Techniques in Vascular and Interventional Radiology最新文献_第10页

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2022-03-01 DOI: 10.1016/j.tvir.2022.100800

Salman Masood MBBS, FCPS, Paul I. Mallinson MBChB, FRCR, FRCPC, Adnan Sheikh MD, FASER, Hugue Ouellette BSc, MD, FRCPC, ABR, Peter L. Munk MDCM, FRCPC, FSIR, FFRRCSI (Hon)

{"title":"Percutaneous bone biopsy","authors":"Salman Masood MBBS, FCPS, Paul I. Mallinson MBChB, FRCR, FRCPC, Adnan Sheikh MD, FASER, Hugue Ouellette BSc, MD, FRCPC, ABR, Peter L. Munk MDCM, FRCPC, FSIR, FFRRCSI (Hon)","doi":"10.1016/j.tvir.2022.100800","DOIUrl":"10.1016/j.tvir.2022.100800","url":null,"abstract":"<div><p>Image guided percutaneous biopsy has become the initial procedure of choice in most cases for obtaining bone samples for histological and microbiological assessment. It is a minimally invasive procedure which offers multiple advantages over open surgical biopsy including maintenance of bone structure, minimal soft tissue injury, reduced need of general anesthesia, reduced hospital stay and a low rate of post-procedure complications. In some cases, it can be combined with therapeutic procedures such as cementoplasty and cryoablation via the same access route. For the radiologist, knowledge of the key principles is essential for a safe and effective procedure, particularly when a sarcoma of bone is in the differential diagnosis. In this article we cover the core concepts of percutaneous bone biopsy including indications and contraindications, essential planning steps, appropriate imaging modalities, equipment selection, common approaches, technique as well as avoiding, recognizing and treating complications. Recent technological advancements in this field are also discussed.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1089251622000051/pdfft?md5=a5df425e660653e84a9ac5ca0c1dc177&pid=1-s2.0-S1089251622000051-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88078244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 ablations in peripheral skeleton: Rationale, techniques and evidence 外周骨消融:原理、技术和证据。

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2022-03-01 DOI: 10.1016/j.tvir.2022.100804

Leo Razakamanantsoa MD, MSc , A. Nicholas Kurup MD , Matthew R. Callstrom MD, PhD , Jack W. Jennings MD, PhD , Francois H. Cornelis MD, PhD

引用次数: 1

Avoiding complications in percutaneous osteoplasty 经皮骨成形术避免并发症。

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2022-03-01 DOI: 10.1016/j.tvir.2022.100799

Dimitrios Filippiadis MD, PhD, Alexis Kelekis MD, PhD

{"title":"Avoiding complications in percutaneous osteoplasty","authors":"Dimitrios Filippiadis MD, PhD, Alexis Kelekis MD, PhD","doi":"10.1016/j.tvir.2022.100799","DOIUrl":"10.1016/j.tvir.2022.100799","url":null,"abstract":"<div><p><span><span>Percutaneous osteoplasty techniques include cement injection either solely performed or in combination to hardware such as cannulated screws, peek implants or other metallic hardware including micro-needles and </span>Kirschner wires<span>. Depending on bone and local forces applied, fracture and osseous defect characteristics as well as symptoms and operator's preference percutaneous osteoplasty techniques include cementoplasty, fixation by internal cemented screw and augmented osteoplasty. Literature data support efficacy and safety of these techniques, focusing mainly on the minimal invasive nature of these approaches along with minimum overall morbidity and mortality and an impressive pain reduction effect. Percutaneous osteoplasty techniques in the peripheral </span></span>skeleton<span> are indicated for pain palliation<span> or for prevention of impeding pathologic fractures. Although safe, osteoplasty techniques are not without risk of complications and adverse events. Complications are classified based either upon clinical impact or timing of occurrence; complications’ reviewing and grading should be performed on terms of a uniform and accurate reproducible and validated categorization system. Significant factors for avoiding complications in percutaneous osteoplasty techniques include proper training, patient- and lesion-tailored approach, high-quality imaging guidance, sterility as well as appropriate selection of technique and materials. The present article reports the possible complications of percutaneous osteoplasty techniques and reviews the prerequisites necessary for avoiding and managing these adverse events.</span></span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86197810","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}

