A Basic Introduction to Pediatric Vascular Anomalies
Semin intervent Radiol 2019; 36: 149-160 DOI: 10.1055/s-0039-1688432 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Eberson, Sarah N. Desai, Sudhen B. Metry, Denise Tags: Clinical Corner Source Type: research

Prostate Artery Embolization
Semin intervent Radiol 2019; 36: 142-148 DOI: 10.1055/s-0039-1688431 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Mouli, Samdeep Hohlastos, Elias Salem, Riad Tags: How I Do It Source Type: research

Septic Shock and Death after Microwave Ablation of Hepatocellular Carcinoma in a Liver Transplant Patient with a Bilioenteric Anastomosis
Semin intervent Radiol 2019; 36: 137-141 DOI: 10.1055/s-0039-1688430Percutaneous thermal ablation of hepatic tumors continues to play an integral role in the treatment of early-stage primary or secondary hepatic malignancies. Interventional radiologists must be familiar with potential complications of this procedure, associated risk factors, and methods for prevention. The authors report a devastating case of septic shock and death following percutaneous microwave ablation of a solitary hepatocellular carcinoma in a liver transplant patient with a bilioenteric anastomosis (BEA). We review the literature regarding prophylac...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Melikian, Raymond Minocha, Jeet Tags: Review Article Source Type: research

Percutaneous Transarterial Stent Placement in a Transplant Liver Hepatic Artery Complicated by Angioplasty Balloon Rupture and Fragmentation
Semin intervent Radiol 2019; 36: 133-136 DOI: 10.1055/s-0039-1688428The incidence of posttransplant hepatic arterial stenosis (HAS) has been reported in 5 to 10% of orthotopic liver transplants and, left untreated, can lead to hepatic arterial thrombosis. Most vascular complications develop less than 3 months after initial transplant, with thrombosis representing over half of all complications. There has been a trend toward minimally invasive, endovascular techniques for treating HAS with angioplasty and stenting. In one review of endovascular therapies for HAS, primary technical success was achieved in 95% of the interven...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Vairavamurthy, Jenanan P. Li, Charles Urban, Seth Katz, Michael Tags: Review Article Source Type: research

Fibroid Expulsion after Uterine Artery Embolization
This article describes a case in which a fibroid was expulsed following UAE, as well as the management of the complication. A literature review and recommendations for the management of FE is also given. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Ochmanek, Emily Brown, Matthew A. Rochon, Paul J. Tags: Review Article Source Type: research

Pneumodissection during Percutaneous Renal Ablation Resulting in Air Embolism: Percutaneous Management and a Review of the Literature
Semin intervent Radiol 2019; 36: 120-125 DOI: 10.1055/s-0039-1688426Percutaneous renal ablation is a nephron-sparing approach for selected patients with renal cell carcinoma. Common complications include hemorrhage, injury to the urinary collecting system, and abscess formation. The purpose of this article is to present a case of vascular air embolism as a complication of pneumodissection performed during percutaneous ablation of renal cell carcinoma, discuss its successful percutaneous management, review common complications of renal ablation, and outline steps physicians can take to lessen these complications. [...] Thie...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Arif, Kamil Gunn, Andrew J. Tags: Review Article Source Type: research

A Primer to Understanding the Elements of Medical Malpractice
Semin intervent Radiol 2019; 36: 117-119 DOI: 10.1055/s-0039-1688425According to a 2017 survey of 4,000 physicians across 25 different specialties in the United States, 55% of respondents report having been sued at least once, with nearly half of them having been sued multiple times. In addition, procedural specialists are far more likely to be sued. As a procedural-driven specialty, interventional radiology (IR) practitioners are subject to these statistics. While the focus of all IR practices is providing the highest quality care safely and efficiently, medical errors and complications are unavoidable. Understanding the ...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Hill, Gregory Q. Ryu, Robert K. Tags: Review Article Source Type: research

