Therapeutic Angiography

Transcription

1 Therapeutic Angiography Edited by C. A. Athanasoulis H. L. Abrams E. Zeitler Contributors K. Amplatz. K.H. Barth J.J. Bookstein. D.e. Brewster V.P. Chuang A.M. Cohen R.F. Colapinto. A.B. Co simi. N.P. Couch V. DeCaprio J.L. Doppman. e.t. Dotter E.J. Ferris A.J. Greenfield E.P. Harries-Jones I. Iossifides. I.S. Johnsrude. K. W. Johnston S.L. Kaufmann F.S. Keller R.A. Malt M.F. Mozes. D.e. Nabseth R.A. Novelline. A.M. Palestrant. K. Pringle J. Rosch W. Rosch A.H. Robbins D.E. Schwarten G.V. Segre M. Simon E.E. Slater D.G. Spigos. J.D. Strandberg W.S. Tan W.M. Thompson S. Wallace A.e. Waltman e. Wang R.I. White, Jr.. w.e. Widrich. E. Zeitler With 75 Figures Springer-Verlag Berlin Heidelberg New York 1981

2 CHRISTOS A. ATHANASOULIS, M.D. Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Fruit Street, Boston, MA 02115, USA HERBERT L. ABRAMS, M.D. Department of Radiology, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA EBERHARD ZEITLER, Prof. Dr. Klinikum Niirnberg, Radiologisches Zentrum, Flurstraf3e 17, Niirnberg This monograph comprises number 4 (volume 3) of the Springer journal Cardiovascular and Interventional Radiology. ISBN-13: DOl: / e-isbn-13: This work is subject to copyright. All rights are reservcd. whether the whole or part of the material is concerned. spccifically those of translation, reprinting, fe-use of illustrations_ hroadcasting, reproduction by photocopying machine or similar means, and storage in data hanks. Under ~54 of the German Copyright Law. where copies are made for other than private usc. a fcc is payable to 'Verwertungsgesellschaft Wort', Munich.,( by Springer-Verlag Berlin Heidelberg I n I The usc of registered names, trademarks. etc. in this publication docs not imply. l'vcn in the absence of a specific statement. that such names are exempt from the relevant protective laws and regulations and therefore free for general usc. Offsetprinting and Binding: Universitiitsdruckerei H. Sturtz AG, Wiirzburg 2127/

3 Preface Applications of angiography have expanded to include not only diagnostic procedures but also therapeutic interventions. The introduction of regional administration of vasoactive drugs through percutaneously placed angiographic catheters was soon followed by methods of transcatheter vessel occlusion using temporary or permanent embolic materials. At the same time methods of opening up narrowed or completely obstructed blood vessels with percutaneously introduced balloon catheters were being perfected. Thus, regional blood flow reduction or regional blood flow increase can now be accomplished with percutaneous angiographic methods in lieu of major surgical interventions. The advantages in terms of reduced morbidity, length of hospital stay and cost are evident. Therapeutic angiography is a rapidly advancing and therefore changing field. This monograph aims at capturing some of the most recent advances and also at presenting some of the controversies. In order to accomplish this task the editors invited a selected group of cardiovascular radiologists, to contribute in their respective fields of therapeutic angiography. For a balanced view other experts - usually nonradiologists - were also asked to present their views, comments, and criticisms. Whenever opinions were far apart an opportunity was given for reply or rebuttal. Thus, up-to-date information with supporting or opposing expert views is presented on the topics of transluminal angioplasty, transcatheter vessel occlusion, regional drug infusions, and radiologic interventions in thromboembolic disease. The editors wish to thank the authors for their excellent contributions and hope that the reader will find this monograph informative, practical, and useful in the clinical application of therapeutic angiography. January 198 I CHRISTOS A. ATHANASOULIS, M.D. Department of Radiology Harvard Medical School Massachusetts General Hospital Boston, MA

4 Contents Percutaneous Transluminal Angioplasty of the Renal Artery By D.E. SCHWARTEN. With 9 Figures.... Percutaneous Transluminal Angioplasty of the Renal Artery: A Surgeon's View By D.C. BREWSTER Percutaneous Transluminal Angioplasty of the Renal Artery: A Hypertensiologist's View By E.E. SLATER Percutaneous Dilatation and Recanalization of Iliac and Femoral Arteries By E. ZEITLER. With 5 Figures II Percutaneous Transluminal Angioplasty of Peripheral Vascular Disease: A Two-Year Experience By R.F. COLAPINTO, E.P. HARRIES-JONES, and K.W. JOHNSTON. With 5 Figures 17 Percutaneous Transluminal Angioplasty: A Surgeon's View By N.P. COUCH.... Percutaneous Transluminal Angioplasty: Cooperation among Specialties By E. ZEITLER Transcatheter Vessel Occlusion: Selection of Methods and Materials By A.J. GREENFIELD Therapeutic Embolization with Detachable Balloons By R.I. WHITE, Jr., K.H. BARTH, S.L. KAUFMAN, V. DECAPRIO, and J.D. STRAND BERG. With 5 Figures Materials and Methods for Transcatheter Vascular Occlusion: Some Personal, Practical Views By J. ROSCH, F.S. KELLER, and C.T. DOTTER 46 Editor's Note 47 Vessel Occlusion with Transcatheter Electrocoagulation By W.M. THOMPSON and I.S. JOHNSRUDE. With 9 Figures Vessel Occlusion with Transcatheter Electrocoagulation: Negative Results By K. AMPLA TZ By W.M. THOMPSON and I.S. JOHNSRUDE

5 Current Status of Transcatheter Management of Neoplasms By V.P. CHUANG and S. WALLACE. With 7 Figures.... Current Status of Transcatheter Management of Neoplasms: A Surgeon's View By A.M. COHEN The Treatment of Hyperparathyroidism by Transcatheter Techniques By J.L. DOPPMAN. With 10 Figures.... The Treatment of Hyperparathyroidism by Transcatheter Techniques: A Surgeon's View By e. WANG By J. L. DOPPMAN By e. WANG Final Remarks The Treatment of Hyperparathyroidism by Transcatheter Techniques: An Endocrinologist's View By G.V. SEGRE Splenic Embolization By D.G. SPIGOS, W.S. TAN, M.F. MaZES, K. PRINGLE, and I. IOSSIFIDES. With 3 Figures Splenic Embolization: A Surgeon's View By B. COSIMI Transcatheter Embolization versus Vasopressin Infusion for the Control of Arteriocapillary Gastrointestinal Bleeding By A. e. W AL TMAN. With 6 Figures Embolization versus Vasopressin Infusion in Gastrointestinal Bleeding By J.J. BOOKSTEIN Transhepatic Embolization of Varices By W.e. WIDRICH, A.H. ROBBINS, and D.e. NABSETH. With 1 Figure Transhepatic Embolization of Varices: A Surgeon's View By R.A. MALT By W.e. WIDRICH, A.H. ROBBINS, and D.e. NABSETH By R.A. MALT Final Remarks Control of Bleeding Esophageal Varices by Endoscopic Sclerotherapy By W. RoscH III VI

6 Transvenous Devices for the Management of Pulmonary Embolism By M. SIMON and A.M. PALESTRANT. With 9 Figures Transvenous Management of Pulmonary Embolism and Technical Aspects of Filters By E.1. FERRIS Practical Points on Transvenous Insertion of Inferior Vena Cava Filters By R.A. NOVELLINE. With 6 Figures Filter Interruption of the Inferior Vena Cava By E.1. FERRIS VII