Overview of Staging Systems for Hepatocellular Carcinoma and Implications for Interventional Radiology
Semin intervent Radiol 2017; 34: 213-219 DOI: 10.1055/s-0037-1602757 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 - June 1, 2017 Category: Radiology Authors: Hansmann, Jan Ray, Charles E. Tags: Clinical Corner Source Type: research

Techniques for Retrieval of Permanent Inferior Vena Cava Filters
Semin intervent Radiol 2017; 34: 208-212 DOI: 10.1055/s-0037-1602597 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 - June 1, 2017 Category: Radiology Authors: Workman, Cayce S. Lewandowski, Robert J. Desai, Kush R. Tags: How I Do It Source Type: research

Intravascular Ultrasound-Guided Intervention for May –Thurner Syndrome
Semin intervent Radiol 2017; 34: 201-207 DOI: 10.1055/s-0037-1602758 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 - June 1, 2017 Category: Radiology Authors: Majdalany, Bill S. Khaja, Minhaj S. Williams, David M. Tags: How I Do It Source Type: research

Therapeutic Ultrasound and Prostate Cancer
Semin intervent Radiol 2017; 34: 187-200 DOI: 10.1055/s-0037-1602710Therapeutic ultrasound approaches including high-intensity focused ultrasound (HIFU) are emerging as popular minimally invasive alternative treatments for localized, low-to-intermediate risk prostate cancer. FDA approval was recently granted for two ultrasound-guided HIFU devices. Clinical trials for devices using MRI guidance are ongoing. The current level of evidence for whole-gland ultrasound ablation suggests that its clinical efficacy and adverse event rates including erectile dysfunction and urinary incontinence are similar to current definitive ther...
Source: Seminars in Interventional Radiology - June 1, 2017 Category: Radiology Authors: Sundaram, Karthik M. Chang, Sam S. Penson, David F. Arora, Sandeep Tags: Review Article Source Type: research

Interventional Oncology Service Development
Semin intervent Radiol 2017; 34: 182-186 DOI: 10.1055/s-0037-1601853Interventional oncology is rapidly expanding its suite of oncologic therapies, providing unique proven therapeutic benefits. To grow a practice alongside other oncology specialties, knowledge of cancer fundamentals is required. Areas of interest include methods to assess disease stage, treatment toxicity, and response. Additionally, techniques to leverage opportunities and resources available at one's institution toward practice development and efficiency will be reviewed. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article ...
Source: Seminars in Interventional Radiology - June 1, 2017 Category: Radiology Authors: Mouli, Samdeep Baker, Jennifer C. Brown, Daniel B. Tags: Review Article Source Type: research

Decision Making in Interventional Oncology: Ablative Options in the Lung
This article reviews the three most commonly used ablative options: radiofrequency ablation, microwave ablation, and cryoablation. We describe the advantages of each ablation modality in the lung and how to choose the most appropriate ablation device based on patient and tumor characteristics. The optimal technique for lung ablation is discussed and technical tips for improving clinical outcome are described. [...] 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 - June 1, 2017 Category: Radiology Authors: Lee, Kyungmouk Steve Erinjeri, Joseph P. Tags: Review Article Source Type: research

Decision Making: Thermal Ablation Options for Small Renal Masses
Semin intervent Radiol 2017; 34: 167-175 DOI: 10.1055/s-0037-1602708Renal cell carcinoma is a relatively common tumor, with an estimated 63,000 new cases being diagnosed in the United States in 2016. Surgery, be it with partial or total nephrectomy, is considered the mainstay of treatment for many patients. However, those patients with small renal masses, typically less than 3 to 4 cm in size who are deemed unsuitable for surgery, may be suitable for percutaneous thermal ablation. We review the various treatment modalities, including radiofrequency ablation, microwave ablation, and cryoablation; discuss the advantages and ...
Source: Seminars in Interventional Radiology - June 1, 2017 Category: Radiology Authors: McCarthy, Colin J. Gervais, Debra A. Tags: Review Article Source Type: research

