Choosing the Most Appropriate Treatment Option for Pelvic Venous Disease: Stenting versus Embolization
Semin intervent Radiol 2021; 38: 182-188 DOI: 10.1055/s-0041-1727104Pelvic venous disease (PeVD) in women encompasses a wide variety of entities all resulting in pelvic pain and varices. Successful treatment with percutaneous interventions is dependent on identifying underlying factors contributing to the disease and addressing them with either embolization of incompetent veins or stenting for venous stenoses. There are a multitude of embolization methods with marked practice heterogeneity. Moreover, with the ongoing development of dedicated venous stents in the treatment of chronic venous disease, there are more opportuni...
Source: Seminars in Interventional Radiology - June 3, 2021 Category: Radiology Authors: Tanaka, Mari E. Kutsenko, Oleksandra Salazar, Gloria Tags: Review Article Source Type: research

Varicocele Embolization: Patient Selection: Preprocedure Workup, and Technical Considerations
Semin intervent Radiol 2021; 38: 176-181 DOI: 10.1055/s-0041-1727105Varicocele refers to an abnormally dilated and tortuous pampiniform venous plexus within the spermatic cord. The prevalence of varicocele is reported to be approximately 15% in the general male population. Its incidence increases with age and has a higher incidence in infertile men. Varicocele treatment (surgical or interventional) is considered one of the most common therapies of reversible infertility in men. Percutaneous embolization offers nonsurgical, minimally invasive option for the treatment of varicoceles, requiring only minimal sedation. In this ...
Source: Seminars in Interventional Radiology - June 3, 2021 Category: Radiology Authors: Wadhwa, Vibhor Kashanian, James A. Schiffman, Marc McClure, Timothy D. Tags: Review Article Source Type: research

Physical Examination and Ultrasound Evaluation of Patients with Superficial Venous Disease
This article reviews tools and techniques essential for physical examination and ultrasound assessment of patients with superficial venous disease. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - June 3, 2021 Category: Radiology Authors: Casadaban, Leigh C. Moriarty, John M. Hoffman, Cheryl H. Tags: Review Article Source Type: research

Ambulatory Phlebectomy and Sclerotherapy as Tools for the Treatment of Varicose Veins and Telangiectasias
Semin intervent Radiol 2021; 38: 160-166 DOI: 10.1055/s-0041-1727151Treatment of chronic venous disease is a fascinating and rewarding undertaking. Once the truncal reflux is addressed, several options are available that can be used to treat the associated ulcers, varicosities, reticular veins, and telangiectasias. This review will focus on two widely employed procedures: ambulatory phlebectomy and sclerotherapy. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - June 3, 2021 Category: Radiology Authors: Andrews, R. Hampton Dixon, Robert G. Tags: Review Article Source Type: research

Treatment of Nonthrombotic Iliac Vein Lesions
Semin intervent Radiol 2021; 38: 155-159 DOI: 10.1055/s-0041-1727101Nonthrombotic iliac vein lesions (NIVLs) most frequently result from extrinsic compression of various segments of the common or external iliac vein. Patients develop symptoms associated with chronic venous insufficiency (CVI); female patients may develop symptoms of pelvic venous disease. Given that iliac vein compression can be clinically silent, a thorough history and physical examination is mandatory to exclude other causes of a patient's symptoms. Venous duplex ultrasound, insufficiency examinations, and axial imaging are most commonly used to assess f...
Source: Seminars in Interventional Radiology - June 3, 2021 Category: Radiology Authors: Joh, Maria Desai, Kush R. Tags: Review Article Source Type: research

Evolving to Affection —Perspectives on Interventional Radiology
Semin intervent Radiol 2021; 38: 153-154 DOI: 10.1055/s-0041-1729153 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - June 3, 2021 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Basic Principles of Trauma Embolization
Semin intervent Radiol 2021; 38: 144-152 DOI: 10.1055/s-0041-1726004 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Kord, Ali Kuwahara, Jeffery T. Rabiee, Behnam Ray, Charles E. Tags: Trainee Corner Source Type: research

