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Placenta Accreta Spectrum: The Role of Interventional Radiology in Multidisciplinary Management
This article defines characteristics, diagnosis, management, and outcomes of placenta accreta spectrum, highlighting interventional radiology's role in its management as part of a multidisciplinary approach. [...] 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 - August 10, 2023 Category: Radiology Authors: Sanders, Troy K. Stewart, Jessica K. Tags: Review Article Source Type: research

Uterine Vascular Anomalies: Management and Treatment Overview
Semin intervent Radiol 2023; 40: 342-348 DOI: 10.1055/s-0043-1770714Uterine vascular anomalies (UVAs), while rare, can result in severe, life-threatening hemorrhage. An understanding of the presentation and management options for UVAs is important for interventional radiologists to appropriately evaluate and care for these patients. The authors propose a standardized terminology for UVAs to avoid confusion and conflating congenital from acquired vascular lesions, which have a different pathophysiology. Limited high-level evidence and no definitive guidelines for UVA management exist, although endovascular treatment with ut...
Source: Seminars in Interventional Radiology - August 10, 2023 Category: Radiology Authors: Matsumoto, Monica M. Caridi, Theresa M. Tags: Review Article Source Type: research

Updates on the Surgical Approach to Fibroids: The Importance of Radiofrequency Ablation
Semin intervent Radiol 2023; 40: 335-341 DOI: 10.1055/s-0043-1770734Uterine fibroids are the most common benign neoplasm of the female pelvis and have a lifetime prevalence exceeding 80% among African American women and approaching 70% among Caucasian women. Approximately 50% of women with fibroids experience symptoms which can range from heavy menstrual bleeding and bulk-related symptoms such as pelvic pressure with bladder and bowel dysfunction to reproductive dysfunction (e.g., infertility or obstetric complications) and pain. The choice of treatment is primarily guided by the type of symptoms in the individual patient ...
Source: Seminars in Interventional Radiology - August 10, 2023 Category: Radiology Authors: Kwon, Caroline S. Abu-Alnadi, Noor Dasouki Tags: Review Article Source Type: research

Update on Endovascular Therapy for Fibroids and Adenomyosis
This article reviews the current state of endovascular treatments of uterine fibroids and adenomyosis. [...] 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 - August 10, 2023 Category: Radiology Authors: Ozen, Merve Patel, Ronak Hoffman, Mark Raissi, Driss Tags: Review Article Source Type: research

Ethical Considerations for Artificial Intelligence in Interventional Radiology: Balancing Innovation and Patient Care
Semin intervent Radiol 2023; 40: 323-326 DOI: 10.1055/s-0043-1769905 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 - July 20, 2023 Category: Radiology Authors: Rockwell, Helena D. Cyphers, Eric D. Makary, Mina S. Keller, Eric J. Tags: Ethics Corner Source Type: research

Embolic Agents: Particles
Semin intervent Radiol 2023; 40: 315-322 DOI: 10.1055/s-0043-1769744 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 - July 20, 2023 Category: Radiology Authors: Lee, Sean Ghosh, Abheek Xiao, Nicholas Gordon, Andrew C. Heidarpour, Negar Funaki, Brian Lewandowski, Robert J. Tags: Back to Basics Source Type: research

Hemorrhage from Adrenal Vein Rupture during Adrenal Vein Sampling
We describe a case of right adrenal hemorrhage from adrenal vein sampling treated conservatively with overnight admission and pain control. We review the existing literature on rates of this complication, typical clinical outcomes, and practical tips to avoid its occurrence. [...] 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 - July 20, 2023 Category: Radiology Authors: Quencer, Keith B. Massouh, Alan Anand, Keshav Tags: Review Article Source Type: research

New-Onset Paralysis following Biopsy of a Retroperitoneal Mass with Intraspinal Extension in a Pediatric Patient
This report describes a biopsy of a retroperitoneal mass with extension into the spinal canal, following which the patient developed paralysis unrelated to the biopsy itself but secondary to spinal cord ischemia during the procedure. Multiple factors contributed to the ischemia, including prone positioning, compression of spinal vasculature by the mass, low arterial pressures, and an extended duration of anesthesia. While the patient eventually recovered neurologic function, it is an important reminder to consider individual patient factors that may complicate typically routine procedures. In masses with intraspinal extens...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Wiese, Michelle Rajeswaran, Shankar Tags: Review Article Source Type: research