Metastatic Liver Disease: Indications for Locoregional Therapy and Supporting Data
Semin intervent Radiol 2017; 34: 145-166 DOI: 10.1055/s-0037-1602712Metastatic liver disease is a major cause of cancer-related morbidity and mortality. Surgical resection is considered the only curative treatment, yet only a minority is eligible. Patients who present with unresectable disease are treated with systemic agents and/or locoregional therapies. The latter include thermal ablation and catheter-based transarterial interventions. Thermal ablation is reserved for those with limited tumor burden. It is used to downstage the disease to enable curative surgical resection, as an adjunct to surgery, or in select patient...
Source: Seminars in Interventional Radiology - June 1, 2017 Category: Radiology Authors: Shamimi-Noori, Susan Gonsalves, Carin F. Shaw, Colette M. Tags: Review Article Source Type: research

The Intersection of Palliative Care and Interventional Radiology: Enhancing Understanding and Collaboration
This article will briefly define palliative care in general, describe the specialty of hospice and palliative medicine, and discuss how hospice differs from palliative care. Finally, it will highlight opportunities for interventional radiology specialists to incorporate more deliberately palliative care skills and competencies into their own practice and to collaborate with palliative care specialists. [...] 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 - June 1, 2017 Category: Radiology Authors: Buss, Mary K. Tags: Review Article Source Type: research

Making the Case: Intra-arterial Therapy for Less Common Metastases
Semin intervent Radiol 2017; 34: 132-139 DOI: 10.1055/s-0037-1601852Intra-arterial therapies have high antitumor activity for both primary and secondary hepatic malignancies. Selective infusions allow increased delivery of cytoreductive therapy to the tumor bed while sparing the normal hepatic parenchyma. These therapies are now often applied in the outpatient setting or with short overnight hospital stays and have a growing role in the treatment of liver-dominant disease from metastatic colorectal cancer and from neuroendocrine tumors. Less commonly, intra-arterial therapies are applied to treat secondary hepatic malignan...
Source: Seminars in Interventional Radiology - June 1, 2017 Category: Radiology Authors: Gordon, Andrew C. Uddin, Omar M. Riaz, Ahsun Salem, Riad Lewandowski, Robert J. Tags: Review Article Source Type: research

Decision Making: Osteoplasty, Ablation, or Combined Therapy for Spinal Metastases
Semin intervent Radiol 2017; 34: 121-131 DOI: 10.1055/s-0037-1602707Metastatic disease involving the spine and pelvis is common, often resulting in significant pain and disability. Several percutaneous interventions have been described, including osteoplasty, ablation, and screw fixation, that when used alone or in combination can significantly reduce pain and disability from metastatic bone disease. Although it is possible to make a significant impact in patient care with basic principles and techniques, certain advanced techniques can extend the application of percutaneous interventions while minimizing morbidity. [...] ...
Source: Seminars in Interventional Radiology - June 1, 2017 Category: Radiology Authors: Lea, William Tutton, Sean Tags: Review Article Source Type: research

Yttrium-90 Radioembolization for Metastatic Colorectal Cancer: Outcomes by Number of Lines of Therapy
Semin intervent Radiol 2017; 34: 116-120 DOI: 10.1055/s-0037-1602711Metastatic colorectal cancer represents the most common liver malignancy, and imparts a very poor prognosis for those who develop this disease. Unlike primary liver tumors such as hepatocellular carcinoma, which largely develops in patients with underlying cirrhosis, most metastatic liver tumor patients have normal underlying liver function. Owing to this, most will succumb to tumoral replacement of the liver rather than from underlying liver dysfunction. Radioembolization represents a treatment modality that can be used in multiple fashions to treat one o...
Source: Seminars in Interventional Radiology - June 1, 2017 Category: Radiology Authors: Marsala, Andrew Lee, Edward W. Padia, Siddharth A. Tags: Review Article Source Type: research

