Massive Hemoperitoneum after Paracentesis in a Patient with Budd-Chiari Syndrome: Treated with a TIPS after Negative Arteriogram
Semin intervent Radiol 2023; 40: 274-278 DOI: 10.1055/s-0043-1769906Paracenteses are considered safe procedures; however, in patients with portal hypertension, the rapid shifts in intraabdominal pressure can prompt hemorrhage from an ectopic varix. Little literature exists on the appropriate management in this clinical setting. Here, we describe a patient with portal hypertension secondary to Budd-Chiari syndrome, presenting with massive hemoperitoneum following paracentesis. Angiography was performed, without revealing an arterial source of bleeding. Subsequently, transjugular intrahepatic portosystemic shunt placement wa...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Assael, Dylan J. Sauk, Steven C. Tags: Review Article Source Type: research

Viatorr Stent Migration and Retrieval during Transjugular Intrahepatic Portosystemic Shunt Revision
Semin intervent Radiol 2023; 40: 269-273 DOI: 10.1055/s-0043-1769772Transjugular intrahepatic portosystemic shunt (TIPS) is an important interventional option for the treatment of complications related to cirrhosis and portal hypertension. Emergent TIPS placement can be a life-saving measure in patients with uncontrolled variceal hemorrhage. After TIPS placement, patients may benefit from additional interventions for clinical optimization including stent dilation, stent extension, and embolization of varices. Here, we describe a case of emergent TIPS placement and revision which resulted in TIPS stent migration requiring s...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Kim, Stephanie H. Samuel, Michael Makramalla, Abouelmagd Tags: Review Article Source Type: research

Hepatic Encephalopathy following Transjugular Intrahepatic Portosystemic Shunt Placement
Semin intervent Radiol 2023; 40: 262-268 DOI: 10.1055/s-0043-1769770Hepatic encephalopathy (HE) is a complex condition that arises as a complication of chronic liver disease and portosystemic shunting. Its pathophysiology involves several factors, including impaired ammonia metabolism, portosystemic shunting, sarcopenia, and systemic inflammation. The symptoms of HE can vary significantly, with manifestations ranging from subclinical signs to a comatose state. The West Haven classification system is most commonly used to grade the severity of HE. There is a broad differential for the presenting symptomatology of HE and oth...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Thornburg, Bartley Tags: Review Article Source Type: research

Diaphragmatic Injury with Empyema Development after Microwave Ablation of a Liver Dome Lesion
In this report, we present a case of diaphragmatic injury and subsequent empyema following MWA of a liver dome lesion. [...] 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: Jing, Ran Merritt, Travis Gemmete, Joseph J. Tags: Review Article Source Type: research

A Sticky Situation: Glue Migration during Hepatic Vein Embolization
Semin intervent Radiol 2023; 40: 254-257 DOI: 10.1055/s-0043-1769773The addition of hepatic venous embolization to portal venous embolization to achieve ipsilateral liver venous deprivation before major hepatectomy has been suggested to increase the extent of hypertrophy of the future liver remnant. The presented case discusses a hepatic vein embolization procedure complicated by the unintended migration of a glue cast used to achieve hepatic venous occlusion and subsequent management with endovascular retrieval of the glue cast from the inferior vena cava. The emerging role of hepatic venous embolization and associated co...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Pal, Koustav Kuban, Joshua D. Murthy, Ravi Odisio, Bruno C. Metwalli, Zeyad A. Tags: Review Article Source Type: research

Dealing with Complications: First Address the Emotional Response
Semin intervent Radiol 2023; 40: 253-253 DOI: 10.1055/s-0043-1769767Medical complications often leave the responsible physicians with strong negative emotional responses. Through self-compassion, physicians can overcome these negative emotions and continue to improve. [...] 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: Patel, Mikin V. Tags: Review Article Source Type: research

Understanding the Basics of Commonly Used Catheters in Interventional Radiology
Semin intervent Radiol 2023; 40: 247-252 DOI: 10.1055/s-0043-1768679 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 16, 2023 Category: Radiology Authors: Khabbaz, Ramzy C. Polikaitis, Kovas Niemeyer, Matthew M. Tags: Back to Basics Source Type: research

