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Seminars in Interventional Radiology

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https://www.readbyqxmd.com/read/29249865/heparin-induced-thrombocytopenia-and-thrombosis-preventing-your-thrombolysis-practice-from-taking-a-hitt
#1
REVIEW
Eric Wannamaker, Kimi Kondo, D Thor Johnson
Heparin-induced thrombocytopenia and thrombosis (HITT) is an under-recognized cause of deep venous thrombosis treatment failure and of complications during catheter-directed thrombolysis. After a review of HITT pathophysiology, diagnosis, and management, three different cases are presented in this article. Each case highlights subtleties and challenges of HITT diagnosis and management. An example of a practical approach to the diagnosis of HITT is presented.
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249864/malignant-venous-obstruction-superior-vena-cava-syndrome-and-beyond
#2
REVIEW
Tamir Friedman, Keith B Quencer, Sirish A Kishore, Ronald S Winokur, David C Madoff
Venous obstruction in the cancer population can result in substantial morbidity and, in extreme cases, mortality. While venous obstruction can be caused by both benign and malignant etiologies in this population, the management of malignant venous obstruction as a palliative measure can be somewhat nuanced with respect to nonprocedural and procedural management, both with respect to treatment of the underlying malignancy as well as treatment of venous hypertension, which may be associated with venous thrombosis...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249863/palliative-embolization-for-refractory-bleeding
#3
REVIEW
Andrew Niekamp, Rahul A Sheth, Joshua Kuban, Rony Avritscher, Suvranu Ganguli
Bleeding is a common and often challenging complication of malignancy. Etiologies of hemorrhage in this patient population vary, and bleeding may present as an acute, life-threatening emergency or a chronic, low-volume blood loss. For patients with advanced malignancies, interventions to manage bleeding must be balanced by the patient's life expectancy and quality of life. As such, minimally invasive procedures such as transarterial embolization are useful therapeutic options in appropriately selected patients...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249862/celiac-plexus-block-and-neurolysis-in-the-management-of-chronic-upper-abdominal-pain
#4
REVIEW
Joshua Cornman-Homonoff, Daniel J Holzwanger, Kyungmouk S Lee, David C Madoff, David Li
Chronic upper abdominal pain occurs as a complication of various malignant and benign diseases including pancreatic cancer and chronic pancreatitis, and when present may contribute to lower quality of life and higher mortality. Though various pain management strategies are available as part of a multimodal approach, they are often incompletely effective and accompanied by side effects. Pain originating in upper abdominal viscera is transmitted through the celiac plexus, which is an autonomic plexus located in the retroperitoneum at the root of the celiac trunk...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249861/biliary-obstruction-endoscopic-approaches
#5
REVIEW
Jeffrey H Lee, Tomas DaVee
Painless jaundice is a harbinger of malignant biliary obstruction, with the majority of cases due to pancreatic adenocarcinoma. Despite advances in treatment, including improved surgical techniques and neoadjuvant (preoperative) chemotherapy, long-term survival from pancreatic cancer is rare. This lack of significant improvement in outcomes is believed to be due to multiple reasons, including the advanced stage at diagnosis and lack of an adequate biomarker for screening and early detection, prior to the onset of jaundice or epigastric pain...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249860/palliative-percutaneous-biliary-interventions-in-malignant-high-bile-duct-obstruction
#6
REVIEW
Amy R Deipolyi, Anne M Covey
The optimal palliative intervention for malignant biliary obstruction is internal drainage by placement of a metallic stent. For patients with hilar biliary obstruction or low bile duct obstruction in whom endoscopy is not feasible, a percutaneous transhepatic approach in interventional radiology is preferred. This article reviews the rationale for this approach, periprocedural management, and techniques to optimize stent patency.
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249859/bowel-obstruction-decompressive-gastrostomies-and-cecostomies
#7
REVIEW
Zoe A Miller, Prasoon Mohan, Robert Tartaglione, Govindarajan Narayanan
Over the past 30 years, image-guided placement of gastrostomies and cecostomies for gastrointestinal decompression has developed into a safe and effective treatment for symptomatic bowel obstruction. Gastrostomies and cecostomies relieve patient symptoms, can prevent serious complications such as colonic perforation, and may bridge patients to more definitive treatment for the underlying cause of obstruction. This article will review the history of decompressive gastrostomies and cecostomies as well as the indications, contraindications, technique, complications, and outcomes of these procedures...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249858/symptomatic-fluid-drainage-peritoneovenous-shunt-placement
#8
REVIEW
Hooman Yarmohammadi, George I Getrajdman
Ascites causes significant discomfort and has negative impact on patient's quality of life. Medical therapies including dietary restriction and diuretics are successful in only 40 to 44% of patients with malignant ascites and repeated paracentesis only provides temporary symptomatic relief. Therefore, a more permanent solution is necessary. Indwelling catheters or peritoneovenous shunt placement can provide more permanent symptomatic relief and improve patients' quality of life. Unlike indwelling catheters, peritoneovenous shunts do not limit patients' life style and therefore should be offered as first option in patients who are good candidates...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249857/symptomatic-fluid-drainage-tunneled-peritoneal-and-pleural-catheters
#9
REVIEW
Tony Ha, David C Madoff, David Li
Malignant ascites and pleural effusion are significant contributors to patient symptoms such as shortness of breath, abdominal distension, and nausea in the setting of cancer. There are numerous methods employed to control such symptoms such as serial drainages, pleurodesis, and tunneled drainage catheters. Tunneled drainage catheters are a safe, effective, and a minimally invasive procedure to palliate the symptoms of malignant ascites and pleural effusion.