Transarterial Chemoembolization and Radioembolization across Barcelona Clinic Liver Cancer Stages
This article aims to elucidate the evidence behind these therapies and to provide a rationale for their utilization across the spectrum of BCLC stages in the treatment of HCC. [...] 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 - June 1, 2017 Category: Radiology Authors: Titano, Joseph Noor, Amir Kim, Edward Tags: Review Article Source Type: research

Decision Making for Selection of Transarterial Locoregional Therapy of Metastatic Neuroendocrine Tumors
This article aims to provide an overview of transarterial LRT options for liver-dominant metastatic NETs and therapy selection by reviewing procedure types, their advantages and disadvantages, and comparative efficacy in common case scenarios. [...] 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 - June 1, 2017 Category: Radiology Authors: Gaba, Ron C. Mendoza-Elias, Nasya Morrison, Joseph D. Valeshabad, Ali Kord Lipnik, Andrew J. Tags: Review Article Source Type: research

Decision Making: Intra-arterial Therapies for Cholangiocarcinoma —TACE and TARE
This article reviews the differences in patient selection, preprocedural evaluation, financial considerations and availability, quality of life, and rates of complications and overall survival. [...] 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 - June 1, 2017 Category: Radiology Authors: Currie, Brian M. Soulen, Michael C. Tags: Review Article Source Type: research

Decision Making in Interventional Oncology: Intra-arterial Therapies for Metastatic Colorectal Cancer —Y90 and Chemoembolization
This article discusses the current role of transarterial therapies in the treatment of colorectal liver metastases. [...] Thieme Medical Publishers 333 Seventh Avenue, 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 1, 2017 Category: Radiology Authors: Fairchild, Alexandra H. White, Sarah B. Tags: Review Article Source Type: research

IR Residency: Did Anyone See This Coming?
Semin intervent Radiol 2017; 34: 085-086 DOI: 10.1055/s-0037-1602653 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 - June 1, 2017 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Post-Test Questions
Semin intervent Radiol 2017; 34: C1-C6 DOI: 10.1055/s-0037-1603903 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 - June 1, 2017 Category: Radiology Tags: Post-Test Questions Source Type: research

The Importance of Facts and the Role of Academic Publishers in Today's World —A Publisher's View
Semin intervent Radiol 2017; 34: viii-viii DOI: 10.1055/s-0037-1602420 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 - June 1, 2017 Category: Radiology Authors: Schiff, Daniel Tags: Publisher's Note Source Type: research

Catheter Pinch off with Foreign Body Retrieval
Semin intervent Radiol 2017; 34: 81-84 DOI: 10.1055/s-0036-1597769 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 2, 2017 Category: Radiology Authors: Funaki, Brian Tags: Trainee Corner Source Type: research

The Future of Nanoparticle-Directed Venous Therapy
This article will review the structure and engineering of nanoparticles, as well as promising molecular targets for future investigation. [...] 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 2, 2017 Category: Radiology Authors: Jacobs, Benjamin Vemuri, Chandu Tags: Review Article Source Type: research

Knowns and Unknowns in Managing Postthrombotic Syndrome
Semin intervent Radiol 2017; 34: 68-72 DOI: 10.1055/s-0036-1597766The postthrombotic syndrome (PTS) is a frequent cause of long-term disability in patients with lower extremity deep vein thrombosis. A broad variety of interventions have been applied to patients with established PTS, including lifestyle, medical, compressive, endovascular, and open surgical therapies. However, the volume of evidence to support many individual elements of care is sparse, and important questions remain that must be answered to enable judicious individualization of PTS care. The purpose of this article is to describe what is known about PTS ca...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Vedantham, Suresh Tags: Review Article Source Type: research

