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Techniques in Vascular and Interventional Radiology最新文献

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Keeping it "straight": how to do spinal tumor ablation with vertebral augmentation 保持 "直线"：如何通过椎体增强进行脊柱肿瘤消融术
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100988
Koustav Pal MBBS, Rahul A. Sheth MD FSIR, Milan N. Patel MD
{"title":"Keeping it \"straight\": how to do spinal tumor ablation with vertebral augmentation","authors":"Koustav Pal MBBS,&nbsp;Rahul A. Sheth MD FSIR,&nbsp;Milan N. Patel MD","doi":"10.1016/j.tvir.2024.100988","DOIUrl":"10.1016/j.tvir.2024.100988","url":null,"abstract":"<div><div>This technical review provides a comprehensive overview of spinal tumor ablation and vertebral augmentation. These percutaneous minimally invasive procedures offer significant survival and palliative pain relief benefits for patients with pathological vertebral fractures. Vertebral augmentation, which includes vertebroplasty and kyphoplasty, involves injecting cement into fractured vertebral bodies to restore height. While vertebroplasty involves the direct injection of cement into a fractured vertebral body, kyphoplasty involves using a balloon to create a low-pressure cavity to allow for cement injection to restore the vertebral body height. Over the years, this technique has evolved into a straightforward process, though it presents certain technical challenges discussed in this article.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100988"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535412","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
Epidural steroid injection technique 硬膜外类固醇注射技术
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100981
Ben McCafferty MD , Roger Williams DO
{"title":"Epidural steroid injection technique","authors":"Ben McCafferty MD ,&nbsp;Roger Williams DO","doi":"10.1016/j.tvir.2024.100981","DOIUrl":"10.1016/j.tvir.2024.100981","url":null,"abstract":"<div><div>An epidural steroid injection (ESI) is a minimally invasive, image guided procedure for the treatment of back pain. Pain originating in the lumbar spine is the most common referral for ESI but the entire spine may be targeted. ESI can provide temporary but meaningful relief for patients who may have failed conservative management with oral analgesics and physical therapy. ESI may provide analgesia and anti-inflammatory effects that allow more conservative measures like physical therapy to become more effective. ESI also serves as a bridge between conservative and surgical management, intervention for postsurgical pain, or an alternative for nonsurgical candidates. This article reviews the technique for performing ESI in the cervical, thoracic, and lumbosacral spine.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100981"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534977","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
Vertebral augmentation: How we do it 椎体增强术：我们是如何做到的
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100979
Junaid Raja MD MSPH , Jake DiFatta BS , Junjian Huang MD , Dana Dunleavy MD
{"title":"Vertebral augmentation: How we do it","authors":"Junaid Raja MD MSPH ,&nbsp;Jake DiFatta BS ,&nbsp;Junjian Huang MD ,&nbsp;Dana Dunleavy MD","doi":"10.1016/j.tvir.2024.100979","DOIUrl":"10.1016/j.tvir.2024.100979","url":null,"abstract":"<div><div>Vertebral augmentation consists of minimally invasive techniques indicated in the treatment of vertebral compression fractures (VCFs). These compression fractures cause vertebral body height loss and consequent significant pain and are most frequently the result of osteoporosis, cancer metastasis, or trauma. The deleterious effects of VCFs often compound, as greater load-bearing stress is transferred to the remaining healthy vertebrae. Kyphoplasty, vertebroplasty, and intravertebral implants are closely related vertebral augmentation techniques that serve to relieve pain and to counter pathophysiological stress and structural degradation of the vertebral column alignment. All 3 approaches are performed percutaneously and are therefore attractive options for patients deemed to be poor candidates for open surgery.</div><div>Each technique involves transpedicular needle access to the vertebral body matrix, followed by introduction of a cement-like polymer through a catheter to fill the space and provide structural fortification. Vertebroplasty involves injection of the cement material into the matrix space without any adjunctive measures. In kyphoplasty, a balloon is first introduced to expand the collapsed, fractured area with the goal of approximating the prefracture anatomy of the vertebral body and thereby spinal curvature, promptly followed by cement introduction. In intravertebral implantation procedures, a permanent jack is inserted into the vertebral body matrix and expanded craniocaudally, with the same purpose of restoring normal structure, before the matrix space is filled with cement polymer. This article provides an overview of these vertebral augmentation techniques, including pre and postprocedural considerations, with an emphasis on the technical aspects of the interventions.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100979"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535405","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
