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Seminars in Interventional Radiology最新文献

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Transarterial Radioembolization: Overview of Radioembolic Devices. 经动脉放射栓塞：放射栓塞装置综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1772814
Muhamad Serhal, Andrew C Gordon, Daniel B Brown, Beau B Toskich, Robert J Lewandowski
{"title":"Transarterial Radioembolization: Overview of Radioembolic Devices.","authors":"Muhamad Serhal, Andrew C Gordon, Daniel B Brown, Beau B Toskich, Robert J Lewandowski","doi":"10.1055/s-0043-1772814","DOIUrl":"10.1055/s-0043-1772814","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"461-466"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487682","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 Nonclinical Drivers of IR. IR的非临床驱动因素。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775721
Charles E Ray
{"title":"The Nonclinical Drivers of IR.","authors":"Charles E Ray","doi":"10.1055/s-0043-1775721","DOIUrl":"10.1055/s-0043-1775721","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"393"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491212","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
Working with Hospital Administration: Strategies for Success. 与医院管理部门合作：成功的策略。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775879
Charles E Ray
{"title":"Working with Hospital Administration: Strategies for Success.","authors":"Charles E Ray","doi":"10.1055/s-0043-1775879","DOIUrl":"10.1055/s-0043-1775879","url":null,"abstract":"<p><p>Organizational structure has evolved over the past several decades, with physicians assuming more or fewer leadership positions over time. Regardless of the role of physicians in health care organizational leadership, constant meaningful communication with the hospital, radiology group, or greater physician group administrative leadership is vital for any group of IR physicians to be successful. Understanding what is considered important to hospital administration and, in particular, being closely aligned with the C-suite leadership, is paramount to having successful communication with these stakeholders. Although each situation will obligatorily be unique, certain themes can be followed to optimize the working relationship between an interventional radiology service and organizational administration. This article provides guidelines and suggestions specifically in communicating with health care system leadership.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"441-448"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487699","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
Advancing IR in Underserved Regions: Interventional Radiology Simulation Near and Far. 在服务不足区域推进IR：近距离和远距离介入放射学模拟。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775723
Cornelius K Koech, Victor I Rivera, Kevin Anton, Robert G Dixon
{"title":"Advancing IR in Underserved Regions: Interventional Radiology Simulation Near and Far.","authors":"Cornelius K Koech, Victor I Rivera, Kevin Anton, Robert G Dixon","doi":"10.1055/s-0043-1775723","DOIUrl":"10.1055/s-0043-1775723","url":null,"abstract":"<p><p>Simulation facilitates learning by imitating real-world systems or processes utilizing educational tools and models. Various fields, including business, aviation, and education use simulation for training. In healthcare, simulation provides trainees opportunities to develop procedural skills in a safe environment, building their understanding through hands-on interactions and experiences rather than passive didactics. Simulation is classified into low, medium, and high fidelity, based on how closely it mimics real-life experience. Its use in education is a valuable adjunct to instructional support and training with multiple potential benefits. Interventional radiology (IR) trainees can build technical and clinical proficiency prior to working directly on a patient. Simulation promotes experiential learning, constructivist learning, and student centeredness, thus giving students control over their learning and knowledge acquisition. More recently, the creative use of remote simulation has augmented traditional virtual didactic lectures, thereby further engaging international learners and enhancing remote collaboration. Despite the challenges to implementation, the addition of simulation in IR education is proving invaluable to supporting trainees and physicians in underserved regions.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"419-426"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487674","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
Placenta Accreta Spectrum: An Overview. 胎盘增生谱：综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1772815
Abheek Ghosh, Sean Lee, Christina Lim, Robert L Vogelzang, Howard B Chrisman
{"title":"Placenta Accreta Spectrum: An Overview.","authors":"Abheek Ghosh, Sean Lee, Christina Lim, Robert L Vogelzang, Howard B Chrisman","doi":"10.1055/s-0043-1772815","DOIUrl":"10.1055/s-0043-1772815","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"467-471"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487681","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
Private Equity and Radiology: Productive Partnership or Inherently Misaligned? 私募股权与放射学：生产性伙伴关系还是内在错位？
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775720
Elie Balesh, Hannah Hund, Eric J Keller
{"title":"Private Equity and Radiology: Productive Partnership or Inherently Misaligned?","authors":"Elie Balesh, Hannah Hund, Eric J Keller","doi":"10.1055/s-0043-1775720","DOIUrl":"10.1055/s-0043-1775720","url":null,"abstract":"<p><p>Private equity acquisition of medical groups and health care organizations is becoming increasingly important in medicine and is a trend that is likely to continue for the foreseeable future. Some question the ethical implications of private equity acquisitions, since the clear goal of such organizations is maximizing profitability, which may or may not be in the best interests of either the patient population or the provider group. This article will describe the role of private equity in the medical marketplace, with a focus on the role of private equity in radiology and interventional radiology specifically. Additionally, this article will explore this growing trend in the radiology marketplace and its anticipated effects upon patient care and professional satisfaction for radiologists.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"449-451"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491211","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 5-year experience with midline catheters in the management of major head and neck surgery patients. 使用中线导管治疗头颈部大手术患者的 5 年经验。