Medical Treatment for Postthrombotic Syndrome
Semin intervent Radiol 2017; 34: 61-67 DOI: 10.1055/s-0036-1597765Deep vein thrombosis (DVT) is a prevalent disease. About 20 to 30% of patients with DVT will develop postthrombotic syndrome (PTS) within months after the initial diagnosis of DVT. There is no gold standard for diagnosis of PTS, but clinical signs include pitting edema, hyperpigmentation, phlebectatic crown, venous eczema, and varicose veins. Several scoring systems have been developed for diagnostic evaluation. Conservative treatment includes compression therapy, medications, lifestyle modification, and exercise. Compression therapy, the mainstay and most p...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Palacios, Federico Silva Rathbun, Suman Wasan Tags: Review Article Source Type: research

Interventional Therapy for Upper Extremity Deep Vein Thrombosis
Semin intervent Radiol 2017; 34: 54-60 DOI: 10.1055/s-0036-1597764Approximately 10% of all deep vein thromboses occur in the upper extremity, and that number is increasing due to the use of peripherally inserted central catheters. Sequelae of upper extremity deep vein thrombosis (UEDVT) are similar to those for lower extremity deep vein thrombosis (LEDVT) and include postthrombotic syndrome and pulmonary embolism. In addition to systemic anticoagulation, there are multiple interventional treatment options for UEDVT with the potential to reduce the incidence of these sequelae. To date, there have been no randomized trials t...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Carlon, Timothy A. Sudheendra, Deepak Tags: Review Article Source Type: research

Deep Vein Thrombosis Interventions in Cancer Patients
Semin intervent Radiol 2017; 34: 50-53 DOI: 10.1055/s-0036-1597763The presence of cancer increases the risk of deep vein thrombosis (DVT), DVT recurrence, and treatment-related bleeding, and therefore offers distinctive clinical considerations when planning treatment. Anticoagulation with a low-molecular-weight heparin is the preferred initial and long-term therapy in cancer patients. Inferior vena cava filters may be used judiciously for patients with cancer-related DVT who have contraindications to anticoagulation or who exhibit breakthrough pulmonary embolism (PE) despite anticoagulation, but should be removed when the ...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Charalel, Resmi Ann Vedantham, Suresh Tags: Review Article Source Type: research

How We Manage Pediatric Deep Venous Thrombosis
Semin intervent Radiol 2017; 34: 35-49 DOI: 10.1055/s-0036-1597762Over the past two decades, the incidence and recognition of venous thromboembolism (VTE) in children has significantly increased, likely as a result of improvements in the medical care of critically ill patients and increased awareness of thrombotic complications among medical providers. Current recommendations for the management of VTE in children are largely based on data from pediatric registries and observational studies, or extrapolated from adult data. The scarcity of high-quality evidence-based recommendations has resulted in marked variations in the ...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Betensky, Marisol Bittles, Mark A. Colombani, Paul Goldenberg, Neil A. Tags: Review Article Source Type: research

Management of Cavoatrial Deep Venous Thrombosis: Incorporating New Strategies
Semin intervent Radiol 2017; 34: 25-34 DOI: 10.1055/s-0036-1597761Cavoatrial deep venous thrombosis (DVT) is diagnosed with increasing prevalence. It can be managed medically with anticoagulation or with directed interventions aimed to efficiently reduce the thrombus burden within the target venous segment. The type of management chosen depends greatly on the etiology and chronicity of the thrombosis, existing patient comorbidities, and the patient's tolerance to anticoagulants and thrombolytic agents. In addition to traditional percutaneous catheter-based pharmacomechanical thrombolysis, other catheter-based suction throm...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Zayed, Mohamed A. De Silva, Gayan S. Ramaswamy, Raja S. Sanchez, Luis A. Tags: Review Article Source Type: research

Achieving Multidisciplinary Collaboration for the Creation of a Pulmonary Embolism Response Team: Creating a “Team of Rivals”
Semin intervent Radiol 2017; 34: 16-24 DOI: 10.1055/s-0036-1597760Pulmonary embolism response teams (PERTs) have recently been developed to streamline care for patients with life-threatening pulmonary embolism (PE). PERTs are unique among rapid response teams, in that they bring together a multidisciplinary team of specialists to care for a single disease for which there are novel treatments but few comparative data to guide treatment. The PERT model describes a process that includes activation of the team; real-time, multidisciplinary consultation; communication of treatment recommendations; mobilization of resources; and...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Kabrhel, Christopher Tags: Review Article Source Type: research

