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Intraoperative Bile Duct Disruption Treated Using Intrahepatic Biliary Ablation with Ethanol: A Report of Two Cases 术中应用乙醇肝内胆道消融治疗胆管破裂2例报告
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-09-30 DOI: 10.22575/interventionalradiology.2020-0011
S. Miyayama, M. Yamashiro, Natsuki Sugimori, R. Ikeda, T. Ishida, Naoko Sakuragawa, T. Terada
{"title":"Intraoperative Bile Duct Disruption Treated Using Intrahepatic Biliary Ablation with Ethanol: A Report of Two Cases","authors":"S. Miyayama, M. Yamashiro, Natsuki Sugimori, R. Ikeda, T. Ishida, Naoko Sakuragawa, T. Terada","doi":"10.22575/interventionalradiology.2020-0011","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0011","url":null,"abstract":"We report two cases of intraoperative bile duct disruption. In case 1, an isolated bile duct in the remnant of the anterosuperior liver segment after right hepatic lobectomy for cholangiocarcinoma caused bile leakage. In case 2, bile leakage continued from a disrupted accessory hepatic duct during pancreaticoduodenectomy for pancreatic carcinoma. In both patients, a mixture of ethanol and iodized oil at a 10:1 ratio was injected into the disrupted bile duct under balloon occlusion. In case 1, the mixture was injected through a balloon catheter under balloon occlusion overnight. No severe complications developed in either case. Bile leakage stopped postoperatively and did not recur until the patients' death from tumor progression 14 and 16 months after surgery, respectively.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48071040","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
Recent Update of Endovascular Type 2 Endoleak Management 血管内2型内漏治疗的最新进展
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-09-30 DOI: 10.22575/interventionalradiology.2020-0016
Y. Katada
{"title":"Recent Update of Endovascular Type 2 Endoleak Management","authors":"Y. Katada","doi":"10.22575/interventionalradiology.2020-0016","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0016","url":null,"abstract":"EVAR has been used clinically for almost three decades, and it has been widely applied in clinical practice and has been applied to difficult cases as devices and techniques have evolved. Although the major advantage of EVAR is its lower perioperative mortality, compared with open surgery, late-onset complications such as endoleaks have become major issues, requiring lifelong follow-up after EVAR. The clinical guidelines have been updated, and many systematic reviews/meta-analyses and multi-center registries have been published; surgeons must keep up-to-date regarding these changes. In this review, the author reviews evidence on the recent update of the type 2 endoleak management.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45320284","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
Submucosal Tunnel Formation as a Complication Caused by Long Intestinal Tube Insertion: A Case Report 长肠管插入引起的粘膜下隧道形成1例报告
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-09-18 DOI: 10.22575/interventionalradiology.2020-0013
Shohei Chatani, Y. Inaba, S. Murata, T. Hasegawa, Yozo Sato, H. Yamaura, S. Onishi, A. Ouchi, K. Komori
{"title":"Submucosal Tunnel Formation as a Complication Caused by Long Intestinal Tube Insertion: A Case Report","authors":"Shohei Chatani, Y. Inaba, S. Murata, T. Hasegawa, Yozo Sato, H. Yamaura, S. Onishi, A. Ouchi, K. Komori","doi":"10.22575/interventionalradiology.2020-0013","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0013","url":null,"abstract":"We present a case of a 76-year-old man with submucosal tunnel formation caused by long intestinal tube (LIT) insertion. The patient had undergone an LIT insertion to treat bowel obstruction caused by ascending colon cancer. Although intestinal decompression was achieved successfully, a procedural pre-scheduled endoscopy incidentally revealed that the LIT had penetrated the abdominal esophageal mucosa and re-entered the gastric lumen, passing through the submucosal layer at the gastroesophageal junction. Therefore, the LIT was removed under endoscopic observation during ileocecal resection surgery and the patient was treated conservatively. The current case suggests that this unfamiliar complication can occur without any signs or symptoms.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68224582","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
Endovascular Treatment for Thoracoabdominal Aortic Aneurysm and Complex Abdominal Aortic Aneurysm Using Fenestrated and Branched Grafts 开窗支化移植物血管内治疗胸腹主动脉瘤和复杂腹主动脉瘤
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-09-18 DOI: 10.22575/interventionalradiology.2020-0015
W. Higashiura