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249856/metastatic-osseous-pain-control-bone-ablation-and-cementoplasty
#10
REVIEW
Alexis Kelekis, Francois H Cornelis, Sean Tutton, Dimitrios Filippiadis
Nociceptive and/or neuropathic pain can be present in all phases of cancer (early and metastatic) and are not adequately treated in 56 to 82.3% of patients. In these patients, radiotherapy achieves overall pain responses (complete and partial responses combined) up to 60 and 61%. On the other hand, nowadays, ablation is included in clinical guidelines for bone metastases and the technique is governed by level I evidence. Depending on the location of the lesion in the peripheral skeleton, either the Mirels scoring or the Harrington (alternatively the Levy) grading system can be used for prophylactic fixation recommendation...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249855/metastatic-osseous-pain-control-radiation-therapy
#11
REVIEW
Josephine Kang, Silvia C Formenti
Metastatic disease to the bone is a common manifestation of advanced cancer, and can result in pain, pathologic fractures, hypercalcemia, and overall functional compromise. External beam radiation is a proven, highly efficacious, and noninvasive therapy that can provide symptomatic relief from painful osseous lesions. When deciding upon the best treatment regimen, it is important to consider patient factors such as overall life expectancy, performance status, disease burden, and site of osseous metastatic pain...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249854/incorporating-quality-of-life-metrics-in-interventional-oncology-practice
#12
REVIEW
David Li, David C Madoff
Interventional radiologists care for a large number of cancer patients with the breadth of palliative intent minimally invasive procedures that we provide. Understanding our meaningful impact on patients' quality of life is essential toward validating our role in the palliation of cancer patients. As such, it is critically important for interventional radiologists to understand common instruments used for the reporting of patient's quality of life measures. Common instruments used to measure pain and quality of life for cancer patients include the numerical rating scale, visual analog scale, brief pain inventory, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and the Functional Assessment of Cancer Therapy...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249853/the-role-of-palliative-care-in-oncology
#13
REVIEW
Rajiv Agarwal, Andrew S Epstein
Palliative care is a powerful adjunct to oncology that adds distinct value to the physical, mental, and psychosocial well-being of patients living with cancer. Its expanding role and integration with standard oncologic care has proven clinical benefit, as the practice of palliative care can help alleviate symptom burden, enhance illness and prognostic understanding, and improve both the quality of life and overall survival for patients. The primary aim of this review article is to highlight the significant interplay between palliative care and oncology and, in doing so, shed light on the areas for improvement and modern challenges that exist to meet the complex palliative care needs of patients with cancer...
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29249852/respect
#14
EDITORIAL
Charles E Ray
No abstract text is available yet for this article.
December 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/28955121/erratum-hepatic-radioembolization-complicated-by-abscess
#15
Neil Mascarenhas, Robert K Ryu, Riad Salem
[This corrects the article DOI: 10.1055/s-0031-1280669.].
September 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/28955120/importance-of-multidisciplinary-approach-to-vascular-malformation-management
#16
REVIEW
Paul J Rochon
No abstract text is available yet for this article.
September 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/28955119/magnetic-resonance-lymphangiography-and-lymphatic-embolization-in-the-treatment-of-pulmonary-complication-of-lymphatic-malformation
#17
REVIEW
Maxim Itkin
Lymphatic malformations (LMs; especially those involving the central conducting lymphatic channels) are characterized by dysplastic and incompetent lymphatic channels in multiple tissues and organs. The major cause of mortality and morbidity in patients with thoracic LM is deterioration of pulmonary function due to chronic chylous effusions and progressive interstitial lung disease. The etiology of these pulmonary processes is unknown, although lymphatic involvement is certain. Understanding of the changes in the lymphatic anatomy in patients with LM has been hindered by difficulty of imaging of the lymphatic system...
September 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/28955118/outcomes-of-venous-malformation-sclerotherapy-a-review-of-study-methodology-and-long-term-results
#18
REVIEW
Sumera Ali, Sally E Mitchell
It is very important that patients seeking sclerotherapy for the treatment of venous malformations are aware of the expected course of the therapy. They should be thoroughly counseled about the complications, the need for multiple sessions of therapy, and also about the expected clinical outcome. The aim of this review is to discuss the long-term outcomes of sclerotherapy for the treatment of venous malformation. Many studies have discussed their individual center's experiences and short-midterm results, but there is a relative paucity of data on long-term outcomes...
September 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/28955117/percutaneous-image-guided-cryoablation-in-vascular-anomalies
#19
REVIEW
Raja Shaikh
Understanding and management of vascular anomalies has always been intriguing. These disorders exhibit an expected pattern of clinical presentation and progression, and characteristic imaging findings. Significant progress in understanding and treating patients with vascular anomalies has been made in the past quarter century. Newer multidisciplinary domains for treating these disorders with medical drugs and less invasive image-guided or surgical procedures are constantly evolving. Vascular anomalies can exhibit aggressive tumor-like behavior resulting in recurrence or persistent symptoms after treatment...
September 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/28955116/special-consideration-for-intraosseous-arteriovenous-malformations
#20
REVIEW
Young Soo Do, Kwang Bo Park
Intraosseous arteriovenous malformations (AVMs) have been associated with distortion, hypertrophy, osteolytic skeletal changes, bleeding, leg length discrepancy, and pathologic fracture. Computed tomography or magnetic resonance imaging is helpful in the evaluation of the extent and depth of intraosseous AVMs and associated soft-tissue AVMs. Treatment approaches can differ, depending on the angiographic classification. Embolotherapy with ethanol, coils, or n-butyl cyanoacrylate is the primary treatment for symptomatic intraosseous AVMs, and the goal of treatment is symptom improvement with few complications...
September 2017: Seminars in Interventional Radiology
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