Skin Necrosis Resulting from Nontarget Embolization of the Falciform Artery during Transarterial Chemoembolization with Drug-Eluting Beads
Semin intervent Radiol 2015; 32: 022-025DOI: 10.1055/s-0034-1396960Intra-arterial embolic therapies are a mainstay of liver-directed therapies to palliate symptoms, improve survival, and bridge patients to transplantation. Vascular anatomy and type of embolic used can lead to complications of nontarget embolization with varying clinical consequences. This case report describes a rare, nontarget embolization of the falciform artery leading to supraumbilical skin necrosis.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract&n...
Source: Seminars in Interventional Radiology - March 2, 2015 Category: Radiology Authors: Smith, Mitchell T.Johnson, David ThorGipson, Matthew G. Source Type: research

Acute Pancreatitis after Transarterial Chemoembolization of Hepatocellular Carcinoma with Drug-Eluting Beads
Semin intervent Radiol 2015; 32: 018-021DOI: 10.1055/s-0034-1396959Nontarget embolization is a relatively common cause of post-chemoembolization complications. Clinical presentation following nontarget embolization varies from minimal to fatal, and oftentimes relates to the vascular distribution embolized rather than the amount or type of embolic agent. Post-chemoembolization pancreatitis is an uncommon complication, but one that is known to occur. The following manuscript presents a case of post-chemoembolization pancreatitis, and suggests methods to decrease this complication as well as treatment once the complication oc...
Source: Seminars in Interventional Radiology - March 2, 2015 Category: Radiology Authors: Green, Tyler J.Gipson, Matthew G. Source Type: research

Massive Hemorrhage from Arterial Access during Intracranial Aneurysm Stent-Assisted Embolization: Endovascular Diagnosis and Therapy
Semin intervent Radiol 2015; 32: 014-017DOI: 10.1055/s-0034-1396958Massive hemorrhage from arterial access in patients receiving anticoagulation and antiplatelet therapy is a rare but potentially devastating complication. The authors present a patient who developed a large retroperitoneal and anterior abdominal wall hemorrhage following an unintentional and unrecognized arterial injury during an endovascular procedure. Reversal of anticoagulation in patients who have undergone stent-assisted coil embolization of intracranial aneurysms is an undesirable approach due to the risk of thromboembolism; rather, transcatheter embo...
Source: Seminars in Interventional Radiology - March 2, 2015 Category: Radiology Authors: Bui, James T.Jajko, RobertZivin, Sean P. Source Type: research

Cerebral Embolization of Ethiodized Oil following Intranodal Lymphangiography
Semin intervent Radiol 2015; 32: 010-013DOI: 10.1055/s-0034-1396957Intranodal lymphangiography (IL) has supplanted pedal lymphangiography (PL) as an easier and more practical approach to opacifying lymphatic vessels for interventional radiologists treating refractory chyle leaks. As more interventional radiologists—many of who are not trained in or have not performed PL—incorporate IL into their practice, it is imperative that they be familiar with the risks of lymphangiography, including pulmonary and systemic embolization of oily contrast material. Herein, the authors report a devastating case of cerebral emb...
Source: Seminars in Interventional Radiology - March 2, 2015 Category: Radiology Authors: Sheybani, ArmanGaba, Ron C.Minocha, Jeet Source Type: research

Tumor Lysis Syndrome and Primary Hepatic Malignancy: Case Presentation and Review of the Literature
Semin intervent Radiol 2015; 32: 003-009DOI: 10.1055/s-0034-1396956Tumor lysis syndrome (TLS) represents a constellation of laboratory and clinical derangements that can occur following treatment of malignancies with high cellular turnover. Most commonly noted in hematologic malignancies, TLS has been reported to occur following liver-directed therapy in the form of both ablative therapies and transarterial therapies. Classification schemes exist, as do established diagnostic criteria, to aid in the definitive diagnosis of TLS. In addition, treatment algorithms are reported for patients with the diagnosis of TLS. This manu...
Source: Seminars in Interventional Radiology - March 2, 2015 Category: Radiology Authors: Zivin, Sean P.Elias, YoussefRay, Charles E. Source Type: research

Post-Test Questions
Semin intervent Radiol 2015; 32: C1-C6DOI: 10.1055/s-0035-1547320Thieme 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, 2015 Category: Radiology Source Type: research