Targeted drug delivery via intrathecal pain pump for the treatment of malignant pain 通过鞘内止痛泵靶向给药治疗恶性疼痛
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100985
Dr. George Zlotchenko MD , Dr. Thor Johnson MD, PhD , Katherine Kelson BA
{"title":"Targeted drug delivery via intrathecal pain pump for the treatment of malignant pain","authors":"Dr. George Zlotchenko MD ,&nbsp;Dr. Thor Johnson MD, PhD ,&nbsp;Katherine Kelson BA","doi":"10.1016/j.tvir.2024.100985","DOIUrl":"10.1016/j.tvir.2024.100985","url":null,"abstract":"<div><div>Cancer patients experience pain at significant rates but are often undertreated—it is estimated that less than 1% of eligible cancer pain patients receive appropriate targeted drug delivery to address their pain. Cancer pain is often managed with systemic opioid treatment; however, this approach is limited in treating pain adequately and carries significant side effect risk profiles. Successful treatment of pain is closely tied to better oncologic outcomes as well as better measures on assessments of quality of life for cancer patients. Placement of intrathecal pain pumps represent a safe and effective way to manage pain in cancer patients. We describe the process of placing intrathecal pain pumps in an interventional radiology suite. This method of pump placement represents a minimally invasive approach to long term and continuous pain relief. Intrathecal pain pumps help maximize pain control for patients experiencing refractory pain due to disease process or treatments associated with malignancy.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100985"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535409","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
Thoracolumbar spinal cord stimulation: technique and overview 胸腰椎脊髓刺激术：技术与概述
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100986
Christopher Paul MD, Rene Powell DO, Prentiss Lawson MD
{"title":"Thoracolumbar spinal cord stimulation: technique and overview","authors":"Christopher Paul MD,&nbsp;Rene Powell DO,&nbsp;Prentiss Lawson MD","doi":"10.1016/j.tvir.2024.100986","DOIUrl":"10.1016/j.tvir.2024.100986","url":null,"abstract":"<div><div>Since the introduction of spinal cord stimulation in 1967, the therapy has become a cornerstone in the treatment of several chronic pain syndromes, including but not limited to: postlaminectomy syndrome, lumbar radiculopathy, complex regional pain syndrome and diabetic peripheral neuropathy. This article aims to examine the methodology and practical considerations involved in thoracolumbar spinal cord stimulation implementation, emphasizing procedural techniques and critical criteria for selecting patients to achieve optimal outcomes and minimization of complications.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100986"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535410","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
Basivertebral nerve ablation technique 椎基底神经消融技术
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100987
John B. Smirniotopoulos MS, MD , Uchenna Osuala MS , Clark R. Restrepo MD , Junjian Huang MD
{"title":"Basivertebral nerve ablation technique","authors":"John B. Smirniotopoulos MS, MD ,&nbsp;Uchenna Osuala MS ,&nbsp;Clark R. Restrepo MD ,&nbsp;Junjian Huang MD","doi":"10.1016/j.tvir.2024.100987","DOIUrl":"10.1016/j.tvir.2024.100987","url":null,"abstract":"<div><div>Chronic low back pain represents a leading cause of global disability, but can often be complex in etiology, with multiple pain generators contributing to patient discomfort. Anterior column low back pain involves the vertebral bodies and discs, with the vertebral body endplates now known to be a significant pain generator. Vertebrogenic low back pain secondary to irritation of the basivertebral nerve presents as axial discomfort, worse with forward flexion, and with concomitant Type I or II Modic changes on MRI. Minimally invasive basivertebral nerve radiofrequency ablation has emerged as an effective intervention for managing anterior column back pain. In this article, the authors present a comprehensive approach to identifying and treating vertebrogenic low back pain through image guided basivertebral nerve ablation. We outline the patient presentation and diagnostic workup, followed by a detailed procedural guide including equipment requirements, technique execution, and potential technical challenges and complications.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100987"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535411","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