Anterior Cord Syndrome after Embolization for Malignant Hemoptysis
Semin intervent Radiol 2019; 36: 111-116 DOI: 10.1055/s-0039-1688424Interventional radiology plays an integral role in the management of massive and recurrent submassive hemoptysis. Risks of bronchial artery embolization (BAE) are well described and include spinal ischemia and paralysis, most often related to nontarget embolization of the artery of Adamkiewicz or other large radiculomedullary artery supplying the anterior spinal artery. There is increasing literature regarding spinal infarction following BAE when arterial supply to the spinal cord was not evident. The existence of unrecognized patient comorbidities may fur...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Padgett, Max Abi-Jaoudeh, Nadine Benn, Bryan S. Rahimian, Ramin Nelson, Kari Tags: Review Article Source Type: research

Cystic Artery Hemorrhage after Cholecystostomy Catheter Exchange Treated with Transcatheter Embolization
Semin intervent Radiol 2019; 36: 108-110 DOI: 10.1055/s-0039-1688429The pathogenesis of formation of cystic artery pseudoaneurysms is not well understood, but is thought to result from erosion of the cystic artery wall from the adjacent inflammatory process associated with acute or chronic cholecystitis. The presented case discusses an incident of hemorrhage from a cystic artery pseudoaneurysm resulting in a large perihepatic hematoma as well as hemobilia, which developed after a routine cholecystostomy catheter exchange. This was treated with transcatheter embolization using ethylene-vinyl alcohol copolymer. [...] Thieme ...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Sada, David M. Metwalli, Zeyad A. Tags: Review Article Source Type: research

Reflect and Remember: The Ethics of Complications in Interventional Radiology
Semin intervent Radiol 2019; 36: 104-107 DOI: 10.1055/s-0039-1688423Clinicians, particularly those in procedural specialties, tend to feel personally responsible when complications occur. Medical errors among surgeons have been studied and provide an insightful window into the ethics of complications. Ethically we must consider what we owe patient and families, ourselves, and our colleagues. To some degree, the answers are similar: reflection, confession, and resolution. We owe patients and families an explanation and lack of abandonment; we owe ourselves thoughtful reflection on what caused the complication and how we can...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Keller, Eric J. Tags: Review Article Source Type: research

Complications of Percutaneous Renal Biopsy
Semin intervent Radiol 2019; 36: 097-103 DOI: 10.1055/s-0039-1688422Percutaneous renal biopsy is widely used for diagnosis, prognosis, and management of nephropathies. Complications may arise after renal biopsy, most commonly in the form of bleeding. Efforts should be taken to optimize modifiable risk factors such as hypertension, thrombocytopenia, and coagulopathy prior to the procedure. Unmodifiable risk factors such as poor renal function, gender, and underlying histologic diagnosis may be used to identify high-risk patients. Delayed presentation of bleeding complications is common, and close clinical follow-up is cruci...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Bakdash, Kenaz Schramm, Kristofer M. Annam, Aparna Brown, Matthew Kondo, Kimi Lindquist, Jonathan D. Tags: Review Article Source Type: research

Managing Arrow-Trerotola Percutaneous Thrombolytic Device Complications
This article describes three complications and associated management strategies utilizing fundamental interventional radiology techniques of balloon tamponade, stent placement, and snare mediated foreign body retrieval. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Simpson, Russell O. Gaba, Ron C. Lipnik, Andrew J. Tags: Review Article Source Type: research

Transplant Hepatic Artery Stenosis: Endovascular Treatment and Complications
Semin intervent Radiol 2019; 36: 084-090 DOI: 10.1055/s-0039-1688420Hepatic artery stenosis (HAS) is an infrequent complication of liver transplant; if left untreated, it can lead to hepatic artery thrombosis with high risk of biliary necrosis and graft loss. HAS is diagnosed with screening Doppler ultrasound, together with computed tomography angiography and magnetic resonance angiography. Endovascular treatment with angioplasty ± stent placement is safe and effective with infrequent major complications; however, when complications occur, they can devastate long-term graft survival. Herein, we present...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Molvar, Christopher Ogilvie, Ross Aggarwal, Deep Borge, Marc Tags: Review Article Source Type: research