Pulmonary Embolism: The Astute Interventional Radiology Clinician
Semin intervent Radiol 2017; 34: 11-15 DOI: 10.1055/s-0036-1597759There has been a resurgence of interest in defining the optimal treatment for severe pulmonary embolism (PE), fueled by pivotal and provocative trials, new catheter-based medical devices, and growing evidence of deleterious short- and long-term outcomes. In this environment, and especially given the multidisciplinary nature of PE care, the interventional radiologist (IR) needs to become an astute, disease-specific expert. This review article describes the following “steps” an IR can take to reach this level: (1) understand PE stratification and e...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Sista, Akhilesh K. Tags: Review Article Source Type: research

Initiating and Managing Patients with Venous Thromboembolism on Anticoagulant Drugs: A Practical Overview
Semin intervent Radiol 2017; 34: 03-10 DOI: 10.1055/s-0036-1597758Several new oral anticoagulants have recently been approved for the treatment of venous thromboembolism (VTE). In this review, we discuss the currently approved drugs and the factors that influence the choice of anticoagulant in a given patient. Once anticoagulation is initiated, periodic monitoring of adequacy of anticoagulation may be necessary depending on the choice of anticoagulant and patient-related factors, such as renal function. Situations that may warrant need for monitoring and the tests available for this purpose are discussed. We review reversa...
Source: Seminars in Interventional Radiology - March 2, 2017 Category: Radiology Authors: Kasthuri, Raj S. Moll, Stephan Tags: Review Article Source Type: research

Diversity of Thought
Semin intervent Radiol 2017; 34: 01-02 DOI: 10.1055/s-0036-1597768 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 2, 2017 Category: Radiology Authors: Findeiss, Laura Spencer, Brooke Ray, Charles E. Tags: Editorial Source Type: research

Post-Test Questions
Semin intervent Radiol 2017; 34: C1-C6 DOI: 10.1055/s-0037-1598193 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 2, 2017 Category: Radiology Tags: Post-Test Questions Source Type: research

Renal Artery Embolization for Renal Biopsy Bleed
Semin intervent Radiol 2016; 33: 342-346 DOI: 10.1055/s-0036-1592322 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 - October 31, 2016 Category: Radiology Authors: Rochon, Paul J. Hu, Jia Hao Tags: Trainee Corner Source Type: research

Liver Infarction after Drug-Eluting Embolic Transarterial Chemoembolization for Hepatocellular Carcinoma in the Setting of a Large Portosystemic Shunt
Semin intervent Radiol 2016; 33: 337-341 DOI: 10.1055/s-0036-1592319 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 - October 31, 2016 Category: Radiology Authors: Park, Benjamin V. Gaba, Ron C. Lokken, R. Peter Tags: Morbidity & Mortality Source Type: research

Delayed Diagnosis of Mirizzi Syndrome
Semin intervent Radiol 2016; 33: 332-336 DOI: 10.1055/s-0036-1592320Biliary obstruction occurs in a wide variety of malignant and benign conditions. The following is a unique case of biliary obstruction caused by external compression of the hepatic duct by a gallstone (Mirizzi syndrome). Owing to unusual imaging characteristics of the stone, the mass was initially mistaken for a malignancy or hepatic pseudoaneurysm. It was not until the patient developed gallstone ileus that the correct diagnosis was made. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of cont...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Oladini, Olufunmilola Zangan, Steven M. Navuluri, Rakesh Tags: Review Article Source Type: research