Overview of Classification Systems in Peripheral Artery Disease
This article reviews the various classification systems for PAD and advantages to each system.[...]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 - November 14, 2014 Category: Radiology Authors: Hardman, Rulon L.Jazaeri, OmidYi, J.Smith, M.Gupta, Rajan Tags: Clinical Corner Source Type: research

Systemic Air Embolism following Percutaneous Lung Biopsy
Semin intervent Radiol 2014; 31: 375-377DOI: 10.1055/s-0034-1393975Thieme 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 - November 14, 2014 Category: Radiology Authors: Ramaswamy, RajaNarsinh, Kazim H.Tuan, AugustKinney, Thomas B. Tags: Morbidity and Mortality Source Type: research

Treatment of Infrapopliteal Arterial Occlusive Disease in Critical Limb Ischemia
Semin intervent Radiol 2014; 31: 370-374DOI: 10.1055/s-0034-1393974Thieme 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 - November 14, 2014 Category: Radiology Authors: Christenson, Brian M.Rochon, PaulGipson, MatthewGupta, RajanSmith, Mitchell T. Tags: How I Do It Source Type: research

IR Across the Pond—and Elsewhere
Semin intervent Radiol 2014; 31: 279-280DOI: 10.1055/s-0034-1393962Thieme 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 - November 14, 2014 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Complications and Great Escapes: Equipment and Techniques
This article provides a case-based discussion highlighting some of these techniques and how they can be used in a clinical setting.[...]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 - November 14, 2014 Category: Radiology Authors: McPherson, RoryBuckenham, Timothy Source Type: research

Access and Hemostasis: Femoral and Popliteal Approaches and Closure Devices—Why, What, When, and How?
This article reviews the arterial access sites used in the treatment of peripheral arterial disease, including common femoral, superficial femoral, and popliteal arterial puncture. The optimal approach and techniques for arterial puncture will be described and technical tips and tricks will be discussed. An overview of the currently available vascular closure devices will also be presented. Indications, contraindications, and complications will be discussed. Results of the use of vascular closure devices compared with manual compression will be presented.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001...
Source: Seminars in Interventional Radiology - November 14, 2014 Category: Radiology Authors: Barbetta, Iacopovan den Berg, Jos C. Source Type: research

Treating Femoropopliteal Disease: Established and Emerging Technologies
Semin intervent Radiol 2014; 31: 345-352DOI: 10.1055/s-0034-1393971The femoropopliteal artery is the most common site of disease in patients with peripheral arterial disease and presents some of the greatest challenges for interventional radiology. Many patients can be managed with medical treatment combined with supervised exercise alone. However, a significant proportion, especially those suffering from severe intermittent claudication or critical limb ischemia, will require some form of endovascular or surgical revascularization procedure. During the past few years an endovascular-first approach has gained support from ...
Source: Seminars in Interventional Radiology - November 14, 2014 Category: Radiology Authors: Diamantopoulos, AthanasiosKatsanos, Konstantinos Source Type: research

Iliac Arteries: How Registries Can Help Improve Outcomes
This article discusses the evidence to support both endovascular and surgical intervention for aortoiliac occlusive disease, the role of registries, and optimal techniques for aortoiliac intervention.[...]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 - November 14, 2014 Category: Radiology Authors: Tapping, Charles RossUberoi, Raman Source Type: research

Pharmacology in Peripheral Arterial Disease: What the Interventional Radiologist Needs to Know
Semin intervent Radiol 2014; 31: 330-337DOI: 10.1055/s-0034-1393969Peripheral arterial disease (PAD) is a progressive disease with significant morbidity and mortality. Risk factor control, using diet and lifestyle modification, exercise, and pharmacological methods, improves symptoms and reduces associated cardiovascular events in these patients. Antiplatelet agents and anticoagulants may be used to reduce the incidence of acute events related to thrombosis. The armamentarium available for symptom relief and disease modification is discussed. Novel treatments such as therapeutic angiogenesis are in their evolutionary phase...
Source: Seminars in Interventional Radiology - November 14, 2014 Category: Radiology Authors: Atturu, GnaneswarHomer-Vanniasinkam, ShervanthiRussell, David A. Source Type: research

Vascular Imaging: The Evolving Role of the Multidisciplinary Team Meeting in Peripheral Vascular Disease
This article reviews the importance of preinterventional cross-sectional imaging in the evaluation of peripheral arterial disease, as well as discussing the pros and cons of each imaging modality. The importance of a multidisciplinary team approach is emphasized.[...]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 - November 14, 2014 Category: Radiology Authors: Christie, AndrewRoditi, Giles Source Type: research

