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interventions radiology

I V Volkov, I Sh Karabaev, D A Ptashnikov, N A Konovalov, V V Khlebov
Postoperative pain accompanies up to 20% of interventions for degenerative spine diseases (DSDs). The epidemiologic data are contradictory; clinical and radiological diagnostics is often low efficient; capabilities of interventional diagnosis and treatment techniques are poorly understood. PURPOSE: The study purpose was to investigate the structure of pain syndromes after surgery for DSDs of the lumbar spine, based on complex diagnostics, as well as to evaluate the capabilities of interventional treatment...
2018: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
Erin Wright, Ernest K Amankwah, S Parrish Winesett, Gerald F Tuite, George Jallo, Carolyn Carey, Luis F Rodriguez, Stacie Stapleton
PURPOSE: With the increasing use of imaging, there has been an increase in the number of incidentally found brain lesions in pediatric patients resulting in a treatment dilemma for physicians and emotional strain for patients and families. Adult studies support initial surveillance of incidentally found low grade appearing lesions as the most appropriate approach. The aim of this study was to evaluate incidental lesions in the pediatric population and propose an initial treatment algorithm for such lesions...
November 9, 2018: Journal of Neuro-oncology
Giridhar M Shivaram, Anne Elizabeth Gill, Eric J Monroe, Kevin S H Koo, C Matthew Hawkins
BACKGROUND: Cone-beam CT is increasingly used in pediatric interventional radiology procedures. However, the feasibility or safety of using this mode of imaging guidance for percutaneous lung nodule biopsy in children has not been assessed. OBJECTIVE: To retrospectively evaluate safety and diagnostic accuracy of percutaneous lung nodule biopsy in people treated at a pediatric hospital using cone-beam CT with navigational overlay. MATERIALS AND METHODS: Thirty-six consecutive patients from two large tertiary-care children's hospitals with lung nodules of 48 mm or smaller underwent percutaneous lung nodule biopsy using cone-beam CT with navigational overlay...
November 8, 2018: Pediatric Radiology
Muhammad Rizwan, Madiha Hashmi, Hasnain Zafar
Introduction Trauma is the fourth leading cause of death globally and constitutes a huge burden on limited critical care resources. Aim ​​​​This study aimed to identify the trauma patient burden in terms of resources used in the surgical intensive care unit (SICU) of Aga Khan University Hospital in Pakistan which also included characteristics and outcomes of trauma and non-trauma patients. ​​​Methods ​​​We retrospectively reviewed all patient data for adult patients (>16 years old) admitted to the SICU from July through December 2014...
August 30, 2018: Curēus
Melih Ücer, Ilhan Aydin, Abdullah Emre Tacyildiz, Ihsan Dogan, Erhan Emel
OBJECTIVE: To assess clinical and radiographical outcomes of transspinous decompression technique for the treatment of degenerative central lumbar spinal stenosis. METHODS: The single-centre, non-randomised interventional, prospective, observational study was conducted Neurosurgery Clinic of Mazhar Osman Research and Training Hospital for Psychiatry and Neurology, Istanbul, Turkey from May 2013 and May 2016 and comprised adult patients with refractory symptoms from degenerative central lumbar spinal stenosis who underwent lumbar spinous processsplitting laminectomy...
November 2018: JPMA. the Journal of the Pakistan Medical Association
Katayoun Samadi, Ronald S Arellano
A 56-year-old female with past medical history of thrombotic microangiopathy presented to her physician with nonspecific abdominal pain. A magnetic resonance imaging scan was obtained, which revealed a 3.1 cm mass arising from medial lower pole of the left kidney that was subsequently shown to be renal cell carcinoma by percutaneous biopsy. Because of her history of thrombotic microangiopathy and other comorbidities, she was deemed a nonsurgical candidate and was therefore referred to interventional radiology for thermal ablation...
November 2018: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
Jesse Hatgis, Ovidiu Palea, Yashar Ghomri, Michelle Granville, Aldo Berti, Robert E Jacobson
The literature has classified chronic vertebral compression fractures (VCF) as those still "symptomatic" four or more months after onset. Pain is regarded as the predominant chronic symptom; however, radiologic changes are important in evaluating fracture progression. This review examines a series of patients with chronic fractures and both persistence of spinal pain combined with radiologic changes, such as worsening collapse, spinal angulation, the development of vertebral edema and clefts, as well as the development of new fractures at adjacent spinal levels...