Embolization of Nonvariceal Upper Gastrointestinal Hemorrhage Complicated by Bowel Ischemia
Semin intervent Radiol 2019; 36: 076-083 DOI: 10.1055/s-0039-1688419Over the past three decades, transcatheter arterial embolization has become the first-line therapy for the management of acute nonvariceal upper gastrointestinal bleeding refractory to endoscopic hemostasis. Overall, transcatheter arterial interventions have high technical and clinical success rates. This review will focus on patient presentation and technical considerations as predictors of complications from transcatheter arterial embolization in the management of acute upper gastrointestinal hemorrhage. [...] Thieme Medical Publishers 333 Seventh Avenue...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Foltz, Gretchen Khaddash, Tamim Tags: Review Article Source Type: research

Hemolytic Anemia following Stent-Graft Transjugular Intrahepatic Portosystemic Shunt Creation
Semin intervent Radiol 2019; 36: 072-075 DOI: 10.1055/s-0039-1688418Transjugular intrahepatic portosystemic shunt (TIPS) creation is a minimally invasive technique aimed at managing the complications of portal hypertension. Initially performed in the setting of variceal bleeding, the role of TIPS has expanded to treatment of medically refractory ascites, portal hypertensive gastropathy, hepatic hydrothorax, Budd-Chiari syndrome, portal vein thrombus, and hepatorenal syndrome. Potential complications from TIPS are well documented, and include hepatic encephalopathy, hepatic failure, and TIPS dysfunction. Hemolytic anemia is...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Kuei, Andrew Mikolajczyk, Adam E. Niemeyer, Matthew M. Tags: Review Article Source Type: research

Systemic Air Embolism following CT-Guided Percutaneous Core Needle Biopsy of the Lung: Case Report and Review of the Literature
We present the complication of a small SAE during PCNB of the lung in a 78-year-old patient, which resulted in a transient myocardial ischemic event. This case highlights the importance of understanding the mechanism, frequency, and management of rare complications of PCNB of the lung; these complications should be considered in preoperative risk stratification. Regarding evaluation of postbiopsy computed tomography, operators should utilize a systematic search pattern to assess for complications. Level of Evidence: Level 4, Case Report. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Ar...
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Marchak, Katherine Hong, Michael J. Schramm, Kristofer M. Tags: Review Article Source Type: research

Personal Psychodynamics of Complications
This article discusses the psychodynamics of complications that occur in interventional radiology and proposes some coping mechanisms to deal with these adverse events. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Vogelzang, Robert L. Tags: Review Article Source Type: research

The Debt We Owe
Semin intervent Radiol 2019; 36: 063-064 DOI: 10.1055/s-0039-1688415 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 22, 2019 Category: Radiology Authors: Ryu, Robert K. Tags: Editorial Source Type: research

Imaging Techniques to Aid IR Treatment of Musculoskeletal Malignancy
Semin intervent Radiol 2019; 36: 049-062 DOI: 10.1055/s-0039-1679952 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Jones, A. Kyle Yevich, Steven Tags: How I Do It Source Type: research

Interventional Radiology: A Potential Antidote to Physician Burnout
Semin intervent Radiol 2019; 36: 046-048 DOI: 10.1055/s-0039-1679945Physician burnout affects more than half of U.S. physicians, is multifactorial in origin, and should be addressed at organizational, group, and individual levels. By examining the career of one private practice interventional radiologist, insight into lessons learned and strategies for promotion of a fulfilling career might apply to others. Priorities may vary depending on stage of career, but some common themes of meaning and purpose that most interventional radiology (IR) physicians embrace throughout their careers emerge. Recognizing and cultivating the...
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Knox, Michael F. Tags: Review Article Source Type: research

(Pseudo) “Exclusive” Contracts: An Insidious Business Practice that Selectively Damages IR
This article outlines the role of exclusive contracts in interventional practices, and describes the limitations of such contracts. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Niedzwiecki, Gerald A. Tags: Review Article Source Type: research

Contracts and Negotiation: The Fundamentals for Interventional Radiologists
This article will review contracting as it relates to physician employment relationships, with the goal of reviewing the fundamental principles of contracting and negotiation, exploring the prerogatives of hospitals, physician groups, and individual physicians as they relate to building mutually beneficial and productive relationships, and examining common pitfalls of contracting. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Findeiss, Laura Tags: Review Article Source Type: research