Treating Calf and Pedal Vessel Disease: The Extremes of Intervention
This article reviews the indications for intervention, atypical access, and the choice of equipment for these extreme interventions.[...]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 - November 14, 2014 Category: Radiology Authors: Manzi, MarcoPalena, Luis M. Source Type: research

The Diabetic Foot: The Importance of Coordinated Care
Semin intervent Radiol 2014; 31: 307-312DOI: 10.1055/s-0034-1393966Because of the severe morbidity and mortality associated with diabetes, diabetic foot care is an essential component of a peripheral vascular service. The goal of this article is to describe the vascular diabetic foot care pathway and how the coordinated foot care service for diabetic patients is delivered at King's College Hospital, London.[...]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 - November 14, 2014 Category: Radiology Authors: Huang, Dean Y.Wilkins, C. JasonEvans, David R.Ammar, ThorayaDeane, ColinVas, Prashanth R.Rashid, HishamSidhu, Paul S.Edmonds, Michael E. Source Type: research

Contemporary Treatment for Critical Ischemia: The Evidence for Interventional Radiology or Surgery
This article is a review of the evidence regarding the management of patients with critical limb ischemia. The aim of the study is to discuss the definition, incidence, and clinical importance of critical limb ischemia, as well as the aims of treatment in terms of quality of life and limb salvage. Endovascular and surgical treatments should not be viewed as competing therapies. In fact, these are complementary techniques each with strengths and weaknesses. The authors will propose a strategy based on the available evidence for deciding the optimal approach to management of patients with critical limb ischemia.[...]Thieme M...
Source: Seminars in Interventional Radiology - November 14, 2014 Category: Radiology Authors: Hussey, KeithChandramohan, Sivanathan Source Type: research

Clinical Assessment of Patients with Peripheral Arterial Disease
Semin intervent Radiol 2014; 31: 292-299DOI: 10.1055/s-0034-1393964Peripheral arterial disease (PAD) describes the clinical manifestations of atherosclerosis affecting the circulation in the legs. The severity of PAD is classified according to symptom severity, time course, and anatomical distribution. The signs and symptoms of PAD reflect the degree of circulatory compromise and whether there has been a gradual reduction in the circulation or an abrupt, uncompensated decrease. Accurate clinical assessment underpins decisions on management strategy and should objectively assess the severity of the ischemia and need for rev...
Source: Seminars in Interventional Radiology - November 14, 2014 Category: Radiology Authors: Bailey, Marc A.Griffin, Kathryn J.Scott, D. Julian A. Source Type: research

Conditions Presenting with Symptoms of Peripheral Arterial Disease
This article discusses the underlying causes of nonatherosclerotic PAD, including the diagnosis and treatment of these disorders.[...]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 - November 14, 2014 Category: Radiology Authors: Sharma, Aditya M.Norton, Patrick T.Zhu, Daisy Source Type: research

Post-Test Questions
Semin intervent Radiol 2014; 31: C1-C6DOI: 10.1055/s-0034-1394281Thieme 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 - November 14, 2014 Category: Radiology Source Type: research

Paracentesis-Induced Circulatory Dysfunction: A Primer for the Interventional Radiologist
Semin intervent Radiol 2014; 31: 276-278DOI: 10.1055/s-0034-1382799Paracentesis-induced circulatory dysfunction is a complication of large volume paracentesis that leads to faster reaccumulation of ascites, hyponatremia, renal impairment, and shorter survival. Knowledge of the pathophysiology, clinical presentation, diagnosis, and prevention of this condition is vital to the interventional radiologist as a valued team member in the treatment of ascites.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  | &...
Source: Seminars in Interventional Radiology - August 21, 2014 Category: Radiology Authors: Lindsay, Aaron J.Burton, JamesRay, Charles E. Tags: Clinical Corner Source Type: research

Massive Hemorrhage during Percutaneous Transhepatic Portal Vein Thrombolysis
Semin intervent Radiol 2014; 31: 272-275DOI: 10.1055/s-0034-1382798Thieme 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 20, 2014 Category: Radiology Authors: Sutter, Christopher M.Ray, Charles E. Tags: Morbidity and Mortality Source Type: research

Fluoroscopic Tubal Recanalization in Tubal Factor Related Infertility
Semin intervent Radiol 2014; 31: 269-271DOI: 10.1055/s-0034-1382797Thieme 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 20, 2014 Category: Radiology Authors: Knuttinen, Martha-GraceJajko, R.Scoccia, B. Tags: How I Do It Source Type: research

