Abdominal & retroperitoneal endovascular intervention, Bo Kalin, Karolinska Hospital
|
|
|
- Winfred Bryant
- 5 years ago
- Views:
Transcription
1 Abdominal & retroperitoneal endovascular intervention, Bo Kalin, Karolinska Hospital What is endovascular therapy.
2 Diagnosing Traumatic Arterial Injury Clinical signs CT / CT-angiography To diminish a large bleeding Occlusion balloon
3 Endovascular Methods to Stop a Bleeding 1. Embolization- not essential vessel Embolic Agents Coils Gelfoam (Temporary) PVA-ParticlesParticles Liquid Agents; Glue, Onyx, Alcohol Endovascular Methods to Stop a Bleeding 2. Covered Stents (Stent Graft)- essential vessel
4 Principles for embolization Goal: To diminish the perfusionen whereby the bleeding stops Too distal embolization infarct Too proximal embolization The bleeding might continue through collaterals
5 70 year old man; boat accident
6
7 57 year old man; Car accident
8
9
10 Renal Trauma Low grade renal injuries such as contusions, subcapsular hematomas and low grade laceration will heal Surgery is indicated for few patients such as patients in chock; serious injuries to the main artery or vein Endovascular intervention: Embolization of a bleeding artery in the kidney is in most cases a fairly simple procedure. Injury to the renal main artery is a more challenging intervention.
11
12
13 Endovascular Treatment of Hepatic Trauma Indication for angiography/embolization: The patient continues to bleed after DCL CT shows bleeding from the liver in a hemodynamically stable patient Embolization can be complicated by: y Stenoses/occlusion of the celiac trunc The intra-hepatic collateralization Occlusion of the Portal vein Anatomic variants
14 Splenic Trauma Indication for angiography/embolization CT/angiography shows Contrast medium extravasation Pseudoaneurysm or arteriovenous shunt Splenic injuries grades III, IV or V (according to AAST) Large hemoperitoneum The patient ought to hemodynamically The patient ought to hemodynamically stable
15 The Significance of Pseudoaneurysm at CT examination 181 patients who had a CT examination a pseudoaneurysm was detected in 46 (25%) 38 (83%) of these patients (83%) required surgery (J A Elliott, CARJ Vol 54, no3, 2003)
16 Splenic Embolization 1. Proximal main artery embolization (Coils) (Faster)) 2. Superselective/distal embolization (Coils or gelfoam) Woman 63 y 02-
17 Complications following SAE Bleeding Splenic infarction Abscess Coil migration Iatrogenic vascular injury Splenic vein thrombosis Haan et al, J Trauma, 2004:56; 542-7
18 Complications following SAE 132 patients Five major complications 3 splenic abscesses 2 symptomatic infarcts 3 distal coil migration Haan 2005 JTrauma
19
20 Blood Pressure in the Splenic Artery before and after Balloon inflation Splenic Artery occlusion with a Balloon Arterial pressure without inflation: 106/69 mm Hg Balloon inflated: Pressure distalt to the balloon: 44/40 mm Hg Collaterals Rose, AJR 1998;170: Why NOM (Non Operative Mangement) Med borttagande av mjälten försvinner en del av RES (phagocytfunktionen) Aktuella bakterier: Pneumococcer, Haemophilus, Meningococcer Vaccin ger endast ca 50% skyddseffekt (90 serotyper av pneumococcer)
21 Why NOM (Non Operative Mangement) Risk of infections after Splenectomy Encapsulated organisms Pneumococcus Hemophilus Influenzeae Menibgococcus Klebsiella Pneumoniae Salmonella Typhi The life time risk of postsplenectomy sepsis is 1-2% Bäcken
22 Treatment of the pelvic fracture related retroperitoneal hematoma Angiographic evaluation with embolization Intraoperative external fixationn with or without preperitoneal pelvic packing Indication for angiography/embolization in Pelvic Trauma Hemodynamically unstable patient after external fixation (intraperitoneal hemorrhage has been exluded) A large or expanding pelvic hematoma found at laparatomy Transfusion requirements for a pelvic fracture exceeding four units of blood within 24h CT shows: Contrast extravasation, false aneurysm, occlusion of main stem artery, or A-V-shunt
23
24
25
26
27
28 Complications after Pelvic Embolization Necrosis: s Skin or gutea gluteal muscle usce necrosis oss was seen in12 of 165 embolized patients. All 12 had bilatateral embolization of the internal iliac artery(arch Orthop Trauma Surg.2005 Jun 29) Erectil dysfunction after bilateral embolization of the internal ilica artery (J Trauma 2004 Apr;56:734-9) Buttock claudicatio? (J Vasc Interv Radiol.2002 Jul;13(7):667-76) General Complications Not intended infarction in the embolized organ The embolization has failed and the patient continues to bleed (incomplete embolizaion? collaterals?) N t t b li ti (th C th t i Nontarget embolization (the Catheter is inadequately seated in the parent vessel)