Sedation and Analgesia for the Interventional Radiologist
Semin intervent Radiol 2023; 40: 240-246 DOI: 10.1055/s-0043-57259 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 16, 2023 Category: Radiology Authors: Schwartz, Zachary L. Routman, Justin S. Tags: Clinical Corner Source Type: research

Chest Tube Placement and Management: A Practical Review
Semin intervent Radiol 2023; 40: 231-239 DOI: 10.1055/s-0043-1768680 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 16, 2023 Category: Radiology Authors: Roebker, James A. Kord, Ali Chan, Kaelan Rao, Rahul Ray, Charles E. Ristagno, Ross Tags: Trainees' Corner Source Type: research

Use of Ethylene Vinyl Copolymer for Embolization Outside the Central Nervous System: A Case Review
Semin intervent Radiol 2023; 40: 221-230 DOI: 10.1055/s-0043-1768611 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 16, 2023 Category: Radiology Authors: Maughan, Kyle S. Romain, Mike Brown, Daniel B. Tags: How I Do It Source Type: research

Intravascular Ultrasound for Transjugular Intrahepatic Portosystemic Shunt Creation: “TIPS” and Tricks
Semin intervent Radiol 2023; 40: 212-220 DOI: 10.1055/s-0043-1768609 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 16, 2023 Category: Radiology Authors: Herren, Josi L. Shah, Ketan Y. Patel, Meet Niemeyer, Matthew M. Tags: How I Do It Source Type: research

Liver Venous Deprivation Using Amplatzer Vascular Plug –Assisted N-Butyl Cyanoacrylate Embolization of the Portal and Hepatic Veins: How Do I Do it?
Semin intervent Radiol 2023; 40: 197-211 DOI: 10.1055/s-0043-1768610 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 16, 2023 Category: Radiology Authors: Knott, Emily A. Partovi, Sasan McBride, Aaron Levitin, Abraham Gadani, Sameer Tags: How I Do It Source Type: research

Peripheral Arterial Disease Treatment in the Non-Hospital Setting
This article examines these trends and the concept that the OBL/ASC provides a safe, alternative site of service for PAD patients requiring LEAI. [...] 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 16, 2023 Category: Radiology Authors: Wiechmann, Bret N. Tags: Review Article Source Type: research

Deep Venous Arterialization: Background, Patient Selection, Technique, Outcomes and Follow-up, and Future Implementation
Semin intervent Radiol 2023; 40: 183-192 DOI: 10.1055/s-0043-57264Critical limb-threatening ischemia (CLTI) is a severe manifestation of peripheral arterial disease with a highly increased risk for morbidity and mortality that has limited and suboptimal opportunities for treatment, ultimately resulting in major amputation for patients. Deep venous arterialization (DVA) provides a suitable limb salvage option for “no-option” patients facing amputation by introducing an artificial anastomosis between a site of proximal arterial inflow and retrograde venous outflow to deliver tissue perfusion to lower extremity wounds. Be...
Source: Seminars in Interventional Radiology - June 16, 2023 Category: Radiology Authors: Zaman, Naveed Rundback, John Tags: Review Article Source Type: research

Techniques Providing Endpoints for Revascularization in Chronic Limb-Threatening Ischemia
Semin intervent Radiol 2023; 40: 177-182 DOI: 10.1055/s-0043-1768608It is frequently difficult to estimate the revascularization endpoint in patients with chronic limb-threatening ischemia where there may be extensive multifocal multiarterial disease. There have been attempts to identify an endpoint for revascularization procedures, but none has become the standard of care. An ideal indicator of an endpoint can objectively quantify tissue perfusion, predict wound healing, and is easily and efficiently used intraprocedurally to assist real-time decision making on whether adequate perfusion has been reached. Candidate techni...
Source: Seminars in Interventional Radiology - June 16, 2023 Category: Radiology Authors: Kutsenko, Oleksandra Sommerset, Jill Chandra, Venita Bryce, Yolanda Tags: Review Article Source Type: research