IR Residency Training: Is It Appropriate for the Private Practice IR?
This article provides insights into the process of change within the IR training paradigm, and describes the personal experience of one of the architects of the new training programs. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Marx, M. Victoria Tags: Review Article Source Type: research

What Does It Mean to Be an Interventional Radiologist? SIR and the Private Practice Initiative
Semin intervent Radiol 2019; 36: 032-034 DOI: 10.1055/s-0039-1679948The new interventional radiology (IR) residency training pathways seek to graduate physicians who are not only experts at imaging and technically savvy but clinically oriented doctors capable of preprocedural workup and postprocedural care. The goal is for compassionate IRs who are holistic in their treatment of the patient and their disease, not just an expert at the procedure. However, much of this new envisioned approach for the modern IR is contradicted by the stark reality that most IRs in practice today (and most of the job market) are in private pra...
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Pyne, Raj Tags: Review Article Source Type: research

The Revolution within a Revolution: Personal Experiences of a Young Interventional Radiologist
This article describes the experience of one early career interventional radiologist, including some of the challenges and opportunities that have arisen from the recent changes in training. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Mehandru, Sonali Tags: Review Article Source Type: research

Value of Interventional Radiology: Past, Present, and Future
This article attempts to explore that. Questionnaires were sent to other specialties and administrators asking key questions regarding the value of IR as a specialty, both for procedural and consultative expertise as well as their thoughts on the future of IR. Answers varied, but consistent opinions were observed that IR is extremely valuable, both procedurally and consultatively, and that expansion of IR services is likely. IR is extremely valuable given its impact on healthcare (lessening morbidity, decreasing length of stay, improving cost) and although there is some misperception of this value, other specialties and ad...
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Doherty, Michael G. Tags: Review Article Source Type: research

Hiring Practices in Private Practice Interventional Radiology
This article looks at our experience in hiring interventional radiologists, including evaluation of our process, successes, and failures, along with lessons learned. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Mustert, Bryan Tags: Review Article Source Type: research

Evolution in Private Practice Interventional Radiology: Data Mining Trends in Procedure Volumes
In this study, retrospective analysis of procedural volumes over 16 years within a single large private IR practice was performed to examine the evolution of private practice IR. Primary data are presented, with analysis of the internal and external factors that have determined current procedural scope. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Morrison, James J. Tags: Review Article Source Type: research

Advanced Practice Professionals and an Outpatient Clinic: Improving Longitudinal Care in an Interventional Radiology Practice
Semin intervent Radiol 2019; 36: 013-016 DOI: 10.1055/s-0039-1683357The field of interventional radiology (IR) has made tremendous advances in both scope and practice since its inception in the early 1960s. With these advances, it has solidified itself as a valuable subspecialty to the medical community and, most importantly, to the patients who receive IR care. Expanding clinical services to improve care in both the pre- and postprocedural setting is a logical step in IR maturation. The use of advanced practice professionals, in the form of physician assistants and nurse practitioners, can add value in both quality of the...
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Crum, Elizabeth A. Varma, Manish K. Tags: Review Article Source Type: research

Academic vs. Private Practice: An Indistinct Distinction
This article reviews some of the commonalities and differences between academic and private practice IR, and provides personal insights from an author who has significant experience in both practice models. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Andrews, R. Torrance Tags: Review Article Source Type: research

Interventional Radiology Private Practice Patterns
Semin intervent Radiol 2019; 36: 003-009 DOI: 10.1055/s-0039-1683356Private practice interventional radiology (IR) in the US takes many forms – from specialty coverage withing traditional diagnostic radiology (DR) models and hybrid IR/DR practices, to multispecialty groups and independent IR practitioners. The purpose of this article is to understand the value each of these current IR models offer and predict their future viability. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full te...
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Peck, Steven Van Erp, Jeffrey Watabe, John Costantino, Mary Varma, Manish K. Tags: Review Article Source Type: research

Heroes —Don't Blink
Semin intervent Radiol 2019; 36: 001-002 DOI: 10.1055/s-0039-1679942 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Important Information on Continuing Medical Education Credits
Semin intervent Radiol 2019; 36: v-v DOI: 10.1055/s-0039-1685464 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - March 29, 2019 Category: Radiology Authors: Ray, Charles E. Tags: Announcement Source Type: research

