The Interventionalist Journal最新文献

{"title":"Effectiveness of integrated prophylactic antibiotics prescription in patients undergoing radiofrequency and microwave ablation of liver tumors: a retrospective cohort study","authors":"Wen Xuan Pang, Kai Chee Hung, Nathalie Grace Sy Chua, Shimin Jasmine Chung, Sum Leong","doi":"10.32896/tij.v3n4.1-11","DOIUrl":"https://doi.org/10.32896/tij.v3n4.1-11","url":null,"abstract":"An institutionalised in-house antibiotic prophylaxis (AP) guideline was developed in May 2019 to standardize AP prescription. This retrospective cohort study evaluated the effectiveness and clinical outcomes of the newly launched AP guideline on patients undergoing radiofrequency (RFA) and microwave (MWA) ablation of the liver from November 2018 to March 2020. Patients without high risk of biliary tree contamination were recommended a single dose of 2g IV cefazolin (or 600mg IV clindamycin in cases of beta-lactam allergy). Univariate analysis was conducted to evaluate the clinical outcomes. \u0000  \u0000The study included 87 patients who underwent 93 procedures consisting of 18 RFAs and 75 MWAs for liver tumours. Concordance with AP guidelines improved significantly (38.5% vs. 87.0%; p<0.001). There were no ablation-related infections and mortality within 30 days post-ablation, and post-procedural nausea and vomiting were significantly reduced (15.4% vs. 1.9%; p=0.020). No significant difference in post-procedural fever (7.7% vs. 5.6%; p-value=0.693), chest and/or abdominal pain (5.1% vs. 7.4%; p=1.000) were noted. \u0000  \u0000The newly implemented in-house antibiotic prophylaxis guideline streamlined AP prescribing in patients undergoing RFA and MWA. Additional research is needed to determine the effects on infection and mortality in patients with high-risk factors such as bile duct stents, sphincterotomies, and biliary-enteric anastomoses.","PeriodicalId":489725,"journal":{"name":"The Interventionalist Journal","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140515594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EMBOLIZATION FOR THE TREATMENT OF DELAYED HEMATURIA RENAL ARTERY PSEUDOANEURYSM FOLLOWING BLUNT TRAUMA","authors":"Ginanda Nabilla Hardiyanti, Ahmad Khairulnaim Bin Ahmad Kabir, Nur Liyana Mohamed Mustafa, Anas Tharek, Mohd Fandi Al-Khafiz Kamis, Achmad Bayhaqi Nasir Aslam, Ahmad Sobri Bin Muda","doi":"10.32896/tij.v3n3.1-9","DOIUrl":"https://doi.org/10.32896/tij.v3n3.1-9","url":null,"abstract":"Background: The occurrence of a renal artery pseudoaneurysm after blunt renal trauma is an infrequent complication. The occurrence of delayed bleeding is typically observed within a period of 2 to 3 weeks following an injury and is commonly attributed to the presence of an arteriovenous malformation (AVM) or pseudoaneurysm. They are frequently observed in cases of injuries of greater severity or trauma that penetrates the body. The application of angiographic catheterization is efficacious in the detection of pseudoaneurysms in the renal artery. The management of renal pseudoaneurysms necessitates the consideration of distinct clinical associations, including the location and size of the lesion as well as the presence of symptoms.&#x0D; Objective: The objective of this study is to provide a detailed account of the use of an angiographic catheter and embolization in the treatment of a patient afflicted with a post-traumatic renal artery pseudoaneurysm.&#x0D; Materials and Methods: Conducting a literature review and medical records.&#x0D; Results: A case of renal artery pseudoaneurysm is presented. A male individual aged 33 sought medical attention at the emergency department following a motorcycle collision and exhibited symptoms of pain in the right flank region. The individual underwent a medical intervention involving the placement of a double J stent. After a period of nearly fourteen days, the individual reported experiencing hematuria. The abdominal CT scan revealed a renal injury on the right side with an AAST grade of 4, while the renal CTA demonstrated the presence of a pseudoaneurysm. A pseudoaneurysm was observed at the renal poles on the right side through the use of an angiographic catheter. The procedure of selective embolization utilising coils was executed on the renal arteries located at the lower and middle poles of the right kidney.