August 27, 2018: Curēus
Jason B Samarasena, Jason Y Huang, Takeshi Tsujino, Daniel Thieu, Allen Yu, Ke-Qin Hu, John Lee, Kenneth J Chang
Background and Aims: Portal hypertension is a serious adverse event of liver cirrhosis. Recently, we developed a simple novel technique for EUS-guided portal pressure gradient (PPG) measurement (PPGM). Our animal studies showed excellent correlation between EUS-PPGM and interventional radiology-acquired PPGM. In this video we demonstrate the results of the first human pilot study of EUS-PPGM in patients with liver disease. Methods: EUS-PPGM was performed by experienced endosonographers using a linear echoendoscope, a 25-gauge FNA needle, and a novel compact manometer...
November 2018: VideoGIE: an official video journal of the American Society for Gastrointestinal Endoscopy
Ross W Bittman, Eric B Friedberg, Howard B Fleishon, J David Prologo
No abstract text is available yet for this article.
October 2018: Seminars in Interventional Radiology
David Petrover, Antoine Hakime, Jonathan Silvera, Pascal Richette, Rémy Nizard
Carpal tunnel syndrome (CTS) may be treated surgically if medical treatment fails. The classical approach involves release of the flexor retinaculum by endoscopic or open surgery. Meta-analyses have shown that the risk of nerve injury may be higher with endoscopic treatment. The recent contribution of ultrasound to the diagnosis and therapeutic management of CTS opens new perspectives. Ultrasound-guided carpal tunnel release via a minimally invasive approach enables the whole operation to be performed as a percutaneous radiological procedure...
October 2018: Seminars in Interventional Radiology
Frederic Deschamps, Steven Yevich, Guillaume Gravel, Charles Roux, Antoine Hakime, Thierry de Baère, Lambros Tselikas
Interventional radiology expertise in image guidance has expanded the treatment options for cancer patients with unstable osseous disease. Percutaneous fixation by internal cemented screw (FICS) describes the technique by which the interventional radiologist stabilizes a fracture or impending fracture with the percutaneous placement of a cannulated screw that is locked in position by polymethyl methacrylate cement. The durable metallic screws provide added resistance to torque and tension stresses that complement the axial compression resistance of cement...
October 2018: Seminars in Interventional Radiology
Steven Yevich, Bruno C Odisio, Rahul Sheth, Lambros Tselikas, Thierry de Baère, Frederic Deschamps
Integrated CT-fluoroscopy equipment augments the comprehensive approach to the treatment of musculoskeletal (MSK) malignancy by interventional radiology techniques. As the role of minimally invasive treatment expands to meet the highly variable presentation of MSK malignancy, creative solutions to treatment challenges are required to improve locoregional tumor control and durability of pain palliation. Challenges to effective treatment can often be attributed to a combination of aggressive tumor biology, large size, forbidding location, and adverse vascularity...
October 2018: Seminars in Interventional Radiology
Xavier Buy, Vittorio Catena, Guilhem Roubaud, Amandine Crombe, Michèle Kind, Jean Palussiere
Occurrence of bone metastases is a common event in oncology. Bone metastases are associated with pain, functional impairment, and fractures, particularly when weight-bearing bones are involved. Management of bone metastases has been improved by the development of various interventional radiology consolidation techniques. Cementoplasty is based on injection of acrylic cement into a weakened bone to reinforce it and to control pain. This minimally invasive technique has proven its efficacy for flat bone submitted to compression forces...
October 2018: Seminars in Interventional Radiology
T Y Kim, J D Kim, D L Choi
Double portal vein (PV) branches during living donor liver transplantation (LDLT) with right lobe grafts have been considered challenging both in terms of donor safety and the complexity of vascular reconstruction in the recipient. Herein, we describe our experience with 24 adult LDLT recipients during which we employed unification patch venoplasty to reconstruct right lobe grafts with double PV orifices. We retrospectively reviewed the outcomes of 195 adult LDLT recipients receiving right lobe grafts, including 24 cases of adult LDLT recipients in which unification patch venoplasty was used to treat double PVs from January 2010 to June 2015...