SIR and SIRF: Our Society and Foundation
Semin intervent Radiol 2014; 31: 225-226DOI: 10.1055/s-0034-1382788Thieme 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 20, 2014 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Combining Transjugular Intrahepatic Portosystemic Shunt with Balloon-Occluded Retrograde Transvenous Obliteration or Augmenting TIPS with Variceal Embolization for the Management of Gastric Varices: An Evolving Middle Ground?
This article discusses the most recent outcomes of TIPS and embolization of gastric varices as well as combining BRTO and TIPS.[...]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 - August 20, 2014 Category: Radiology Authors: Saad, Wael E. Source Type: research

Portosystemic Shunt Syndrome and Endovascular Management of Hepatic Encephalopathy
This article discusses the syndrome in detail. In addition, the article describes the types of HE and the endovascular management of shunt-related HE.[...]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 - August 20, 2014 Category: Radiology Authors: Saad, Wael E. Source Type: research

The History and Future of Transjugular Intrahepatic Portosystemic Shunt: Food for Thought
Semin intervent Radiol 2014; 31: 258-261DOI: 10.1055/s-0034-1382794The origins of transjugular intrahepatic portosystemic shunt (TIPS) date back to the 1960s with inadvertent portal access during the early years of transjugular cholangiography. TIPS is now the most frequently performed portal hypertension decompressive procedure performed by interventional radiologists, and has become the primary portosystemic shunt (surgical or percutaneous) performed in the United States. One of the least discussed major advantages of TIPS in the transplant era is that it is intrahepatic and thus is removed in situ during a liver transpl...
Source: Seminars in Interventional Radiology - August 20, 2014 Category: Radiology Authors: Saad, Wael E. Source Type: research

Outcomes of TIPS for Treatment of Gastroesophageal Variceal Hemorrhage
Semin intervent Radiol 2014; 31: 252-257DOI: 10.1055/s-0034-1382793Variceal hemorrhage is a life-threatening complication of cirrhosis that requires a multidisciplinary approach to management. The transjugular intrahepatic portosystemic shunt (TIPS) procedure is a minimally invasive image-guided intervention used for secondary prevention of bleeding and as salvage therapy in acute hemorrhage. This review focuses on the role of TIPS in the setting of variceal hemorrhage, with emphasis on the pathophysiology and conventional management of variceal hemorrhage, current and emerging indications for TIPS creation, TIPS clinical ...
Source: Seminars in Interventional Radiology - August 20, 2014 Category: Radiology Authors: Parvinian, AhmadGaba, Ron C. Source Type: research

Outcomes of Transjugular Intrahepatic Portosystemic Shunts for Ascites
Semin intervent Radiol 2014; 31: 248-251DOI: 10.1055/s-0034-1382792Refractory ascites represents a devastating complication of portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) is an efficacious option for patients for whom transplant is not an immediate option. Techniques to optimize the hepatic venous pressure gradient and the use of covered stents have reduced rates of hepatic encephalopathy and stent occlusion, respectively. Patients with a Model for End-Stage Liver Disease score less than 15, serum creatinine less than 2 mg/dL, and serum bilirubin less than 2 mg/dL are particularly suited for T...
Source: Seminars in Interventional Radiology - August 20, 2014 Category: Radiology Authors: Bercu, Zachary L.Fischman, Aaron M. Source Type: research

Transjugular Intrahepatic Portosystemic Shunt before and after Liver Transplantation
This article discusses the results of TIPS as a preoperative prelude to liver transplantation. In addition, it discusses the technical and clinical outcomes of TIPS in liver transplant recipients.[...]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 - August 20, 2014 Category: Radiology Authors: Saad, Wael E. Source Type: research

Transjugular Intrahepatic Portosystemic Shunt: Indications, Contraindications, and Patient Work-Up
Semin intervent Radiol 2014; 31: 235-242DOI: 10.1055/s-0034-1382790The transjugular intrahepatic portosystemic shunt (TIPS) procedure is effective in achieving portal decompression and in managing some of the major complications of portal hypertension. While many clinicians are familiar with the two most common indications for TIPS placement, secondary prophylaxis of esophageal variceal hemorrhage and treatment of refractory ascites, evidence for its usefulness is growing in other entities, where it has been less extensively studied but demonstrates promising results. Newer indications include early utilization in the trea...
Source: Seminars in Interventional Radiology - August 20, 2014 Category: Radiology Authors: Copelan, AlexanderKapoor, BaljendraSands, Mark Source Type: research