Percutaneous spinal decompression 经皮脊柱减压
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100980
Kelly Trinh , Mohammad Ghasemi-Rad , Dimitrios Filiapadis , Zubin Irani
{"title":"Percutaneous spinal decompression","authors":"Kelly Trinh ,&nbsp;Mohammad Ghasemi-Rad ,&nbsp;Dimitrios Filiapadis ,&nbsp;Zubin Irani","doi":"10.1016/j.tvir.2024.100980","DOIUrl":"10.1016/j.tvir.2024.100980","url":null,"abstract":"<div><div>Symptoms arise when narrowing of the spinal canal, lateral recesses, or intervertebral foramina impinge upon the neural structures that traverse the spinal column. Pathology involving the structures that make up the spine can narrow the relevant spaces. Here a description of percutaneous procedures that address narrowing from disc disease, ligamentum Flavum hypertrophy, and devices that open and stabilize the spine at individual levels are presented.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100980"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534976","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
The importance of advanced image guided pain management and the role of interventional radiology 先进的图像引导疼痛治疗的重要性和介入放射学的作用
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100978
Junjian Huang MD
{"title":"The importance of advanced image guided pain management and the role of interventional radiology","authors":"Junjian Huang MD","doi":"10.1016/j.tvir.2024.100978","DOIUrl":"10.1016/j.tvir.2024.100978","url":null,"abstract":"","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100978"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535404","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 peripheral nerve interventions- applications and techniques 图像引导下的周围神经干预--应用与技术
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100982
Junman Kim MD, Ricardo Martinez Garcia MD, MPH, John David Prologo MD
{"title":"Image-guided peripheral nerve interventions- applications and techniques","authors":"Junman Kim MD,&nbsp;Ricardo Martinez Garcia MD, MPH,&nbsp;John David Prologo MD","doi":"10.1016/j.tvir.2024.100982","DOIUrl":"10.1016/j.tvir.2024.100982","url":null,"abstract":"<div><div>Interventional radiology continues to be at the forefront of acute and chronic pain management. Our unique imaging expertise and ability to target difficult to reach structures allows for the continuous development of new ways to treat a variety of pain generators. In addition, the advent of thermal ablation techniques and technologies has provided a unique opportunity to offer patients more durable and predictable options to treat their pain. This is particularly important during the opioid epidemic, as multiple local and international governmental bodies push for physicians to create ways to manage pain while reducing the need for long-term opioid dependence. This article aims to review various image-guided techniques and tools for the treatment of pain related to peripheral pain generators, with a focus on the extremities, lumbosacral and pelvic region, and the chest wall. For each target and pathology, we will discuss general etiology, anatomy, procedural approach, and briefly evaluate the supporting literature in each clinical situation.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100982"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535406","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
Extra axial bone ablation with augmentation 轴外骨消融与骨增量术
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100989
Anthony Tadros MD , Frank Chiarappa MD , James Flint MD , Susan Bukata MD , Sean Tutton MD
{"title":"Extra axial bone ablation with augmentation","authors":"Anthony Tadros MD ,&nbsp;Frank Chiarappa MD ,&nbsp;James Flint MD ,&nbsp;Susan Bukata MD ,&nbsp;Sean Tutton MD","doi":"10.1016/j.tvir.2024.100989","DOIUrl":"10.1016/j.tvir.2024.100989","url":null,"abstract":"<div><div>Pelvic bone metastases frequently result in severe pain and disability. Open surgical reconstruction is associated with a high complication and mortality rate. Percutaneous screw fixation is a minimally invasive treatment that is safe and effective for the management of periacetabular metastases. This article details our technique for pelvic screw fixation, including (1) perioperative care, (2) navigation and needle guidance, (3) access, (4) biopsy and ablation, (5) screw placement, and (6) cement augmentation.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100989"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535413","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
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