Postcontrast Acute Kidney Injury After Transarterial Chemoembolization
Semin intervent Radiol 2021; 38: 139-143 DOI: 10.1055/s-0041-1724016 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Kord, Ali Park, Simon J. Rao, Amith Eppurath, Atul Lipnik, Andrew Ray, Charles E. Tags: Morbidity & Mortality Source Type: research

Delayed and Chronic Sequelae of Trauma and the Role of the Interventional Radiologist
This article reviews frequently seen complications of traumatic injury and their management by interventional radiologists. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Wolf, Robert Smolinski-Zhao, Sara Tags: Review Article Source Type: research

Endovascular Management of Pelvic Trauma
Semin intervent Radiol 2021; 38: 123-130 DOI: 10.1055/s-0041-1725112Major pelvic fractures result from high-energy trauma including traffic accidents and falls, which usually leads to multiple injuries complicating the patient's management. Management of these patients requires a coordinated multidisciplinary approach. Transcatheter embolization is a minimally invasive and effective technique to control massive hemorrhage and can be performed using a variety of embolic agents. It has become an accepted first-line management option for retroperitoneal bleeds in many centers. In this article, the indications for endovascular...
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: El Khudari, Husameddin Abdel Aal, Ahmed Kamel Tags: Review Article Source Type: research

Interventional Radiology in Renal Trauma
Semin intervent Radiol 2021; 38: 113-122 DOI: 10.1055/s-0041-1726006Traumatic injuries to the kidney and collecting system can range widely from small lacerations to significant bleeding and its sequelae. Urinary obstruction can occur in the renal pelvis, ureters, or urethra. Interventional radiology plays a significant role in treatment and management, in many cases requiring emergent action. Endovascular embolization is frequently the first-line approach to treating hemorrhage. Percutaneous interventions for urinary obstruction include nephrostomy and suprapubic catheter placement. In this article, we outline the clinica...
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Lopez-Gonzalez, Diego B. Zurkiya, Omar Tags: Review Article Source Type: research

Splenic Artery Embolization for Patients with High-Grade Splenic Trauma: Indications, Techniques, and Clinical Outcomes
Semin intervent Radiol 2021; 38: 105-112 DOI: 10.1055/s-0041-1724010The spleen is the most commonly injured organ in blunt abdominal trauma. Patients who are hemodynamically unstable due to splenic trauma undergo definitive operative management. Interventional radiology plays an important role in the multidisciplinary management of the hemodynamically stable trauma patient with splenic injury. Hemodynamically stable patients selected for nonoperative management have improved clinical outcomes when splenic artery embolization is utilized. The purpose of this article is to review the indications, technical aspects, and clini...
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Habash, Majd Ceballos, Darrel Gunn, Andrew J. Tags: Review Article Source Type: research

Hepatic Trauma Interventions
This article reviews the clinical presentation of patients with liver injury, the grading system for such injuries that is most frequently used, and management of the patient with liver trauma. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Pillai, Akshita S. Kumar, Girish Pillai, Anil K. Tags: Review Article Source Type: research

Thoracic Trauma: Aortic Injuries
Semin intervent Radiol 2021; 38: 084-095 DOI: 10.1055/s-0041-1724009Thoracic aortic injuries caused by high impact trauma are life-threatening and require emergent diagnosis and management. With improvement in the acute care services, an increasing number of such injuries are being managed such that patients survive to undergo definitive therapies. A high index of clinical suspicion is required to order appropriate imaging. Computed tomography angiography is used to classify the injuries and guide treatment strategy. While low-grade injuries might be managed conservatively, high-grade injuries require urgent surgical or en...
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Monga, Akhil Patil, Santosh B. Cherian, Mathew Poyyamoli, Santhosh Mehta, Pankaj Tags: Review Article Source Type: research

Thoracic Trauma, Nonaortic Injuries
This article reviews the role of IR in the treatment of vascular an nonvascular traumatic thoracic injuries. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - April 15, 2021 Category: Radiology Authors: Jones, Kai A. Sadri, Shirin Ahmad, Noor Weintraub, Joseph R. Reis, Stephen P. Tags: Review Article Source Type: research