4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-01 Epub Date: 2022-04-20 DOI: 10.1177/11297298221091141
Luca Giovanni Locatello, Thomas Saitta, Giandomenico Maggiore, Patrizia Signorini, Fulvio Pinelli, Chiara Adembri
{"title":"A 5-year experience with midline catheters in the management of major head and neck surgery patients.","authors":"Luca Giovanni Locatello, Thomas Saitta, Giandomenico Maggiore, Patrizia Signorini, Fulvio Pinelli, Chiara Adembri","doi":"10.1177/11297298221091141","DOIUrl":"10.1177/11297298221091141","url":null,"abstract":"<p><strong>Background: </strong>In the perioperative management of major head and neck surgery (HNS) patients, the performance of midline catheters (MCs) has been never tested. We present here our 5-year experience by reporting MC-related complications and by identifying the preoperative risk factors associated with their development.</p><p><strong>Methods: </strong>Clinical variables were extracted and the dwell time, the number, and the type of postprocedural complications of MCs were retrieved. Complications were classified into major (needing MCs removal and including catheter-related bloodstream infection or deep vein thrombosis or catheter occlusion) and into minor (accidental dislodgement, leaking, etc.). Descriptive statistics and logistic regression models were used in order to identify the predictors of complications.</p><p><strong>Results: </strong>A total of 265 patients were included, with a mean age of 67.4 years. Intraprocedural complications occurred in 1.1% of cases, while postprocedural complications occurred in 13.9% of cases (12.05/1000 days), but they were minor in more than 7.0% (5.4/1000 catheter-days). There were 19 minor complications (7.1% or 5.4/1000 catheter-days) while 18 (7%, 5.1/1000 catheter-days) patients experienced at least one major complication. Female sex (OR = 1.963, 95% CI 1.017-3.792), insertion in the right arm (OR = 2.473, 95% CI 1.150-5.318), and an ACE-27 score >1 (OR = 2.573, 95% CI 1.295-5.110) were independent predictors of major complications.</p><p><strong>Conclusions: </strong>MCs appear to represent an effective option in the setting of major HNS. The identification of patients most at risk for MC-related complications should prompt a postoperative watchful evaluation.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"4 1","pages":"1412-1420"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80172581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pelvic Venous Disorders: An Update in Terminology, Diagnosis, and Treatment. 盆腔静脉疾病：术语、诊断和治疗的最新进展。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1771041
Meghan R Clark, Amy C Taylor
{"title":"Pelvic Venous Disorders: An Update in Terminology, Diagnosis, and Treatment.","authors":"Meghan R Clark, Amy C Taylor","doi":"10.1055/s-0043-1771041","DOIUrl":"10.1055/s-0043-1771041","url":null,"abstract":"<p><p>Pelvic venous disorder (PeVD) is a term that encompasses all the interrelated causes of chronic pelvic pain (CPP) and perineal/lower extremity varicose veins of pelvic venous origin historically known as nutcracker syndrome, pelvic congestion syndrome, and May-Thurner syndrome, resulting in a more precise diagnosis that accounts for the underlying pathophysiology and anatomy. PeVD manifests as CPP with associated vulvar and lower-extremity varicosities, left flank pain and hematuria, and lower extremity pain and swelling secondary to obstruction or reflux in the left renal, ovarian, or iliac veins. This article will focus specifically on the most current nomenclature, evaluation, and management of CPP of venous origin.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"362-371"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988931","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
Interventional Treatment of Labial Varices. 唇静脉曲张的介入治疗
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1771040
Victoria Risner, Yuko McColgan, Gloria Salazar
{"title":"Interventional Treatment of Labial Varices.","authors":"Victoria Risner, Yuko McColgan, Gloria Salazar","doi":"10.1055/s-0043-1771040","DOIUrl":"10.1055/s-0043-1771040","url":null,"abstract":"<p><p>Labial varices are commonly seen in women with varicose veins of the pelvis. Initial management is conservative management since labial varies typically resolve, particularly in pregnant patients following delivery. Varices can be seen also in association with pelvic varices in the pelvic venous disease spectrum. Sclerotherapy is often the management. This article reviews the presentation and treatment of patients with labial varices, with a focus on interventional radiologic management.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"384-388"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988933","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
Updates on the Surgical Approach to Fibroids: The Importance of Radiofrequency Ablation. 子宫肌瘤手术方法的最新进展：射频消融的重要性。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1770734
Caroline S Kwon, Noor Dasouki Abu-Alnadi
{"title":"Updates on the Surgical Approach to Fibroids: The Importance of Radiofrequency Ablation.","authors":"Caroline S Kwon, Noor Dasouki Abu-Alnadi","doi":"10.1055/s-0043-1770734","DOIUrl":"10.1055/s-0043-1770734","url":null,"abstract":"<p><p>Uterine fibroids are the most common benign neoplasm of the female pelvis and have a lifetime prevalence exceeding 80% among African American women and approaching 70% among Caucasian women. Approximately 50% of women with fibroids experience symptoms which can range from heavy menstrual bleeding and bulk-related symptoms such as pelvic pressure with bladder and bowel dysfunction to reproductive dysfunction (e.g., infertility or obstetric complications) and pain. The choice of treatment is primarily guided by the type of symptoms in the individual patient and whether they prefer to retain fertility. While hysterectomy provides definitive resolution of fibroid symptoms and remains the most common treatment option, this procedure is invasive with a long recovery window. Radiofrequency ablation (RFA) is now emerging as a uterine preserving and minimally invasive therapy for symptomatic fibroids. Since its introduction, growing evidence for safety and efficacy of RFA has been generated with low rates of complications. This review will discuss RFA for the management of symptomatic uterine fibroids with a special focus on technical approaches, short- and long-term outcomes including fertility outcomes.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"335-341"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988936","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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