Hemobilia
Semin intervent Radiol 2016; 33: 324-331 DOI: 10.1055/s-0036-1592321Hemobilia is a rare source of upper gastrointestinal bleeding, though the incidence is increasing along with the rise in minimally invasive biliary interventions. Prompt diagnosis and treatment rests on having appropriate clinical suspicion which should be based on the patient's presenting signs and symptoms, as well as history including recent instrumentation. Endoscopy should be reserved for cases of upper gastrointestinal bleeding with low suspicion for hemobilia. Interventional radiology may be the first-line diagnostic and therapeutic option for patie...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Navuluri, Rakesh Tags: Review Article Source Type: research

Pediatric Biliary Interventions in the Native Liver
This article reviews several notable causes of biliary disease in children who have not undergone liver transplantation, describes the role of percutaneous interventional procedures in managing these conditions, and details applicable biliary interventional techniques. [...] 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 - October 31, 2016 Category: Radiology Authors: Kang, Lisa H. Brown, Colin N. Tags: Review Article Source Type: research

Diagnosis and Management of Postoperative Biliary Leaks
Semin intervent Radiol 2016; 33: 307-312 DOI: 10.1055/s-0036-1592324Postoperative biliary leaks have become more common in the past three decades since the development of laparoscopic biliary surgery. The role of the radiologist and interventional radiologist is important in the diagnosis and treatment of such complications, and can play an adjunctive role in the definitive surgical repair. Ultrasound, computed tomography, magnetic resonance cholangiopancreatography, nuclear medicine cholescintigraphy studies, and percutaneous transhepatic cholangiograms (PTC) are the various imaging modalities used for diagnosis. Interven...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Nikpour, Arian M. Knebel, R. Justin Cheng, Danny Tags: Review Article Source Type: research

Benign Biliary Strictures
Semin intervent Radiol 2016; 33: 297-306 DOI: 10.1055/s-0036-1592325Differentiating benign and malignant biliary strictures is a challenging and important clinical scenario. The typical presentation is indolent and involves elevation of liver enzymes, constitutional symptoms, and obstructive jaundice with or without superimposed or recurrent cholangitis. While overall the most common causes of biliary strictures are malignant, including cholangiocarcinoma and pancreatic adenocarcinoma, benign strictures encompass a wide spectrum of etiologies including iatrogenic, autoimmune, infectious, inflammatory, and congenital. Imagi...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Altman, Ashley Zangan, Steven M. Tags: Review Article Source Type: research

Percutaneous Cholecystostomy: Evidence-Based Current Clinical Practice
Semin intervent Radiol 2016; 33: 291-296 DOI: 10.1055/s-0036-1592326The role of percutaneous cholecystostomy (PC) in the management of acute cholecystitis and cholangitis is outlined in the revised 2013 Tokyo Guidelines. These two emergencies constitute the vast majority of PC performed today for therapeutic purposes, and research has repeatedly shown the utility of PC in these conditions. PC is typically employed in the management of critically ill patients who are not surgical candidates. Indications and contraindications to PC are reviewed. Additional innovative applications of PC have been developed since it was first ...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Gulaya, Karan Desai, Shamit S. Sato, Kent Tags: Review Article Source Type: research

Biliary Interventions: Tools and Techniques of the Trade, Access, Cholangiography, Biopsy, Cholangioscopy, Cholangioplasty, Stenting, Stone Extraction, and Brachytherapy
We describe an overview of the instrumentation and technical approaches for several fundamental interventional procedures, including percutaneous transhepatic cholangiography and internal/external biliary drainage, endobiliary biopsy techniques, cholangioscopy, cholangioplasty and biliary stenting, biliary stone extraction, and intraluminal brachytherapy. [...] 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 - October 31, 2016 Category: Radiology Authors: Ahmed, Osman Mathevosian, Sipan Arslan, Bulent Tags: Review Article Source Type: research

Noninvasive Imaging of the Biliary System Relevant to Percutaneous Interventions
Semin intervent Radiol 2016; 33: 277-282 DOI: 10.1055/s-0036-1592328Clinical data such as history, physical examination, and laboratory tests are useful in identifying patients with biliary obstruction and biliary sources of infection. However, if intervention is planned, noninvasive imaging is needed to confirm the presence, location, and extent of the disease process. Currently, the most commonly available and used noninvasive modalities are ultrasound (US), computed tomography (CT), magnetic resonance (MR), and nuclear medicine hepatobiliary scintigraphy (HIDA). US is quick, portable, readily available, and is commonly ...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Thomas, Stephen Jahangir, Kayleen Tags: Review Article Source Type: research

