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Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension. 经皮脾栓塞术治疗左侧门静脉高压的胃静脉曲张。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-05-12 eCollection Date: 2022-07-01 DOI: 10.22575/interventionalradiology.2021-0019
Yuki Tanaka, Shuji Kariya, Miyuki Nakatani, Yutaka Ueno, Yasuyuki Ono, Takuji Maruyama, Atsushi Komemushi, Noboru Tanigawa
{"title":"Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension.","authors":"Yuki Tanaka,&nbsp;Shuji Kariya,&nbsp;Miyuki Nakatani,&nbsp;Yutaka Ueno,&nbsp;Yasuyuki Ono,&nbsp;Takuji Maruyama,&nbsp;Atsushi Komemushi,&nbsp;Noboru Tanigawa","doi":"10.22575/interventionalradiology.2021-0019","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0019","url":null,"abstract":"<p><p>An 81-year-old man with previously diagnosed cancer of the pancreatic body presented with melena and anemia. Upper gastrointestinal endoscopy showed gastric varices with bleeding in the entire stomach. Contrast-enhanced computed tomography identified a splenic vein occlusion resulting from invasion by the pancreatic body cancer and dilated collateral pathways from the splenic hilum to the gastric fundus. The patient was diagnosed with gastric varices associated with left-sided portal hypertension caused by obstruction of the splenic vein and underwent percutaneous transsplenic embolization with <i>n</i>-butyl-2-cyanoacrylate mixed with lipiodol. Splenic subcapsular hematoma occurred and was treated conservatively. The patient died of advanced cancer 5 months after the procedure, without experiencing rebleeding. Percutaneous transsplenic embolization was effective in treating gastric variceal bleeding caused by left-sided portal hypertension.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 2","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/71/2432-0935-7-2-0058.PMC9527103.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33488982","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: 2
A Case of Percutaneous Transesophageal Jejunostomy after Subtotal Esophagectomy. 食管大部切除术后经皮经食管空肠吻合术1例。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-03-01 DOI: 10.22575/interventionalradiology.2021-0024
Takuji Maruyama, Shuji Kariya, Miyuki Nakatani, Yasuyuki Ono, Yutaka Ueno, Atsushi Komemushi, Noboru Tanigawa
{"title":"A Case of Percutaneous Transesophageal Jejunostomy after Subtotal Esophagectomy.","authors":"Takuji Maruyama,&nbsp;Shuji Kariya,&nbsp;Miyuki Nakatani,&nbsp;Yasuyuki Ono,&nbsp;Yutaka Ueno,&nbsp;Atsushi Komemushi,&nbsp;Noboru Tanigawa","doi":"10.22575/interventionalradiology.2021-0024","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0024","url":null,"abstract":"<p><p>An 80-year-old woman who underwent subtotal esophagectomy with gastric tube reconstruction for esophageal cancer developed carcinoma of the left upper gingiva. The local recurrence of the gingival carcinoma resulted in trismus and prevented oral intake. Then she underwent a percutaneous transesophageal jejunostomy tube placement in the preserved cervical esophagus. Enteral feeding continued for three months with no complications until oral intake was possible. A percutaneous transesophageal jejunostomy is possible using the postoperatively preserved cervical esophagus.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 1","pages":"34-36"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ad/48/2432-0935-7-1-0034.PMC9327427.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573894","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
Transrenal Ureter Embolization for Refractory Urine Leaks from Iatrogenic Ureteric Injury Following Colorectal Surgery. 经肾输尿管栓塞治疗结直肠手术后医源性输尿管损伤难治性尿漏。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-02-04 eCollection Date: 2022-03-01 DOI: 10.22575/interventionalradiology.2021-0016
Koki Kato, Syunkichi Sasazawa, Takashi Hazama, Kei Ishimura, Keiichi Tanimura, Hiroharu Shinozaki, Ryou Tsukamoto, Toyofusa Tobe