Malposition of a Femoral Tunneled Dialysis Catheter through a Patent Foramen Ovale
Semin intervent Radiol 2023; 40: 304-307 DOI: 10.1055/s-0043-1769745Patent foramen ovale (PFO) is a common congenital abnormality of high prevalence in adults. Its clinical significance is magnified in a right-to-left shunt, where paradoxical embolism can have catastrophic outcomes involving the brain, heart, mesenteric circulation, or extremities. Right-to-left shunting through a PFO is caused by increased right atrial pressure, as seen in the setting of pulmonary artery hypertension or pulmonary embolism. This case highlights the relevance of central venous catheter placement in the setting of a PFO. While the patient di...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Blackburn, Anthony Finnay Landinez, Gina P. Kerlan, Robert K. Lokken, R. Peter Tags: Review Article Source Type: research

Balloon-Assisted Retrieval of a Retained Vascular Sheath during Complex Inferior Vena Cava Filter Removal
Semin intervent Radiol 2023; 40: 298-303 DOI: 10.1055/s-0043-1769747A potential complication of complex endovascular procedures is retained foreign bodies such as fragmented catheters, wires, stents, or sheaths in the intravascular space. Different techniques are available for retrieval of intravascular foreign bodies including snares, forceps, baskets, tip-deflecting wires, and balloon catheters. The aim of this article is to describe our experience in which a lost large intravascular sheath was retrieved using balloon assistance. We also provide a review of different techniques used for intravascular large sheath retriev...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Samuel, Michael Nahab, Bashar Chadalavada, Seetharam Tags: Review Article Source Type: research

Acute Pancreatitis following Percutaneous Electrohydraulic Lithotripsy
In this report, we will examine a rare complication that occurred in a patient with acute calculous cholecystitis: acute pancreatitis following percutaneous electrohydraulic lithotripsy with cystic duct stenting performed by IR. [...] 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 - July 20, 2023 Category: Radiology Authors: Malik, Asad Sato, Kent T. Riaz, Ahsun Tags: Review Article Source Type: research

A Case of Ischemic Monomelic Neuropathy following Endovascular Arteriovenous Fistula Creation and Assisted Maturation
Semin intervent Radiol 2023; 40: 290-293 DOI: 10.1055/s-0043-1769765Dialysis access steal syndrome (DASS) is a phenomenon known to occur following creation of an arteriovenous fistula or arteriovenous graft. The clinical presentation of DASS is characterized by symptoms of limb ischemia due to diversion of arterial flow from the distal extremity. Ischemic monomelic neuropathy (IMN) is a rare subtype of DASS classically described as an acute, isolated presentation of peripheral neuropathy following dialysis access creation. Although the underlying pathophysiology is not entirely understood, the clinical manifestation of IMN...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Sonnabend, Kyle Park, Simon Shah, Ketan Lipnik, Andrew J. Niemeyer, Matthew M. Tags: Review Article Source Type: research

Intercostal Artery Laceration after Adrenal Mass Cryoablation
We present a case of a 69-year-old male with profound Cushing's syndrome and hypercortisolemia secondary to a cortisol-secreting adrenocortical carcinoma. Patient was not a surgical candidate and subsequently underwent a successful posterior approach tumor cryoablation. The procedure was complicated by a T11 intercostal artery injury and hemothorax. The detection of the culprit injury was almost immediate and the quick response time, and treatment of the injury via an intercostal artery embolization was critical to limiting the patient's morbidity and mortality. This case discusses the technical challenges of a posterior-a...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Warhadpande, Shantanu Liles, Amber Kirkpatrick, Daniel Tags: Review Article Source Type: research

Persistent Bleeding after Coil Embolization of a Pancreatic Transplant Pseudoaneurysm: Should Covered Stents Be the Primary Management?
We present a case of pancreatic pseudoaneurysm which was initially treated by coiling followed by subsequent covered stent placement for a more durable outcome. We advocate for a “stent first” approach to these lesions if feasible. [...] 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 - July 20, 2023 Category: Radiology Authors: Anand, Keshav Cizman, Ziga Smith, Tyler Strain, David Patel, Suraj Campsen, Jeffrey Baker, Talia Saad, Wael Tags: Review Article Source Type: research

Transplant Hepatic Artery Rupture
Semin intervent Radiol 2023; 40: 279-282 DOI: 10.1055/s-0043-1769764A case of transplant hepatic artery thrombosis treated with thrombolysis and vascular stenting is presented. Stenting was complicated by hepatic artery rupture necessitating emergent stent graft placement. Hepatic artery occlusion in a liver transplant often leads to biliary complications such as ischemic cholangiopathy, biliary necrosis, cholangitis, biloma formation, intrahepatic abscesses, and liver failure. Prompt recognition and appropriate treatment of hepatic artery thrombosis are necessary to avoid graft failure and possible death. [...] Thieme Med...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Quencer, Keith B. Tags: Review Article Source Type: research