Choledocholithiasis: Evaluation, Treatment, and Outcomes
Semin intervent Radiol 2016; 33: 268-276 DOI: 10.1055/s-0036-1592329Choledocholithiasis occurs in up to approximately 20% of patients with cholelithiasis. A majority of stones form in the gallbladder and then pass into the common bile duct, where they generate symptoms, due to biliary obstruction. Confirmatory diagnosis of choledocholithiasis is made with advanced imaging, including magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP). Treatment varies locally; however, ERCP with sphincterotomy is most commonly employed with a high degree of success. Difficult anatomy and di...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Molvar, Christopher Glaenzer, Bryan Tags: Review Article Source Type: research

Management of Malignant Biliary Obstruction
This article provides an updated review of options and outcomes for the management of malignant biliary obstruction. [...] 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 - October 31, 2016 Category: Radiology Authors: Lorenz, Jonathan M. Tags: Review Article Source Type: research

A Systematic Approach to Patients with Jaundice
Semin intervent Radiol 2016; 33: 253-258 DOI: 10.1055/s-0036-1592331Jaundice is a clinical manifestation of disorders of underlying bilirubin metabolism, hepatocellular dysfunction, or biliary obstruction. As clinical presentations of yellowing of eyes or skin can be somewhat nonspecific for the underlying etiology of disease, a stepwise approach to evaluation is necessary for accurate diagnosis and effective treatment plan. In this review, we discuss underlying mechanisms of cholestasis and jaundice as well as laboratory and imaging modalities needed to evaluate a patient presenting with hyperbilirubinemia. Jaundice occur...
Source: Seminars in Interventional Radiology - October 31, 2016 Category: Radiology Authors: Gondal, Bilal Aronsohn, Andrew Tags: Review Article Source Type: research

Humanism and Interventional Radiology
Semin intervent Radiol 2016; 33: 251-252 DOI: 10.1055/s-0036-1592332 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 - October 31, 2016 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Post-Test Questions
Semin intervent Radiol 2016; 33: C1-C6 DOI: 10.1055/s-0036-1592410 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 - October 31, 2016 Category: Radiology Tags: Post-Test Questions Source Type: research

Benign Prostatic Hyperplasia: Review of Modern Minimally Invasive Surgical Treatments
Semin intervent Radiol 2016; 33: 244-250 DOI: 10.1055/s-0036-1586148 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 - August 30, 2016 Category: Radiology Authors: Nimeh, Tony Magnan, Brenden Almallah, Y. Zaki Tags: Clinical Corner Source Type: research

Image-Guided Treatment of Varicoceles: A Brief Literature Review and Technical Note
Semin intervent Radiol 2016; 33: 240-243 DOI: 10.1055/s-0036-1586140 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 - August 30, 2016 Category: Radiology Authors: Talaie, Reza Young, Shamar J. Shrestha, Prashant Flanagan, Siobhan M. Rosenberg, Michael S. Golzarian, Jafar Tags: How I Do It Source Type: research

Tips and Tricks for Difficult Prostatic Artery Embolization
Semin intervent Radiol 2016; 33: 236-239 DOI: 10.1055/s-0036-1586145Prostatic artery embolization (PAE) is a promising, new, safe, minimally invasive procedure for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. However, it can be a one of the most technically difficult interventional radiology procedures because of the challenging anatomy involved. To help achieve technical success and limit complications, the authors present here a series of tips and tricks that have been proven useful from prior PAE experience. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 1000...
Source: Seminars in Interventional Radiology - August 30, 2016 Category: Radiology Authors: Bagla, Sandeep Isaacson, Ari J. Tags: Review Article Source Type: research