Transhepatic Revision of Occluded Transjugular Intrahepatic Portosystemic Shunt Complicated by Endotipsitis
Semin intervent Radiol 2018; 35: 492-496 DOI: 10.1055/s-0038-1676092 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Darrow, Anne Williams Gaba, Ron C. Lokken, R. Peter Tags: Morbidity & Mortality Source Type: research

A Primer on the Management of Pleural Effusions
Semin intervent Radiol 2018; 35: 486-491 DOI: 10.1055/s-0038-1676361 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Bremer, William Ray, Charles E. Tags: How I Do It Source Type: research

Interventional Radiology-Operated Endoscopy: Indications, Implementation, and Innovation
Semin intervent Radiol 2018; 35: 477-485 DOI: 10.1055/s-0038-1676327 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Srinivasa, Ravi N. Pampati, Rudra Patel, Nishant Srinivasa, Rajiv N. Hage, Anthony N. Chick, Jeffrey Forris Beecham Tags: How I Do It Source Type: research

Long Chronic Total Occlusions: Revascularization Strategies
This article will cover techniques for treating CTOs and provide an overview of current available evidence. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Sheeran, Daniel Wilkins, Luke R. Tags: Review Article Source Type: research

Rock-Hard Chronic Thrombotic Occlusion and Its Management in Endovascular Interventions
Semin intervent Radiol 2018; 35: 461-468 DOI: 10.1055/s-0038-1676091Endovascular recanalization for patient with peripheral arterial disease and the end of its spectrum critical limb ischemia (CLI) has become a preferred method of revascularization due to advancement of techniques and equipment, allowing reduction of limb amputations while maintaining a minimally invasive approach compared to surgical approaches. Interventionalists have undertaken a progressively increasing complexity of diseased vessels in the hopes of providing inline unobstructed flow through occlusions for patients with claudication as well as direct f...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Madassery, Sreekumar Tags: Review Article Source Type: research

Acute Limb Ischemia Therapies: When and How to Treat Endovascularly
This article discusses the diagnosis and strategies for endovascular treatment of acute limb ischemia. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Hage, Anthony N. McDevitt, Joseph L. Chick, Jeffrey Forris Beecham Vadlamudi, Venu Tags: Review Article Source Type: research

Drug-Eluting Balloons and Drug-Eluting Stents in the Treatment of Peripheral Vascular Disease
Semin intervent Radiol 2018; 35: 443-452 DOI: 10.1055/s-0038-1676360In the last 20 years, peripheral artery disease (PAD) has been increasingly recognized as a significant cause of morbidity and mortality in the United States. The endovascular treatment of PAD has seen a marked rise as minimally invasive techniques and devices have been refined. Two newer devices, drug-eluting stents and drug-eluting balloons, are on the forefront of the battle against limb loss from PAD. This review focuses on the data backing the use of drug-eluting technologies for use in the peripheral arterial system. [...] Thieme Medical Publishers 3...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Lindquist, Jonathan Schramm, Kristofer Tags: Review Article Source Type: research

Treatment Strategies for the Claudicant
Semin intervent Radiol 2018; 35: 435-442 DOI: 10.1055/s-0038-1676322Peripheral arterial disease (PAD) is a prevalent, morbid, and mortal disease. Claudication represents an early, yet common manifestation of PAD. A clinical history and physical examination combined with an ankle-brachial index can help make a diagnosis of claudication. Due to the polyvascular nature of the underlying atherosclerosis, PAD is often associated with heart disease and stroke. Although health implications of PAD derive from both its limb and cardiovascular manifestations, claudication is life-threatening, less limb-threatening. Medical modificat...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Pereira, Keith Tags: Review Article Source Type: research

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?
This article provides an up-to-date review of the literature and devices currently available for operators wishing to treat lower extremity PAD via TRA and the limitations they may face. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Posham, Raghuram Young, Lindsay B. Lookstein, Robert A. Pena, Constantino Patel, Rahul S. Fischman, Aaron M. Tags: Review Article Source Type: research