引用次数: 0

Image guided procedures to stabilize the pelvic girdle in cancer patients 影像引导手术稳定癌症患者骨盆带。

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2022-03-01 DOI: 10.1016/j.tvir.2022.100801

Majid Maybody MD, Amgad M. Moussa MD, Ernesto Santos MD

引用次数: 0

Percutaneous Fixation of Impending Fracture of the Hip 即将发生的髋部骨折的经皮内固定。

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2022-03-01 DOI: 10.1016/j.tvir.2022.100802

Charles Roux MD, MSc , Lambros Tselikas MD, MSc , Alexandre Delpla MD , Steven Yevich MD, MSc , Christophe Teriitehau PhD , Antoine Hakime MD, MSc , Eloi Varin MD , Adrian Kobe MD , Thierry de Baère MD, PhD , Frédéric Deschamps MD, PhD

引用次数: 1

Percutaneous osteoplasty in long bones: Current status and assessment of outcomes 长骨经皮骨成形术:现状和结果评估。

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2022-03-01 DOI: 10.1016/j.tvir.2022.100803

Roberto Luigi Cazzato MD, PhD , Julien Garnon MD, PhD , Danoob Dalili MD , Pierre-Alexis Autrusseau MD , Pierre Auloge MD , Pierre De Marini MD , Xavier Buy MD , Jean Palussiere MD , Afshin Gangi MD, PhD

{"title":"Percutaneous osteoplasty in long bones: Current status and assessment of outcomes","authors":"Roberto Luigi Cazzato MD, PhD , Julien Garnon MD, PhD , Danoob Dalili MD , Pierre-Alexis Autrusseau MD , Pierre Auloge MD , Pierre De Marini MD , Xavier Buy MD , Jean Palussiere MD , Afshin Gangi MD, PhD","doi":"10.1016/j.tvir.2022.100803","DOIUrl":"10.1016/j.tvir.2022.100803","url":null,"abstract":"<div><p><span>Osteoplasty is a minimally invasive imaging-guided intervention providing mechanical stabilization, bone consolidation and pain relief in oncologic patients presenting with non-osteoblastic </span>bone metastases<span> or with insufficiency fractures. The intervention relies on the injection of an acrylic substance (ie, polymethylmethacrylate; PMMA) into the target bone.</span></p><p>PMMA is very resistant to axial compressive loads but much less to bending, torsional and shearing stresses. Accordingly, from a biomechanical standpoint osteoplasty is adapted for the palliative treatment<span><span> of small painful lytic bone defects located in the epiphyseal region of long bones </span>in patients with clear surgical contraindications; or for increasing the anchoring of the osteosynthesis material into the target bone.</span></p><p>Although pain relief is rapid and effective following osteoplasty, secondary fractures have been reported in up to 8-9% of long bone tumors undergoing such intervention; and following such event, fixation with endomedullary osteosynthetic material (eg, nailing) is not practicable any more. Accordingly, careful patients’ selection is critical and should happen with a multidisciplinary approach.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81996521","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}

引用次数: 2

Osteoplasty, Fixation, and Ablations in Peripheral Bones: It is Time for Interventional Radiologists to Move Forward. 外周骨成形术、固定和消融:介入放射科医师向前迈进的时候到了。

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2022-01-01 DOI: 10.1016/j.tvir.2022.100805

F. Cornelis, S. Solomon, Muneeb Ahmed

引用次数: 0

Corrigendum to Simulation-based Training for Interventional Radiology and Opportunities for Improving the Educational Paradigm 介入放射学模拟训练的勘误表和改进教育模式的机会

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2021-12-01 DOI: 10.1016/j.tvir.2021.100764

Z.A. Miller , A. Amin , J. Tu , A. Echenique , R.S. Winokur

引用次数: 0

Percutaneous Core Needle Biopsy: Considerations in the Pediatric Patient 经皮核心穿刺活检:儿科患者的注意事项

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2021-12-01 DOI: 10.1016/j.tvir.2021.100779

Christopher A. Hesh MD , Anne E. Gill MD

引用次数: 2

Transjugular Liver Biopsy 经颈静脉肝活检

IF 1.7

Techniques in Vascular and Interventional Radiology Pub Date : 2021-12-01 DOI: 10.1016/j.tvir.2021.100795

Claire S. Kaufman MD , Maxwell R. Cretcher MD

引用次数: 2