{"title":"Transrenal Ureter Embolization for Refractory Urine Leaks from Iatrogenic Ureteric Injury Following Colorectal Surgery.","authors":"Koki Kato,&nbsp;Syunkichi Sasazawa,&nbsp;Takashi Hazama,&nbsp;Kei Ishimura,&nbsp;Keiichi Tanimura,&nbsp;Hiroharu Shinozaki,&nbsp;Ryou Tsukamoto,&nbsp;Toyofusa Tobe","doi":"10.22575/interventionalradiology.2021-0016","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0016","url":null,"abstract":"<p><p>We present the cases of two patients who underwent ureteral occlusion using coils and/or Amplatzer Vascular Plug with N-butyl cyanoacrylate glue after extensive advanced rectal surgery. Both patients had complex urine leaks unresponsive to urinary diversion. In view of the progress of the disease and the history of polysurgery, reconstructive surgery or anterograde ureteral stent insertion was not chosen. All patients had immediate resolution of urinary leakage after ureteral embolization, resulting in symptom relief throughout the follow-up period. There were no procedure-related complications or side effects.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/d0/2432-0935-7-1-0021.PMC9327325.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573893","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
Combination Therapy by Transarterial Injection of Miriplatin-Iodized Oil Suspension with Microwave Ablation for Medium-Sized Hepatocellular Carcinoma: the Preliminary Experience. 经动脉注射米利铂碘化油混悬液联合微波消融治疗中型肝细胞癌的初步体会。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-02-04 eCollection Date: 2022-03-01 DOI: 10.22575/interventionalradiology.2021-0009
Motoma Kanaya, Noriyuki Miyamoto, Takaaki Fujii, Kyohei Kudo, Naoya Kinota, Hirotaka Kato
{"title":"Combination Therapy by Transarterial Injection of Miriplatin-Iodized Oil Suspension with Microwave Ablation for Medium-Sized Hepatocellular Carcinoma: the Preliminary Experience.","authors":"Motoma Kanaya,&nbsp;Noriyuki Miyamoto,&nbsp;Takaaki Fujii,&nbsp;Kyohei Kudo,&nbsp;Naoya Kinota,&nbsp;Hirotaka Kato","doi":"10.22575/interventionalradiology.2021-0009","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0009","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the feasibility and safety of transarterial injection of a miriplatin-iodized oil suspension combined with Emprint miriplatin-iodized oil suspension-microwave ablation in patients with medium-sized (3-5 cm) hepatocellular carcinomas.</p><p><strong>Materials and methods: </strong>This retrospective study included a total of 11 patients with 12 hepatocellular carcinomas (mean size, 3.6 ± 0.6 cm) underwent miriplatin-iodized oil suspension-microwave ablation. Microwave ablation was performed under the guidance of computed tomography fluoroscopy following transarterial miriplatin-iodized oil suspension injection on the same day. Technical success, complications, and local tumor progression were assessed.</p><p><strong>Results: </strong>The primary and secondary technical success rates were 75.0% and 100%, respectively. The number of treatment sessions per nodule was 1.25 ± 0.45. A total 15 sessions were required to achieve technical success (one session in nine lesions, two sessions in three lesions). Two major complications (pneumothorax [n = 1] and hemorrhage [n = 1]) occurred (2/15, 13.3%). No local tumor progression was observed during the follow-up period (mean 12.0 ± 2.0 months, range 2.7-23.9 months).</p><p><strong>Conclusions: </strong>Miriplatin-iodized oil suspension-microwave ablation for medium-sized hepatocellular carcinomas can be safely performed with good local control.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/2d/2432-0935-7-1-0001.PMC9327324.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573896","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
Use of Microballoon Catheter in Transarterial Ethanol Embolization of Renal Angiomyolipoma: A Retrospective Comparative Study with Historical Control? 应用微球囊导管经动脉乙醇栓塞治疗肾血管平滑肌脂肪瘤:与历史对照的回顾性比较研究?