Percutaneous Portosystemic Shunts: TIPS and Beyond
This article reviews contemporary, minimally invasive interventional approaches to percutaneous portosystemic shunt creation in terms of procedure rationale, patient selection, interventional technique, and technical outcomes.[...]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 - August 20, 2014 Category: Radiology Authors: Casadaban, Leigh C.Gaba, Ron C. Source Type: research

Post-Test Questions
Semin intervent Radiol 2014; 31: C1-C6DOI: 10.1055/s-0034-1383712Thieme 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 20, 2014 Category: Radiology Source Type: research

Technical and Practical Considerations for Device Selection in Locoregional Ablative Therapy
Semin intervent Radiol 2014; 31: 212-224DOI: 10.1055/s-0034-1373796Percutaneous ablation therapy is an essential component of contemporary interventional oncologic therapy of primary and secondary malignancies. The growing armamentarium of available ablation technologies calls for thorough understanding of the different ablation modalities to optimize device selection in individual clinical settings. The goal of the current article is to provide direction on ablative device selection by reviewing device mechanisms of action, advantages and disadvantages, and practical considerations in real-life case scenarios.[...]Thieme ...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Zivin, Sean P.Gaba, Ron C. Tags: Technical Corner Source Type: research

What Is Too Big? Uterine Artery Embolization of a Large Fibroid Causing Abdominal Compartment Syndrome
Semin intervent Radiol 2014; 31: 207-211DOI: 10.1055/s-0034-1373795Thieme 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 21, 2014 Category: Radiology Authors: Kaufman, ClairePollak, JefferyMojibian, Hamid Tags: Morbidity and Mortality Case Source Type: research

Multiple Arteries Supplying a Single Tumor Vascular Distribution: Microsphere Administration Options for the Interventional Radiologist Performing Radioembolization
Semin intervent Radiol 2014; 31: 203-206DOI: 10.1055/s-0034-1373794Thieme 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 21, 2014 Category: Radiology Authors: Ray, Charles E.Gaba, Ron C.Knuttinen, Martha-GraciaMinocha, JeetBui, James T. Tags: How I Do It Source Type: research

Evolution of a Specialty: The Case for the Association of Chiefs of Interventional Radiology
Semin intervent Radiol 2014; 31: 107-110DOI: 10.1055/s-0034-1373784Thieme 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 21, 2014 Category: Radiology Authors: Selby, J. BayneDarcy, Michael D.Smith, Tony P.Kaufman, John A.Kim, Hyun S. Tags: Editorial Source Type: research

Percutaneous Image-Guided Ablation of Breast Tumors: An Overview
Semin intervent Radiol 2014; 31: 193-202DOI: 10.1055/s-0034-1376159Percutaneous non-surgical image-guided ablation is emerging as an adjunct or alternative to surgery in the management of benign and malignant breast tumors. This review covers the current state of the literature regarding percutaneous image-guided ablation modalities, clinical factors regarding patient selection, and future directions for research.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Seminars in Inte...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Sag, Alan A.Maybody, MajidComstock, ChristopherSolomon, Stephen B. Source Type: research

The Role of PET Imaging Before, During, and After Percutaneous Hepatic and Pulmonary Tumor Ablation
Semin intervent Radiol 2014; 31: 187-192DOI: 10.1055/s-0034-1373793The combination of anatomic and metabolic information provided by positron emission tomography (PET)/computed tomography makes it an important imaging modality to be obtained in conjunction with percutaneous ablation of primary and secondary malignancies of the lungs and liver. Advantages include more accurate preprocedural staging to determine appropriate treatment options, intraprocedural guidance to target difficult-to-see lesions, and postprocedural detection of residual or recurrent disease. Future applications of PET include strategies for intraproced...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: McLoney, Eric D.Isaacson, Ari J.Keating, Patrick Source Type: research

Image-Guided Percutaneous Ablation of Hepatic Malignancies
Semin intervent Radiol 2014; 31: 180-186DOI: 10.1055/s-0034-1373792The liver is a common site of primary and secondary malignancies, often resulting in significant morbidity and mortality. Evaluating these patients in a multidisciplinary setting allows for optimal utilization of all oncologic therapies including surgery, radiation, systemic chemotherapy, transarterial therapies, and ablation. While surgical intervention often provides the best outcomes when treating most hepatic tumors, many patients are not surgical candidates due to extensive tumor burden, underlying liver disease, or other comorbid conditions. The evolu...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Foltz, Gretchen Source Type: research

