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Seminars in Interventional Radiology最新文献

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Portal Hypertension in Patients with Hemophilia. 血友病患者的门静脉高压症。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1771039
Dan F Laney Iv, Matthew Houle, Leigh Deshotels, Hector Ferral
{"title":"Portal Hypertension in Patients with Hemophilia.","authors":"Dan F Laney Iv, Matthew Houle, Leigh Deshotels, Hector Ferral","doi":"10.1055/s-0043-1771039","DOIUrl":"10.1055/s-0043-1771039","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"389-392"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988934","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
Local Methotrexate Plus Uterine Artery Embolization for High-Risk Interstitial Ectopic Pregnancy. 局部甲氨蝶呤加子宫动脉栓塞治疗高风险间质异位妊娠。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1770712
Mark Mikhitarian, William Goodnight Iii, Nicole Keefe
{"title":"Local Methotrexate Plus Uterine Artery Embolization for High-Risk Interstitial Ectopic Pregnancy.","authors":"Mark Mikhitarian, William Goodnight Iii, Nicole Keefe","doi":"10.1055/s-0043-1770712","DOIUrl":"10.1055/s-0043-1770712","url":null,"abstract":"<p><p>Interstitial ectopic pregnancy involves the interstitial portion of the fallopian tube and is among the most hazardous of all ectopic pregnancies, with the highest risk of uterine rupture and maternal mortality. Unlike tubal ectopic pregnancy, management of interstitial pregnancy is not well standardized. Systemic methotrexate (MTX) and surgical resection are the primary treatment options; however, failure rates and risk of bleeding remain high. Alternative minimally invasive techniques have been described-including uterine artery embolization (UAE) and local injection of MTX or potassium chloride-and may confer improved success rates. We report a case of a high-risk 28-year-old female with an interstitial ectopic pregnancy successfully treated with combined local injection of MTX plus UAE. We describe our technique and the unique medical management in the setting of a known bleeding disorder.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"357-361"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988932","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: The Role of Interventional Radiology in Multidisciplinary Management. 胎盘早剥谱：介入放射学在多学科管理中的作用。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1771038
Troy K Sanders, Jessica K Stewart
{"title":"Placenta Accreta Spectrum: The Role of Interventional Radiology in Multidisciplinary Management.","authors":"Troy K Sanders, Jessica K Stewart","doi":"10.1055/s-0043-1771038","DOIUrl":"10.1055/s-0043-1771038","url":null,"abstract":"<p><p>Placenta accreta spectrum is increasing in prevalence and poses significant risks to obstetric patients. This article defines characteristics, diagnosis, management, and outcomes of placenta accreta spectrum, highlighting interventional radiology's role in its management as part of a multidisciplinary approach.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"349-356"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998164","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
Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility. 治疗不孕症的输卵管近端阻塞再通术。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1771042
Priya Mody, Gloria Salazar, Maureen P Kohi
{"title":"Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility.","authors":"Priya Mody, Gloria Salazar, Maureen P Kohi","doi":"10.1055/s-0043-1771042","DOIUrl":"10.1055/s-0043-1771042","url":null,"abstract":"<p><p>Infertility affects approximately 15% of patients worldwide, with up to 40% of cases attributed to tubal disease, and up to 25% of those being proximal fallopian tube obstruction (FTO). Evaluation of tubal patency can be performed via laparoscopic chromopertubation, hysterosalpingography, or hysterosalpingo-contrast-sonography (HyCoSy). In patients with proximal tubal obstruction, fallopian tube recanalization (FTR) can result in up to 100% technical success rate with pregnancy rates of 12.8 to 51%. More pregnancies occur when oil-soluble contrast media are used versus water-soluble contrast media. Complications of FTR are rare and include tubal perforation, ectopic pregnancy, and pelvic infection. Reocclusion of fallopian tubes may occur in 20 to 50% of patients; however, FTR may be repeated in these cases. Overall, FTR is underutilized in the treatment of infertility secondary to proximal FTO and it can obviate costly and time-consuming assistive reproductive techniques such as in vitro fertilization in some patients, as well as decreasing physical and emotional stress.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"379-383"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998162","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
Uterine Vascular Anomalies: Management and Treatment Overview. 子宫血管异常：管理和治疗概述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1770714
Monica M Matsumoto, Theresa M Caridi