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-02-04 eCollection Date: 2022-03-01 DOI: 10.22575/interventionalradiology.2020-0036
Junichi Taniguchi, Haruyuki Takaki, Yuichi Sugino, Nahomi Yoshimura, Ryo Kunimoto, Hiroyuki Yokoyama, Taiki Moriyama, Naoya Kinota, Yoshie Inao, Mitsunari Maruyama, Atsushi Ogasawara, Hiroshi Kodama, Yasukazu Kako, Kaoru Kobayashi, Koichiro Yamakado
{"title":"Use of Microballoon Catheter in Transarterial Ethanol Embolization of Renal Angiomyolipoma: A Retrospective Comparative Study with Historical Control?","authors":"Junichi Taniguchi,&nbsp;Haruyuki Takaki,&nbsp;Yuichi Sugino,&nbsp;Nahomi Yoshimura,&nbsp;Ryo Kunimoto,&nbsp;Hiroyuki Yokoyama,&nbsp;Taiki Moriyama,&nbsp;Naoya Kinota,&nbsp;Yoshie Inao,&nbsp;Mitsunari Maruyama,&nbsp;Atsushi Ogasawara,&nbsp;Hiroshi Kodama,&nbsp;Yasukazu Kako,&nbsp;Kaoru Kobayashi,&nbsp;Koichiro Yamakado","doi":"10.22575/interventionalradiology.2020-0036","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2020-0036","url":null,"abstract":"<p><strong>Purpose: </strong>To clarify the utility of microballoon catheter in renal arterial ethanol embolization of renal angiomyolipoma (AML).</p><p><strong>Material and methods: </strong>A total of 20 patients (15 women, 5 men) with median age of 45 years (39-60 years) underwent embolization to treat 22 AMLs. A mixture of ethanol and iodized oil was injected into the feeding arteries of 13 tumors using balloon occlusion (the balloon embolization group) with a microballoon catheter and 9 tumors without using balloon occlusion (the non-balloon embolization group). Changes in the maximum tumor diameter, tumor volume, and adverse events were evaluated.</p><p><strong>Result: </strong>The median baseline maximum tumor diameters and volumes were 6.3 cm and 61.4 cm<sup>3</sup> in the balloon embolization group, and 4.6 cm and 40.1 cm<sup>3</sup> in the non-balloon embolization group, respectively. Tumor enhancement disappeared on postembolization angiography in all cases. All tumors shrunk after embolization. There were no statistically significant differences in the percent decrease in the maximum tumor diameter and volume at 10-12 month between balloon occlusion group (31.5% and 67.9%) and control group (34.8% and 62.6%). Fever was significantly more frequent when balloon occlusion was used: 38% vs. 0% (<i>p</i> = 0.03). No major complication was observed in either patient group.</p><p><strong>Conclusions: </strong>Balloon occlusion may not affect tumor shrinkage when embolizing AMLs with a mixture of ethanol and lipiodol.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/3f/2432-0935-7-1-0009.PMC9327327.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573892","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: 1
Single-Session Intranodal Glue Embolization for Postsurgical Refractory Groin Lymphorrhea: A Case Report. 结内胶栓塞治疗术后难治性腹股沟淋巴漏1例。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-02-04 eCollection Date: 2022-03-01 DOI: 10.22575/interventionalradiology.2021-0021
Sho Sosogi, Daisuke Abo, Ryo Morita, Takeshi Soyama, Bunya Takahashi, Yuki Yoshino, Koji Yamasaki, Noriyuki Miyamoto, Kohsuke Kudo
{"title":"Single-Session Intranodal Glue Embolization for Postsurgical Refractory Groin Lymphorrhea: A Case Report.","authors":"Sho Sosogi,&nbsp;Daisuke Abo,&nbsp;Ryo Morita,&nbsp;Takeshi Soyama,&nbsp;Bunya Takahashi,&nbsp;Yuki Yoshino,&nbsp;Koji Yamasaki,&nbsp;Noriyuki Miyamoto,&nbsp;Kohsuke Kudo","doi":"10.22575/interventionalradiology.2021-0021","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0021","url":null,"abstract":"<p><p>A 90-year-old female presented with poor right groin wound healing due to lymphorrhea and infection following a surgical cutdown procedure for arterial revascularization. Although negative pressure wound therapy (NPWT) and inguinal lymphadenectomy were performed, infection and lymphorrhea did not heal. Lymphangiography via a right inguinal lymph node revealed lymphatic leakage in the wound. Intranodal glue embolization (IGE) was performed by injecting 0.6 mL of 33% n-butyl-2 cyanoacrylate (NBCA)-lipiodol mixture. Additionally, the presence of glue in an open wound was directly confirmed in this case. After embolization, lymphorrhea ceased, and the wound healed completely. No lymphorrhea recurrence or complications were observed for 6 months. This case suggests that IGE could be an effective treatment for groin lymphorrhea.