{"title":"Endovascular Treatment for Thoracoabdominal Aortic Aneurysm and Complex Abdominal Aortic Aneurysm Using Fenestrated and Branched Grafts","authors":"W. Higashiura","doi":"10.22575/interventionalradiology.2020-0015","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0015","url":null,"abstract":"Fenestrated and branched endovascular aneurysm repair (F/B-EVAR) is a less invasive treatment for thoracoabdominal aortic aneurysm (TAAA) and complex abdominal aortic aneurysm. Fenestrated and branched (cuff) grafts facilitate safe and durable repair, and bail-out maneuvers for target vessel cannulation and stenting have been established; however, the available bridging stent grafts have differences. The present article discusses the optimal selection of fenestrated or branched grafts, the cannulation of target vessels that have difficult anatomies, and the advantages and disadvantages of various bridging stents. We review the causes and risk factors of spinal cord injury (SCI), the protocol for prevention of SCI, and the outcomes of target vessel stent grafting, including patency and endoleak. Although conventional open surgery is the gold standard for the repair of thoracoabdominal aortic aneurysm (TAAA), it is highly invasive. To reduce invasiveness, hybrid surgery that combines open surgery and endovascular therapy has been developed [1, 2], and fenestrated and branched endovascular aneurysm repair (F/B-EVAR) is frequently performed at centers in the USA, Europe, and Japan [3-5]. Additionally, a hostile neck may be an independent factor for sac enlargement after EVAR for abdominal aortic aneurysm (AAA) [6], but a previous study reported that 41% of AAA cases presented with neck lengths outside the range prescribed by the traditional instruction for use [7]. Stark et al. showed that extending the graft above the highest renal artery would create an augmented neck length in 90% of patients with AAA [7]. F/B-EVAR is based on this principle. However, there are some technical tips for, and limitations of, fenestrated and/or branched graft. F/B-EVAR for TAAA and complex AAA will be reviewed in the present article.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47491044","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
Computed Tomography Fluoroscopy-guided Core Needle Biopsy of Abdominal Para-aortic Lesions: A Retrospective Evaluation of the Diagnostic Yield and Safety 计算机断层扫描荧光镜引导下腹部主动脉旁病变的核心针活检：诊断率和安全性的回顾性评估
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-09-03 DOI: 10.22575/interventionalradiology.2020-0009
K. Tomita, T. Iguchi, T. Hiraki, Y. Matsui, M. Uka, T. Komaki, H. Gobara, S. Kanazawa
{"title":"Computed Tomography Fluoroscopy-guided Core Needle Biopsy of Abdominal Para-aortic Lesions: A Retrospective Evaluation of the Diagnostic Yield and Safety","authors":"K. Tomita, T. Iguchi, T. Hiraki, Y. Matsui, M. Uka, T. Komaki, H. Gobara, S. Kanazawa","doi":"10.22575/interventionalradiology.2020-0009","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0009","url":null,"abstract":"Purpose: To retrospectively evaluate the diagnostic yield and safety of computed tomography (CT) fluoroscopy-guided biopsy of abdominal para-aortic lesions. Material and Methods: CT fluoroscopy-guided biopsy was performed for 30 lesions (median long diameter 2.4 cm; range, 1.3-12.4 cm) in 30 patients (11 women and 19 men; median age 64.5 years; age range 37-90 years) using 18- and/or 20-gauge needles. The median length of the biopsy needle tracts was 9.3 cm (range, 5.5-13.0 cm). The median number of biopsy fires was 3 (range, 2-6). The median duration of the procedures was 33 min (range, 14-80 min). The diagnostic yield and adverse events (AEs) were retrospectively evaluated. The AEs were categorized using the Society of Interventional Radiology classification system. Technical success was determined by the acquisition of a sufficient number of specimens for pathological diagnosis. Diagnostic yield was defined as the match between the pathological and final diagnoses. Results: In all 30 procedures, CT fluoroscopy-guided biopsies of the abdominal para-aortic lesions were technically successful. Twenty-six lesions were malignant (9 malignant lymphomas and 17 lymph node [LN] metastases) and four were benign (one schwannoma, one granular cell tumor, and two normal LNs). One case was insufficiently diagnosed as a B-cell lymphoma; thus, the diagnostic yield of the biopsy was 96.7%. AEs occurred in seven procedures (23.3%), including six cases of class A hemorrhage and one case of class B vasovagal reaction. Conclusions: CT fluoroscopy-guided biopsy of abdominal para-aortic lesions is a safe procedure and provides a high diagnostic yield.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44907531","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: 3
Recent Update on Peripheral Arterial Endovascular Therapy for Peripheral Arterial Occlusive Disease. 外周动脉闭塞性疾病的外周动脉血管内治疗进展
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-09-03 eCollection Date: 2020-10-30 DOI: 10.22575/interventionalradiology.2020-0014
Ryoichi Tanaka
{"title":"Recent Update on Peripheral Arterial Endovascular Therapy for Peripheral Arterial Occlusive Disease.","authors":"Ryoichi Tanaka","doi":"10.22575/interventionalradiology.2020-0014","DOIUrl":"10.22575/interventionalradiology.2020-0014","url":null,"abstract":"<p><p>Endovascular treatment is effective for symptomatic peripheral arterial disease (PAD). Following recent device improvements, favorable long-term outcomes have been achieved in iliac arteries as well as small arteries such as the femoral and popliteal arteries. This paper outlines the history and recent advances in endovascular treatment of peripheral vascular diseases as well as the characteristics and usage of devices. The history and the advances in endovascular treatment of peripheral vascular disease have been parallel, with the development of devices such as catheters and stents. Accordingly, endovascular treatment is now recommended in guidelines as the first-line for PAD.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46029762","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
Percutaneous Radiofrequency Ablation for Liver Tumors: Technical Tips 肝肿瘤的经皮射频消融：技术提示