November 2018: Transplantation Proceedings
John P Hynes, John Walsh, T P Farrell, Aoife S Murray, Stephen J Eustace
Musculoskeletal radiology's role in the recent and continued evolution of sports medicine is an exciting and expanding one. In this article we explore a variety of the ways that musculoskeletal radiology contributes to current practices in modern sports medicine, discussing advances across a variety of imaging modalities in the care of both elite athletes and so-called weekend warriors. We describe the technical and ethical factors pertaining to image-guided therapeutic intervention in athletes and speculate on the potential for future developments in the role of imaging in deciding when an athlete may return to participation...
November 2018: Seminars in Musculoskeletal Radiology
John P Walsh, Terence P Farrell, John Hynes, Nicola Hughes, Ciara O'Byrne, Stephen J Eustace
Over the last several decades, the volume and range of therapeutic musculoskeletal (MSK) interventions that radiologists can offer their patients has dramatically increased. With new materials and improving imaging modalities, as well as significant investment in research, the field of MSK interventional radiologic intervention will likely continue to expand. In this article, we summarize the range of interventions currently available to the MSK radiologist. We also seek to explore new and emerging techniques that may become commonplace in the near future while considering the challenges that may lie ahead in the field of MSK radiology...
November 2018: Seminars in Musculoskeletal Radiology
Uday Patel, Shankar Kumar, Oscar William Johnson, Justyn Hwee Jeon, Raj Das
Purpose To compare long-term graft and patient survival after percutaneous angioplasty (PTA) or stent placement for transplant renal artery stenosis (TRAS) with a control cohort without TRAS. Materials and Methods This is a retrospective matched cohort study of 41 patients (median age, 49 years; range, 18-72 years), including 27 male patients (median age, 48 years; range, 18-67 years) and 14 female patients (median age, 52 years; range, 24-68 years), with TRAS from December 1995 through 2016. Primary end points were death-censored graft and patient survival, compared by using log-rank test and Cox proportional regression...
November 6, 2018: Radiology
Pei Wu, Pinar Eser Ocak, Dianhong Wang, Umut Ocak, Shancai Xu, Yuchen Li, Tongyu Zhang, Huaizhang Shi
BACKGROUND: Ruptured tiny intracranial aneurysms (TIAs) have been challenging both for endovascular and neurosurgical interventions. Thus, we aimed to evaluate the safety and efficacy of low-profile visualized intraluminal support (LVIS) device in the treatment of ruptured TIAs (rTIAs). MATERIAL AND METHODS: Among 761 intracranial aneurysms which were treated either surgically or endovascularly, 32 rTIAs underwent stent-assisted coiling with LVIS device between 2014 and 2017...
October 31, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Ann Mari Gransjøen, Siri Wiig, Kristin Bakke Lysdahl, Bjørn Morten Hofmann
OBJECTIVE: Significant geographical variations in the use of diagnostic imaging have been demonstrated in Norway and elsewhere. Non-traumatic musculoskeletal conditions is one area where this has been demonstrated. A national musculoskeletal guideline was implemented in response by online publishing and postal dissemination in Norway in 2014 by national policy makers. The objective of our study was to develop and conduct an intervention as an active re-implementation of this guideline in one Norwegian county to investigate and facilitate guideline adherence...
November 3, 2018: BMC Research Notes
Ming Xing Liu, Lei Xia, Jun Zhong, Ning Ning Dou, Bin Li
Objective To assess the clinical and radiological outcomes following unilateral or bilateral approach in percutaneous kyphoplasty (PKP) for treatment of osteoporotic vertebral compression fractures (OVCF). Design Prospective comparative study. Setting University affiliated hospital. Paricipants From 2012 through 2016, those MRI-diagnosed single-level lumbar OVCF patients. Interventions They were randomly assigned for treatment with unilateral or bilateral PKP. Outcome measures We assessed the patient' health status with the Oswestry Disability Index (ODI) questionnaire...
November 2, 2018: Journal of Spinal Cord Medicine
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