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 1","pages":"30-33"},"PeriodicalIF":0.0,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/24/2432-0935-7-1-0030.PMC9327300.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573895","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: 1
Two Case Studies on Inferior Mesenteric Artery Embolization for Primary Postpartum Hemorrhage. 肠系膜下动脉栓塞治疗原发性产后出血2例分析。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-01-12 eCollection Date: 2022-03-01 DOI: 10.22575/interventionalradiology.2021-0002
Naoki Kawakami, Fumiya Uchiyama, Akinori Harada, Tetsuhisa Yamada, Jun-Ichi Nishimura
{"title":"Two Case Studies on Inferior Mesenteric Artery Embolization for Primary Postpartum Hemorrhage.","authors":"Naoki Kawakami,&nbsp;Fumiya Uchiyama,&nbsp;Akinori Harada,&nbsp;Tetsuhisa Yamada,&nbsp;Jun-Ichi Nishimura","doi":"10.22575/interventionalradiology.2021-0002","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0002","url":null,"abstract":"<p><p>Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality. Transcatheter arterial embolization (TAE) is an effective treatment option for PPH. Among the vessels embolized, the inferior mesenteric artery (IMA) is usually not the first choice for TAE, because it is a rare source of bleeding in PPH. In this report, we describe our experience with two patients with PPH, in whom the IMA was selected on the basis of contrast-enhanced computed tomography (CECT) findings, and prompt hemostasis was achieved with TAE. CECT can provide useful clues as to the culprit artery based on the anatomical location of the hematoma and extravasation. These useful findings of CECT allow prompt TAE of rare sources of bleeding in PPH, such as the IMA.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 1","pages":"26-29"},"PeriodicalIF":0.0,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/30/2432-0935-7-1-0026.PMC9327405.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573891","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
Lymphangiography as a Treatment for Refractory Congenital Chylothorax Due to RASopathies: A Report of Two Cases. 淋巴管造影治疗顽固性先天性乳糜胸(附2例报告)
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-01-12 eCollection Date: 2022-03-01 DOI: 10.22575/interventionalradiology.2021-0014
Naoya Kinota, Hiroshi Kodama, Taiki Moriyama, Junichi Taniguchi, Mitsunari Maruyama, Atsushi Ogasawara, Yasukazu Kako, Kaoru Kobayashi, Haruyuki Takaki, Akio Shibata, Kyoko Minagawa, Yasuhiro Takeshima, Koichiro Yamakado
{"title":"Lymphangiography as a Treatment for Refractory Congenital Chylothorax Due to RASopathies: A Report of Two Cases.","authors":"Naoya Kinota,&nbsp;Hiroshi Kodama,&nbsp;Taiki Moriyama,&nbsp;Junichi Taniguchi,&nbsp;Mitsunari Maruyama,&nbsp;Atsushi Ogasawara,&nbsp;Yasukazu Kako,&nbsp;Kaoru Kobayashi,&nbsp;Haruyuki Takaki,&nbsp;Akio Shibata,&nbsp;Kyoko Minagawa,&nbsp;Yasuhiro Takeshima,&nbsp;Koichiro Yamakado","doi":"10.22575/interventionalradiology.2021-0014","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0014","url":null,"abstract":"<p><p>In this study, we report two cases in which intranodal lymphangiography helped improve congenital chylothorax due to RASopathies. We performed lymphangiography after conservative treatments failed to improve chylothorax in an 8-year-old girl with cardiofaciocutaneous syndrome and a 2-month-old boy with Noonan syndrome. Inguinal lymph nodes were punctured with 25-gauge needles under ultrasonographic guidance, and 4 and 1 mL of iodized oil were injected, respectively, showing a backflow of iodized oil into the lungs. Chylothorax had improved in both patients after nodal lymphangiography. However, the second child experienced worsening of disease-associated extremity edema and died of sepsis 4 months later.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"7 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/83/2432-0935-7-1-0017.PMC9327383.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574517","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