&#x0D; Conclusion: The occurrence of renal artery pseudoaneurysms is infrequent; however, it is a grave complication that may arise from renal trauma. The accurate diagnosis and effective management of pseudoaneurysms are of paramount importance due to their potential to cause severe and potentially fatal complications if left untreated. The diagnostic process for pseudoaneurysms heavily relies on the involvement of the general radiologist. Interventional radiology provides alternative minimally invasive procedures that are linked to reduced morbidity and mortality rates and have replaced surgical interventions in the management of certain conditions.&#x0D; Keywords: pseudoaneurysm, angiographic catheter, embolization","PeriodicalId":489725,"journal":{"name":"The Interventionalist Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On table Ruptured of Brachiocephalic Artery Pseudoaneurysm.","authors":"ABDUL HADI SHAMSUL BAHRIN, None CHANDRAN NADARAJAN, None MOHD HAFIZUDDIN HUSIN @ MOHD HUSSIN, None NASIBAH MOHAMAD","doi":"10.32896/tij.v3n3.10-21","DOIUrl":"https://doi.org/10.32896/tij.v3n3.10-21","url":null,"abstract":"Pseudoaneurysms are abnormal outpouching or dilatation of arteries bound only by the tunica adventitia, the outermost layer of the arterial wall. The presence of a pseudoaneurysm is like a ticking bomb that can rupture anytime causing dire consequences for the patient. The brachiocephalic trunk is an uncommon location for such pseudoaneurysms. We present a patient with this uncommon pseudoaneurysm, which ruptured on the table during stent deployment. We will discuss the diagnosis and management plan for this situation as well as the literature review.","PeriodicalId":489725,"journal":{"name":"The Interventionalist Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135083243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"APCB's Abstracts 2","authors":"None Asia-Pacific Congress Bronchology-Interventional Pulmonology","doi":"10.32896/tij.v3n2.26-31","DOIUrl":"https://doi.org/10.32896/tij.v3n2.26-31","url":null,"abstract":"MYSIR’s Abstracts 21. EP01: LARGEST CASE SERIES OF FLEXIBLE BRONCHOSCOPY REMOVAL OF ASPIRATED SCARF PINS 2. EP02: TO COMPARE THE EFFICACY AND DIAGNOSTIC YIELD OF BRONCHOSCOPIC BIOPSY USING CONVENTIONAL FORCEPS VERSUS 1.1MM CRYOPROBE IN CENTRAL AIRWAY LESION 3. EP03: PREDICTIVE RISK FACTORS FOR PNEUMOTHORAX AFTER FLUOROSCOPIC GUIDED TRANSBRONCHIAL LUNG BIOPSY 4. EP04: THE EFFICACY OF BRONCHIAL WASHING AND BRONCHOALVEOLAR LAVAGE IN SUSPECTED PULMONARY TUBERCULOSIS IN ASIAN POPULATION 5. EP05: BRONCHOSCOPIC MANAGEMENT OF PEDIATRIC BENIGN TRACHEO-BRONCHIAL STENOSIS: A RETROSPECTIVE STUDY","PeriodicalId":489725,"journal":{"name":"The Interventionalist Journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136102079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"APCB's Abstracts 3","authors":"None Asia-Pacific Congress Bronchology-Interventional Pulmonology","doi":"10.32896/tij.v3n2.32-37","DOIUrl":"https://doi.org/10.32896/tij.v3n2.32-37","url":null,"abstract":"APCB’s Abstracts 31. EP06: FLEXIBLE BRONCHOSCOPY FOR THE EXTRACTION OF ASPIRATED STRAIGHT PIN IN CHILDREN 2. EP07: OUTCOMES OF SLIDE TRACHEOPLASTY IN CONGENITAL TRACHEAL STENOSIS: A 10-YEAR EXPERIENCE 3. EP08: FRONTIERS IN MANAGING BENIGN CENTRAL AIRWAY STENOSIS: THE FIRST CASE OF BIODEGRADABLE AIRWAY STENT IN ASIA 4. E0P09: THE RELATIONSHIP BETWEEN RADIATION EXPOSURE AND THE EXPOSURE REDUCTION EFFECTI OF THE PROTECTIVE GLASSES DURING BRONCHOSCOPY USING A C-ARM X-RAY FLUOROSCOPY SYSTEM","PeriodicalId":489725,"journal":{"name":"The Interventionalist Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136102080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"APCB's Abstracts 1","authors":"None Asia-Pacific Congress Bronchology-Interventional Pulmonology","doi":"10.32896/tij.v3n2.20-25","DOIUrl":"https://doi.org/10.32896/tij.v3n2.20-25","url":null,"abstract":"APCB’s Abstracts 11. OP01: ROLE OF ULTRASONOGRAPHY IN THE ASSESSMENT OF PULMONARY FIBROSIS IN ILD AND ITS CORRELATION WITH HRCT AND CRYOBIOPSY 2. OP02: A STUDY OF CASES REQUIRING RE-TREATMENT SHORTLY AFTER RIGID BRONCHOSCOPIC THERAPY 3. OP03: EXTRACORPOREAL SUPPORT AS AN AID FOR COMPLEX CENTRAL AIRWAY OBSTRUCTION - A CASE SERIES 4. OP04: THE “HITCH-STITCH” FOR PREVENTING HIGH TRACHEAL STENTING MIGRATION 5. OP05: COMPARISION OF TRANSBRONCHIAL LUNG FORCEPS BIOPSY AND CRYOBIOPSY FOR DIAGNOSIS OF DIFFUSE PARENCHYMAL LUNG DISEASE- A PROSPECTIVE SINGLE CENTRE STUDY","PeriodicalId":489725,"journal":{"name":"The Interventionalist Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136102187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}