and potential interacting medications. Although computed tomography guidance remains the mainstay of image-guided biopsy, there are some circumstances in which ultrasound or fluoroscopic guidance may be beneficial. New advances in powered drill technology have made tissue sampling of bone lesions particularly sclerotic bone lesions both safer and faster with increased tissue yield. Finally, we will discuss image-guided biopsy of difficult anatomic regions that require special techniques to yield tissue safely.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"444-454"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814784","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
Image-Guided Liver Biopsy: Perspectives from Interventional Radiology. 图像引导肝活检:介入放射学的视角。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1792174
Jingqin Ma, Qian Yu, Thuong Van Ha
{"title":"Image-Guided Liver Biopsy: Perspectives from Interventional Radiology.","authors":"Jingqin Ma, Qian Yu, Thuong Van Ha","doi":"10.1055/s-0044-1792174","DOIUrl":"10.1055/s-0044-1792174","url":null,"abstract":"<p><p>Liver biopsy is a crucial aspect of interventional radiology and plays a significant role in the management of hepatobiliary diseases. Radiologists commonly perform two major image-guided liver biopsy techniques: percutaneous and transjugular approaches. It is essential for radiologists to understand the role of liver biopsy in diagnosing and treating hepatobiliary conditions, the procedural details involved, and how to manage potential complications. This article reviews the indications, contraindications, techniques, and efficacy of image-guided liver biopsy, with a focus on both percutaneous and transjugular methods.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"500-506"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814792","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 Cholecystostomy: Procedural Guidance and Future Directions for Clinical Management. 经皮胆囊造瘘术:手术指导及临床管理的未来方向。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1791724
Pouria Koushesh, Talha Ayaz, Thomas Tullius
{"title":"Percutaneous Cholecystostomy: Procedural Guidance and Future Directions for Clinical Management.","authors":"Pouria Koushesh, Talha Ayaz, Thomas Tullius","doi":"10.1055/s-0044-1791724","DOIUrl":"10.1055/s-0044-1791724","url":null,"abstract":"<p><p>Percutaneous cholecystostomy (PC) is a recognized treatment option for the management of acute cholecystitis and is an integral component of the treatment algorithm in the 2018 Tokyo Guidelines. The utilization of PC has significantly increased over the past 30 years, particularly in the setting of critically ill patients and those with extensive comorbidities who are poor surgical candidates. The indications, complications, patient selection considerations, and technical complexities of the procedure will be discussed. Postprocedural drain management and the potential for shortened indwelling time are reviewed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"460-465"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813765","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
Endoscopic Drainage of Intra-abdominal Fluid Collections and Abscesses. 内镜下腹腔积液及脓肿引流。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1791723
Vibhu Chittajallu, Dayyan Adoor, Ashley L Faulx
{"title":"Endoscopic Drainage of Intra-abdominal Fluid Collections and Abscesses.","authors":"Vibhu Chittajallu, Dayyan Adoor, Ashley L Faulx","doi":"10.1055/s-0044-1791723","DOIUrl":"10.1055/s-0044-1791723","url":null,"abstract":"<p><p>Endoscopic ultrasound (EUS) has transitioned from a primarily diagnostic to a therapeutic procedure. EUS-guided drainage of intra-abdominal fluid collections is common practice with vast data in the management of symptomatic, mature pancreatic fluid collections. Evidence has demonstrated that EUS-guided drainage for these intra-abdominal fluid collections is effective with an acceptable safety profile. These techniques are being utilized for the management of other intra-abdominal fluid collections with equally positive results. This review will discuss the utilization of EUS for the management of various intra-abdominal fluid collections, discussing efficacy, safety, and limitations.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"455-459"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814790","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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