On the Cutting Edge: Wound Care for the Endovascular Specialist
Semin intervent Radiol 2018; 35: 406-426 DOI: 10.1055/s-0038-1676342Clinical outcomes in patients with critical limb ischemia (CLI) depend not only on endovascular restoration of macrovascular blood flow but also on aggressive periprocedural wound care. Education about this area of CLI therapy is essential not only to maximize the benefits of endovascular therapy but also to facilitate participation in the multidisciplinary care crucial to attaining limb salvage. In this article, we review the advances in wound care products and therapies that have granted the wound care specialist the ability to heal previously nonhealing...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Olivieri, Brandon Yates, Timothy E. Vianna, Sofia Adenikinju, Omosalewa Beasley, Robert E. Houseworth, Jon Tags: Review Article Source Type: research

Differentiating Lower Extremity Wounds: Arterial, Venous, Neurotrophic
This article assists the vascular specialist in differentiating the three most common lower extremity wound types. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Star, Ava Tags: Review Article Source Type: research

Pharmacology of Peripheral Arterial Disease in the Angio Suite: What Every Interventionalist Should Know
Semin intervent Radiol 2018; 35: 393-398 DOI: 10.1055/s-0038-1676329Safe and effective treatment of peripheral arterial disease (PAD) and critical limb ischemia can be routinely performed in the angiography suite. A systematic understanding of the medications commonly used during these procedures is essential. This review discusses the traditional roles of the medications used in PAD procedures, the existing evidence basis for those roles, potential alternatives, and evolving techniques. Developing a familiarity with these medications can help improve outcomes and safety for the patients being treated. [...] Thieme Medical...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Watts, Micah M. Tags: Review Article Source Type: research

Noninvasive Arterial Testing: What and When to Use
Semin intervent Radiol 2018; 35: 384-392 DOI: 10.1055/s-0038-1676328Peripheral arterial disease (PAD) represents a growing public health issue that continues to be underdiagnosed. In its most severe form, critical limb ischemia, it contributes to expanding morbidity with minor and major limb amputations. PAD is strongly associated with increased mortality, as it is known to be concomitant with coronary and cerebrovascular disease. Diagnosis of PAD relies on noninvasive arterial testing, a class of tests that can provide physiologic or morphologic information. Physiologic tests such as ankle-brachial index, toe-brachial ind...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Mittleider, Derek Tags: Review Article Source Type: research

Multidisciplinary Approach to PAD: Who's on Your Team?
Semin intervent Radiol 2018; 35: 378-383 DOI: 10.1055/s-0038-1676094The complexity of peripheral arterial disease (PAD) and its multiorgan involvement requires the utilization of a multispecialty team approach. Members of this team include a vascular specialty (interventional radiology, cardiology, and vascular surgery), podiatry, orthopedic surgery, primary care, infectious disease, endocrinology, plastic surgery, wound care nursing, and dietetics. A team approach has been proven to significantly improve patient outcomes as well as decreasing amputation rates. In order to promote collaboration and avoid duplication of car...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Dhand, Sabeen Tags: Review Article Source Type: research

Clinical Assessment of Peripheral Arterial Disease in the Office: What Do the Guidelines Say?
Semin intervent Radiol 2018; 35: 365-377 DOI: 10.1055/s-0038-1676453Lower extremity peripheral arterial disease (PAD) is the manifestation of atherosclerotic disease within the lower extremities. The presentation of PAD is diverse ranging from asymptomatic disease to claudication or to debilitating rest pain, nonhealing ulcers, and gangrene. PAD is associated with significant morbidity, mortality, and healthcare costs. Proper diagnosis and management of PAD is important so as to maintain quality of life and reduce the risk of cardiovascular disease and adverse limb events such as amputation. This document provides a compre...
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Tummala, Srini Scherbel, Derek Tags: Review Article Source Type: research

Thank you, IR
Semin intervent Radiol 2018; 35: 363-364 DOI: 10.1055/s-0038-1676330 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Post-Test Questions
Semin intervent Radiol 2018; 35: C1-C6 DOI: 10.1055/s-0038-1676461 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - February 5, 2019 Category: Radiology Tags: Post-Test Questions Source Type: research