Hepatoma Rupture following Drug-Eluting Bead Chemoembolization
Semin intervent Radiol 2015; 32: 225-230DOI: 10.1055/s-0035-1549845Thieme 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 28, 2015 Category: Radiology Authors: Schwind, NoahRay, Charles E.Gaba, Ron C. Tags: Morbidity and Mortality Source Type: research

A Practical Review of the Use of Stents for the Maintenance of Hemodialysis Access
Semin intervent Radiol 2015; 32: 217-224DOI: 10.1055/s-0035-1549844Thieme 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 28, 2015 Category: Radiology Authors: Ginsburg, MichaelLorenz, Jonathan M.Zivin, Sean P.Zangan, StevenMartinez, Don Tags: How I Do It Source Type: research

Medical Management of Tumor Lysis Syndrome, Postprocedural Pain, and Venous Thromboembolism Following Interventional Radiology Procedures
Semin intervent Radiol 2015; 32: 209-216DOI: 10.1055/s-0035-1549379The rapid expansion of minimally invasive image-guided procedures has led to their extensive use in the interdisciplinary management of patients with vascular, hepatobiliary, genitourinary, and oncologic diseases. Given the increased availability and breadth of these procedures, it is important for physicians to be aware of common complications and their management. In this article, the authors describe management of select common complications from interventional radiology procedures including tumor lysis syndrome, acute on chronic postprocedural pain, and...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Faramarzalian, AliArmitage, Keith B.Kapoor, BaljendraKalva, Sanjeeva P. Tags: Review Article Source Type: research

Iatrogenic Urinary Tract Injuries: Etiology, Diagnosis, and Management
Semin intervent Radiol 2015; 32: 195-208DOI: 10.1055/s-0035-1549378Iatrogenic injury to the urinary tract, including the kidneys, ureters, bladder, and urethra, is a potential complication of surgical procedures performed in or around the retroperitoneal abdominal space or pelvis. While both diagnostic and interventional radiologists often play a central and decisive role in the identification and initial management of a variety of iatrogenic injuries, discussions of these injuries are often directed toward specialists such as urologists, obstetricians, gynecologists, and general surgeons whose procedures are most often im...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Esparaz, Anthony M.Pearl, Jeffrey A.Herts, Brian R.LeBlanc, JustinKapoor, Baljendra Tags: Review Article Source Type: research

Iatrogenic Hepatopancreaticobiliary Injuries: A Review
Semin intervent Radiol 2015; 32: 182-194DOI: 10.1055/s-0035-1549377Iatrogenic hepatopancreaticobiliary injuries occur after various types of surgical and nonsurgical procedures. Symptomatically, these injuries may lead to a variety of clinical presentations, including tachycardia and hypotension from hemobilia or hemorrhage. Iatrogenic injuries may be identified during the intervention, immediately afterwards, or have a delayed presentation. These injuries are categorized into nonvascular and vascular injuries. Nonvascular injuries include biliary injuries such as biliary leak or stricture, pancreatic injury, and the devel...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Vachhani, Prasanti G.Copelan, AlexanderRemer, Erick M.Kapoor, Baljendra Tags: Review Article Source Type: research

Radiation-Related Injuries and Their Management: An Update
Semin intervent Radiol 2015; 32: 156-162DOI: 10.1055/s-0035-1549446Ionizing radiation (in the form of X-rays) is used for the majority of procedures in interventional radiology. This review article aimed at promoting safer use of this tool through a better understanding of radiation dose and radiation effects, and by providing guidance for setting up a quality assurance program. To this end, the authors describe different radiation descriptive quantities and their individual strengths and challenges, as well as the biologic effects of ionizing radiation, including patient-related effects such as tissue reactions (previousl...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Wunderle, KevinGill, Amanjit S. Tags: Review Article Source Type: research

Transjugular Intrahepatic Portosystemic Shunt Complications: Prevention and Management
Semin intervent Radiol 2015; 32: 123-132DOI: 10.1055/s-0035-1549376Transjugular intrahepatic portosystemic shunt (TIPS) insertion has been well established as an effective treatment in the management of sequelae of portal hypertension. There are a wide variety of complications that can be encountered, such as hemorrhage, encephalopathy, TIPS dysfunction, and liver failure. This review article summarizes various approaches to preventing and managing these complications.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract&nbs...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Suhocki, Paul V.Lungren, Matthew P.Kapoor, BaljendraKim, Charles Y. Tags: Review Article Source Type: research