{"title":"Uterine Vascular Anomalies: Management and Treatment Overview.","authors":"Monica M Matsumoto, Theresa M Caridi","doi":"10.1055/s-0043-1770714","DOIUrl":"10.1055/s-0043-1770714","url":null,"abstract":"<p><p>Uterine vascular anomalies (UVAs), while rare, can result in severe, life-threatening hemorrhage. An understanding of the presentation and management options for UVAs is important for interventional radiologists to appropriately evaluate and care for these patients. The authors propose a standardized terminology for UVAs to avoid confusion and conflating congenital from acquired vascular lesions, which have a different pathophysiology. Limited high-level evidence and no definitive guidelines for UVA management exist, although endovascular treatment with uterine artery embolization has generally become the first-line approach for symptomatic or persistent UVAs with high technical and clinical success rates. There is also no consensus on the optimal embolization technique; the authors propose an initial approach to first embolize the dominant uterine artery supplying the UVA with gelatin sponge, with the option to embolize the contralateral side at the time of initial embolization if there is persistent supply (avoiding bilateral empiric embolization). Repeat embolization is feasible and recommended in the setting of recurrence, and both clinical and imaging follow-up is important. Ultimately, a multidisciplinary approach with individualized patient management is needed, particularly in the face of a lack of consensus guidelines for the management of symptomatic UVAs.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"342-348"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998165","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
Update on Endovascular Therapy for Fibroids and Adenomyosis. 子宫肌瘤和腺肌症血管内治疗的最新进展。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1770713
Merve Ozen, Ronak Patel, Mark Hoffman, Driss Raissi
{"title":"Update on Endovascular Therapy for Fibroids and Adenomyosis.","authors":"Merve Ozen, Ronak Patel, Mark Hoffman, Driss Raissi","doi":"10.1055/s-0043-1770713","DOIUrl":"10.1055/s-0043-1770713","url":null,"abstract":"<p><p>Uterine fibroids and adenomyosis are prevalent benign neoplasms that can lead to serious deleterious health effects including life-threatening anemia, prolonged menses, and pelvic pain; however, up to 40% of women remain undiagnosed. Traditional treatment options such as myomectomy or hysterectomy can effectively manage symptoms but may entail longer hospital stays and hinder future fertility. Endovascular treatment, such as uterine artery embolization (UAE), is a minimally invasive procedure that has emerged as a well-validated alternative to surgical options while preserving the uterus and offering shorter hospital stays. Careful patient selection and appropriate techniques are crucial to achieving optimal outcomes. There have been advancements in recent times that encompass pre- and postprocedural care aimed at enhancing results and alleviating discomfort prior to, during, and after UAE. Furthermore, success and reintervention rates may also depend on the size and location of the fibroids. This article reviews the current state of endovascular treatments of uterine fibroids and adenomyosis.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"327-334"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988935","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
Evaluation and Medical Management of Chronic Pelvic Pain. 慢性盆腔疼痛的评估和医疗管理。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1770715
Erin T Carey, Asha B McClurg
{"title":"Evaluation and Medical Management of Chronic Pelvic Pain.","authors":"Erin T Carey, Asha B McClurg","doi":"10.1055/s-0043-1770715","DOIUrl":"10.1055/s-0043-1770715","url":null,"abstract":"<p><p>Chronic pelvic pain (CPP) is a challenging condition affecting an estimated 15% of females in the United States. Multiorgan system dysfunction results in the complex clinical pain presentation. Similar to other chronic pain syndromes, CPP is influenced by biopsychosocial factors and requires a multimodal approach for optimal pain management. This review summarizes the clinical evaluation and medical management of CPP with a comprehensive approach.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 4","pages":"372-378"},"PeriodicalIF":1.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9997726","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
Erratum: Updates on the Surgical Approach to Fibroids: The Importance of Radiofrequency Ablation 勘误：子宫肌瘤手术方法的最新进展：射频消融的重要性
IF 1.4 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-08-01 DOI: 10.1055/s-0043-1775803
C. S. Kwon, N. Abu-Alnadi
{"title":"Erratum: Updates on the Surgical Approach to Fibroids: The Importance of Radiofrequency Ablation","authors":"C. S. Kwon, N. Abu-Alnadi","doi":"10.1055/s-0043-1775803","DOIUrl":"https://doi.org/10.1055/s-0043-1775803","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"7 1","pages":"e1 - e1"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139352455","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
Embolic Agents: Particles. 栓塞剂：颗粒。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769744
Sean Lee, Abheek Ghosh, Nicholas Xiao, Andrew C Gordon, Negar Heidarpour, Brian Funaki, Robert J Lewandowski
{"title":"Embolic Agents: Particles.","authors":"Sean Lee, Abheek Ghosh, Nicholas Xiao, Andrew C Gordon, Negar Heidarpour, Brian Funaki, Robert J Lewandowski","doi":"10.1055/s-0043-1769744","DOIUrl":"10.1055/s-0043-1769744","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"315-322"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033157","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
Dealing with Complications: First Address the Emotional Response. 处理并发症：首先解决情绪反应。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1769767
Mikin V Patel
{"title":"Dealing with Complications: First Address the Emotional Response.","authors":"Mikin V Patel","doi":"10.1055/s-0043-1769767","DOIUrl":"10.1055/s-0043-1769767","url":null,"abstract":"<p><p>Medical complications often leave the responsible physicians with strong negative emotional responses. Through self-compassion, physicians can overcome these negative emotions and continue to improve.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 3","pages":"253"},"PeriodicalIF":1.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9858007","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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