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-06-30 DOI: 10.22575/interventionalradiology.2020-0008
Yozo Sato, T. Hasegawa, Shohei Chatani, S. Murata, Y. Inaba
{"title":"Percutaneous Radiofrequency Ablation for Liver Tumors: Technical Tips","authors":"Yozo Sato, T. Hasegawa, Shohei Chatani, S. Murata, Y. Inaba","doi":"10.22575/interventionalradiology.2020-0008","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0008","url":null,"abstract":"Percutaneous radiofrequency ablation (RFA) has been accepted as a minimally invasive therapeutic treatment for liver malignancies. Although RFA is usually applied for the treatment of small liver tumors (<3 cm), several technical developments have expanded the use of RFA. RFA is now used for the treatment of large liver tumors, and the number of complications associated with this treatment has decreased. These refinements may ultimately lead to better long-term prognosis. Here, we review recent refinements of liver RFA and provide technical tips.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49221166","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
Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus 2-氰基丙烯酸正丁酯流入胰管：经导管动脉栓塞治疗胰腺出血
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-06-30 DOI: 10.22575/interventionalradiology.2020-0002
Rakuhei Nakama, T. Yagami, I. Kono, Kazuki Arakawa, Koki Usui, Koki Kato, Keiichi Tanimura, M. Honda
{"title":"Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus","authors":"Rakuhei Nakama, T. Yagami, I. Kono, Kazuki Arakawa, Koki Usui, Koki Kato, Keiichi Tanimura, M. Honda","doi":"10.22575/interventionalradiology.2020-0002","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0002","url":null,"abstract":"A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (hemosuccus pancreaticus). Angiography demonstrated pseudoaneurysm of the dorsal pancreatic artery branch. We selected N-butyl-2-cyanoacrylate (NBCA) as an embolus material because of the existing coagulopathy and difficulty in selecting the arterial branch. The administered NBCA outflowed into the pancreatic duct over the pseudoaneurysm. However, transcatheter arterial embolization (TAE) was successful, and no complication or rebleeding was observed after TAE. CECT showed NBCA cast in the pancreatic duct; however, the chronic pancreatitis improved. NBCA may be used to regulate hemosuccus pancreaticus in emergency settings; however, interventional radiologists must carefully consider the complications caused by NBCA.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46640463","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 Image-guided Thermal Ablation for Renal Cell Carcinoma 经皮图像引导热消融治疗肾细胞癌
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-06-30 DOI: 10.22575/interventionalradiology.2020-0001
M. Fujimori, T. Yamanaka, Y. Sugino, N. Matsushita, H. Sakuma
{"title":"Percutaneous Image-guided Thermal Ablation for Renal Cell Carcinoma","authors":"M. Fujimori, T. Yamanaka, Y. Sugino, N. Matsushita, H. Sakuma","doi":"10.22575/interventionalradiology.2020-0001","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0001","url":null,"abstract":"Nephrectomy is the gold standard for the treatment of renal cell carcinoma (RCC). However, some patients are not suitable candidates for nephrectomy because of high surgical risk, reduced renal function, or the presence of multiple renal tumors. Percutaneous image-guided thermal ablation, including cryoablation and radiofrequency ablation, is a minimally invasive and highly effective treatment and can be used to treat RCC in patients who are not good candidates for surgery. This article will review percutaneous image-guided thermal ablation for RCC, covering treatment indications, ablation modalities and techniques, oncologic outcomes, and possible complications. In addition, the characteristics of each ablation modality and its comparison with nephrectomy are also presented.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45245369","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: 4
Chimney Endografting for Zone 2 Thoracic Endovascular Aortic Repair Using The Reorientation Technique 导管内移植术在胸2区血管内主动脉修复中的应用
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2020-06-10 DOI: 10.22575/interventionalradiology.2019-0011
Y. Koike, Kazuma Date, B. Kiss
{"title":"Chimney Endografting for Zone 2 Thoracic Endovascular Aortic Repair Using The Reorientation Technique","authors":"Y. Koike, Kazuma Date, B. Kiss","doi":"10.22575/interventionalradiology.2019-0011","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2019-0011","url":null,"abstract":"The purpose of this report was to describe the reorientation of the chimney graft technique to downsize brachial artery access during thoracic endovascular aortic repair and thus preserve left subclavian artery flow. In the case described herein, the chimney graft was advanced not from the brachial or axillary artery, but from the common femoral artery, over a brachiofemoral pull-through wire. The chimney graft was then turned out into the ascending aorta by balloon dilatation via percutaneous brachial access (“reorientation”). Despite the use of a large-diameter chimney graft, the chimney technique with percutaneous brachial access was successfully performed using the reorientation technique.","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44504080","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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