Fibrin Glue in Interventional Radiology: How to Use It. 纤维蛋白胶在介入放射学中的应用。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2021-11-01 DOI: 10.22575/interventionalradiology.2021-0011
Shiro Miyayama, Masashi Yamashiro, Rie Ikeda, Junichi Matsumoto, Nobuhiko Ogawa, Naoko Sakuagawa
{"title":"Fibrin Glue in Interventional Radiology: How to Use It.","authors":"Shiro Miyayama,&nbsp;Masashi Yamashiro,&nbsp;Rie Ikeda,&nbsp;Junichi Matsumoto,&nbsp;Nobuhiko Ogawa,&nbsp;Naoko Sakuagawa","doi":"10.22575/interventionalradiology.2021-0011","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0011","url":null,"abstract":"<p><p>A fibrin glue kit consists of separate solutions of fibrinogen and thrombin that instantly coagulate when mixed together and can be used as an embolic agent and tissue adhesive in several interventional procedures, such as the closure of enterocutaneous, postoperative pancreatic, and bronchopulmonary fistulas, embosclerosis of biloma, and portal vein embolization. Separate and simultaneous injections of fibrinogen and thrombin solutions at the target site are necessary; therefore, insertion of two catheters or a balloon catheter with multiple lumen is required. The combined use of metallic coils is also effective for a large fistula as the coils can provide a matrix for retaining the fibrin glue, in addition to partially occluding the fistulous tract. Mixing contrast medium or iodized oil with a thrombin solution is also key to achieving radiopacity.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"6 3","pages":"122-129"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/42/2432-0935-6-3-0122.PMC9327355.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574402","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
Computed Tomography-guided Lung Biopsy: A Review of Techniques for Reducing the Incidence of Complications. 计算机断层扫描引导下的肺活检:减少并发症发生率的技术综述。
Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2021-11-01 DOI: 10.22575/interventionalradiology.2021-0012
Kazuhiko Nakamura, Kensuke Matsumoto, Chie Inoue, Eiji Matsusue, Shinya Fujii
{"title":"Computed Tomography-guided Lung Biopsy: A Review of Techniques for Reducing the Incidence of Complications.","authors":"Kazuhiko Nakamura,&nbsp;Kensuke Matsumoto,&nbsp;Chie Inoue,&nbsp;Eiji Matsusue,&nbsp;Shinya Fujii","doi":"10.22575/interventionalradiology.2021-0012","DOIUrl":"https://doi.org/10.22575/interventionalradiology.2021-0012","url":null,"abstract":"<p><p>Computed tomography-guided lung biopsy is a well-established method for the histological diagnosis of pulmonary lesions. There is abundant literature regarding the diagnostic yield of and complications associated with computed tomography-guided lung biopsy. Many studies have investigated the risk factors influencing pneumothorax. Conversely, there are a limited number of reports detailing techniques for reducing the incidence of pneumothorax or other complications. This study reviews the indications, diagnostic accuracy, and complications of computed tomography-guided lung biopsy. In addition, techniques for reducing the incidence of these complications were reviewed.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"6 3","pages":"83-92"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/e5/2432-0935-6-3-0083.PMC9327413.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40591402","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: 3
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