Iatrogenic Percutaneous Vascular Injuries: Clinical Presentation, Imaging, and Management
Semin intervent Radiol 2015; 32: 108-122DOI: 10.1055/s-0035-1549375Vascular interventional radiology procedures are relatively safe compared with analogous surgical procedures, with overall major complication rates of less than 1%. However, major vascular injuries resulting from these procedures may lead to significant morbidity and mortality. This review will discuss the etiology, clinical presentation, diagnosis, and management of vascular complications related to percutaneous vascular interventions. Early recognition of these complications and familiarity with treatment options are essential skills for the interventiona...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Ge, Benjamin H.Copelan, AlexanderScola, DominicWatts, Micah M. Tags: Review Article Source Type: research

Clinical Presentation, Imaging, and Management of Complications due to Neurointerventional Procedures
This article presents the most frequent and dangerous iatrogenic injuries, their presentation, identification, prevention, and management.[...]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 28, 2015 Category: Radiology Authors: Davis, Matthew C.Deveikis, John P.Harrigan, Mark R. Tags: Review Article Source Type: research

Diagnosis and Management of Hemorrhagic Complications of Interventional Radiology Procedures
Semin intervent Radiol 2015; 32: 089-097DOI: 10.1055/s-0035-1549373Image-guided interventions have allowed for minimally invasive treatment of many common diseases, obviating the need for open surgery. While percutaneous interventions usually represent a safer approach than traditional surgical alternatives, complications do arise nonetheless. Inadvertent injury to blood vessels represents one of the most common types of complications, and its affect can range from inconsequential to catastrophic. The interventional radiologist must be prepared to manage hemorrhagic risks from percutaneous interventions. This manuscript di...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Lessne, Mark L.Holly, BrianHuang, Steven Y.Kim, Charles Y. Tags: Review Article Source Type: research

Prevention and Management of Infectious Complications of Percutaneous Interventions
This article reviews infectious complications associated with percutaneous ablation of liver tumors, transarterial embolization of liver tumors, uterine fibroid embolization, percutaneous nephrostomy, percutaneous biliary interventions, central venous catheters, and intravascular stents. Emphasis is placed on incidence, risk factors, prevention, and management. With the use of these strategies, IR procedures can be performed with reduced risk of infectious complications.[...]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 - May 28, 2015 Category: Radiology Authors: Huang, Steven Y.Philip, AsherRichter, Michael D.Gupta, SanjayLessne, Mark L.Kim, Charles Y. Tags: Review Article Source Type: research

Management of Dysfunctional Catheters and Tubes Inserted by Interventional Radiology
Semin intervent Radiol 2015; 32: 067-077DOI: 10.1055/s-0035-1549371Minimally invasive percutaneous interventions are often used for enteral nutrition, biliary and urinary diversion, intra-abdominal fluid collection drainage, and central venous access. In most cases, radiologic and endoscopic placement of catheters and tubes has replaced the comparable surgical alternative. As experience with catheters and tubes grows, it becomes increasingly evident that the interventional radiologist needs to be an expert not only on device placement but also on device management. Tube dysfunction represents the most common complication r...
Source: Seminars in Interventional Radiology - May 28, 2015 Category: Radiology Authors: Huang, Steven Y.Engstrom, Bjorn I.Lungren, Matthew P.Kim, Charles Y. Tags: Review Article Source Type: research

A Moment for Reflection
Semin intervent Radiol 2015; 32: 065-066DOI: 10.1055/s-0035-1549370Thieme 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 28, 2015 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research

Common Complications of Nonvascular Percutaneous Thoracic Interventions: Diagnosis and Management
This article illustrates the common complications associated with these interventions and highlights the relative safety of these 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 - May 28, 2015 Category: Radiology Authors: Khankan, AzzamSirhan, ShireenAris, Fadi Source Type: research