Bone and Soft Tissue Ablation
Semin intervent Radiol 2014; 31: 167-179DOI: 10.1055/s-0034-1373791Bone and soft tissue tumor ablation has reached widespread acceptance in the locoregional treatment of various benign and malignant musculoskeletal (MSK) lesions. Many principles of ablation learned elsewhere in the body are easily adapted to the MSK system, particularly the various technical aspects of probe/antenna design, tumoricidal effects, selection of image guidance, and methods to reduce complications. Despite the common use of thermal and chemical ablation procedures in bone and soft tissues, there are few large clinical series that show longitudin...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Foster, Ryan C.B.Stavas, Joseph M. Source Type: research

Renal Ablation Update
Semin intervent Radiol 2014; 31: 157-166DOI: 10.1055/s-0034-1373790Thermal ablative technologies have evolved considerably in the recent past and are now an important component of current clinical guidelines for the treatment of small renal masses. Both radiofrequency ablation and cryoablation have intermediate-term oncologic control that rivals surgical options, with favorable complication profiles. Studies comparing cryoablation and radiofrequency ablation show no significant difference in oncologic control or complication profile between the two modalities. Early data from small series with microwave ablation have shown...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Khiatani, VishalDixon, Robert G. Source Type: research

Image-Guided Ablation of Adrenal Lesions
This article outlines the current role of ablation therapy for adrenal lesions, as well as identifying some of the technical considerations for this procedure.[...]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 21, 2014 Category: Radiology Authors: Yamakado, Koichiro Source Type: research

Complications of Image-Guided Thermal Ablation of Liver and Kidney Neoplasms
This article will review complications following thermal ablation of tumors in the liver and kidney, and discuss the risks and clinical presentation of each complication as well as how to treat and potentially avoid complications.[...]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 21, 2014 Category: Radiology Authors: Kim, Kyung RaeThomas, Sarah Source Type: research

Comparison of Percutaneous Ablation Technologies in the Treatment of Malignant Liver Tumors
Semin intervent Radiol 2014; 31: 129-137DOI: 10.1055/s-0034-1373788Tumor ablation is a minimally invasive technique used to deliver chemical, thermal, electrical, or ultrasonic damage to a specific focal tumor in an attempt to achieve substantial tumor destruction or complete eradication. As the technology continues to advance, several image-guided tumor ablations have emerged to effectively manage primary and secondary malignancies in the liver. Percutaneous chemical ablation is one of the oldest and most established techniques for treating small hepatocellular carcinomas. However, this technique has been largely replaced...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Yu, HyeonBurke, Charles T. Source Type: research

Laparoscopic-Assisted Ablation of Hepatic Tumors: A Review
Semin intervent Radiol 2014; 31: 125-128DOI: 10.1055/s-0034-1373787Thermal ablation of hepatic tumors has been an evolving field over the last two decades. It is used in the treatment of both primary and metastatic neoplasms, and with evolutions in the technology, there has been an increasing interest in treating lesions where hepatic resection is not an option. Laparoscopic or minimally invasive surgical procedures have also advanced during this same time period, and the interface of these tools has been associated with the genesis of a new approach for treating hepatic lesions which are located in difficult to reach loca...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Pepple, Philip T.Gerber, David A. Source Type: research

Thermal Ablation of Stage I Non-Small Cell Lung Carcinoma
Semin intervent Radiol 2014; 31: 118-124DOI: 10.1055/s-0034-1373786Ablation options for the treatment of localized non-small cell lung carcinoma (NSCLC) include radiofrequency ablation, microwave ablation, and cryotherapy. Irreversible electroporation is a novel ablation method with the potential of application to lung tumors in risky locations. This review article describes the established and novel ablation techniques used in the treatment of localized NSCLC, including mechanism of action, indications, potential complications, clinical outcomes, postablation surveillance, and use in combination with other therapies.[...]...
Source: Seminars in Interventional Radiology - May 21, 2014 Category: Radiology Authors: Ridge, Carol A.Solomon, Stephen B.Thornton, Raymond H. Source Type: research

The State of Irreversible Electroporation in Interventional Oncology
This article reviews the current published clinical outcomes, imaging follow-up, and the current knowledge gaps in the procedure for patients treated with IRE.[...]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 21, 2014 Category: Radiology Authors: Silk, MikhailTahour, DavidSrimathveeravalli, GovindarajanSolomon, Stephen B.Thornton, Raymond H. Source Type: research