Complications in Musculoskeletal Intervention: Important Considerations
This article reviews various complications unique to musculoskeletal interventions, assists the reader in understanding where pitfalls lie, and highlights ways to avoid them.[...]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 28, 2015 Category: Radiology Authors: Wang, David T.Dubois, MelissaTutton, Sean M. Source Type: research

Iatrogenic-Related Transplant Injuries: The Role of the Interventional Radiologist
This article reviews these factors for kidney, liver, pancreas, islet cell, lung, and small bowel transplants.[...]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 28, 2015 Category: Radiology Authors: Copelan, AlexanderGeorge, DanielKapoor, BaljendraNghiem, Hahn VuLorenz, Jonathan M.Erly, BrianWang, Weiping Source Type: research

Post-Test Questions
Semin intervent Radiol 2015; 32: C1-C8DOI: 10.1055/s-0035-1550095Thieme 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 28, 2015 Category: Radiology Source Type: research

Medical Malpractice Issues Related to Interventional Radiology Complications
Semin intervent Radiol 2015; 32: 061-064DOI: 10.1055/s-0034-1396967Thieme 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 Authors: Funaki, Brian Tags: Clinical Corner Source Type: research

Percutaneous Management of Chronic Central Venous Occlusive Disease
Semin intervent Radiol 2015; 32: 057-060DOI: 10.1055/s-0034-1396966Thieme 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 Authors: Gipson, Matthew G.Gupta, Rajan K.Smith, Mitchell T. Tags: How I Do It Source Type: research

Making Mistakes in Interventional Radiology
Semin intervent Radiol 2015; 32: 001-002DOI: 10.1055/s-0034-1396955Thieme 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 Authors: Ray, Charles E. Tags: Editorial Source Type: research

Percutaneous Transhepatic Biliary Drainage Complicated by Bilothorax
Semin intervent Radiol 2015; 32: 054-056DOI: 10.1055/s-0034-1396965Percutaneous transhepatic biliary drainage (PTBD) is a well-established and safe technique for the management of biliary obstructions and leaks. While approach is variable based on operator preference, patient anatomy, and indications; PTBD is commonly performed via a right-sided intercostal route. With a right-sided approach, pleural complications may be encountered. The authors describe a case of a right PTBD complicated by a leak into the pleural space, with the subsequent development of bilothorax.[...]Thieme Medical Publishers 333 Seventh Avenue, New Y...
Source: Seminars in Interventional Radiology - March 2, 2015 Category: Radiology Authors: Kim, Stephanie H.Zangan, Steven M. Source Type: research

Hepatocellular Carcinoma Rupture Following Transarterial Chemoembolization
This report describes a case of HCC rupture following TACE successfully managed with coil embolization.[...]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, 2015 Category: Radiology Authors: Singh Bhinder, NimartaZangan, Steven M. Source Type: research

Complications of Transjugular Biopsies
Semin intervent Radiol 2015; 32: 042-048DOI: 10.1055/s-0034-1396963Transvenous biopsy was first performed in 1964 by Charles Dotter. Now routinely performed in the liver and kidney by interventional radiologists, the transjugular approach to biopsy has assumed a central role in coagulopathic patients. Major arterial complications from transjugular liver and renal biopsy are rare. In this article, the authors describe such complications in both organs that necessitated selective endovascular coil embolization.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of cont...
Source: Seminars in Interventional Radiology - March 2, 2015 Category: Radiology Authors: Navuluri, RakeshAhmed, Osman Source Type: research

Procedural and Indwelling Complications with Inferior Vena Cava Filters: Frequency, Etiology, and Management
This article discusses the utility of IVC filters and reviews the management of two cases of filter-related 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 - March 2, 2015 Category: Radiology Authors: Milovanovic, LazarKennedy, Sean A.Midia, Mehran Source Type: research

Major Bleeding after Percutaneous Image-Guided Biopsies: Frequency, Predictors, and Periprocedural Management
This article reviews two cases of major bleeding after percutaneous biopsy and discusses the frequency, predictors, and periprocedural management of major postprocedural bleeding.[...]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, 2015 Category: Radiology Authors: Kennedy, Sean A.Milovanovic, LazarMidia, Mehran Source Type: research

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