29 The large vessels 83-year old man hit by a car. Hemodynamically unstable
30 finito
Interventional Radiology in Trauma. Vikash Prasad, MD, FRCPC Vascular and Interventional Radiology The Moncton Hospital
Interventional Radiology in Trauma Vikash Prasad, MD, FRCPC Vascular and Interventional Radiology The Moncton Hospital Disclosures None relevant to this presentation Shareholder Johnson and Johnson Goal
Splenic Trauma Where to Occlude and with what
Splenic Trauma Where to Occlude and with what Trauma session, Thurday May 5, 2016 Pierre GOFFETTE St-Luc University Hospital Brussels Pierre Goffette, M.D. Consultant/Advisory Board: Covidien (Neuro) and
Interventional Radiology for Solid Organ Trauma. Case Study 8/17/2017. Diagnosis? Case Study (cont d)
Interventional Radiology for Solid Organ Trauma Jamie Gallivan RN, BSN Interventional Radiology Case Study 6 y/o boy fell out of 2 nd story window onto concrete Hemodynamically stable at scene Arrival
Urinary tract embolization
Beograd, 14.10.2012 Urinary tract embolization asist. Peter Popovič, MD, MSc Head of abdominal radiology department, Institute of Radiology, UMC Ljubljana Embolization Who and when procedure: local/general
Management of Pelvic Fracture
Management of Pelvis Fracture with Hemodynamic Instability James W. Davis MD Professor of Clinical Surgery, UCSF/Fresno Chief of Trauma Management of Pelvic Fracture How NOT to do it The basics Evaluation
Visceral aneurysm. Diagnosis and Interventions M.NEDEVSKA
Visceral aneurysm Diagnosis and Interventions M.NEDEVSKA History 1953 De Bakeyand Cooley Visceral aneurysm VAAs rare, reported incidence of 0.01 to 0.2% on routine autopsies. Clinically important Potentially
CT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN
CT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN THORACO ABDOMINAL TRAUMA 0 10 20 30 40 50 60 5 cc/sec 30 secs 1.25 mm/ 55 mm Z1.375 2.5 mm/ 55 mm Z 1.375 Grade
Diagnosis & Management of Kidney Trauma. LAU - Urology Residency Program LOP Urology Residents Meeting
Diagnosis & Management of Kidney Trauma LAU - Urology Residency Program LOP Urology Residents Meeting Outline Introduction Investigation Staging Treatment Introduction The kidneys are the most common genitourinary
Imaging abdominal vascular emergencies. V.Stoynova
Imaging abdominal vascular emergencies V.Stoynova Abdominal vessels V. Stoynova 2 Acute liver bleeding trauma anticoagulant therapy liver disease : HCC, adenoma, meta, FNH, Hemangioma Diagnosis :CT angiography
Case Report 1. CTA head. (c) Tele3D Advantage, LLC
Case Report 1 CTA head 1 History 82 YEAR OLD woman with signs and symptoms of increased intra cranial pressure in setting of SAH. CT Brain was performed followed by CT Angiography of head. 2 CT brain Extensive
Fall down stairs. Left rib fractures. John A Cieslak III, MD, PhD Charan Singh, MD
Fall down stairs. Left rib fractures. John A Cieslak III, MD, PhD Charan Singh, MD ? Splenic lacerations, hemoperitoneum, and traumatic pseudoaneurysm formation. High attenuation extraluminal contrast
Role of imaging in evaluation of genitourinary i trauma Spectrum of GU injuries Relevance of imaging findings in determining management Focus on MDCT
Genitourinary Tract Injuries 6 th Nordic Course Scott D. Steenburg, MD Assistant Professor University of Maryland Department of Radiology Division of Trauma and Emergency Radiology R Adams Cowley Shock
Efficacy of Emergent Splenic Artery Embolization in Conservative Treatment of High Grade Splenic Injury
Chin J Radiol 2005; 30: 1-7 1 Efficacy of Emergent Splenic Artery Embolization in Conservative Treatment of High Grade Splenic Injury YU-SAN LIAO YU-FAN CHENG TUNG-LIANG HUANG PAO-CHU YU CHUNG-CHENG HUANG
Case 37 Clinical Presentation
Case 37 73 Clinical Presentation The patient is a 62-year-old woman with gastrointestinal (GI) bleeding. 74 RadCases Interventional Radiology Imaging Findings () Image from a selective digital subtraction
Endovascular Trauma Management. Thomas Larzon, MD, PhD Dep of Cardiothoracic and Vascular Surgery Örebro University Hospital, Sweden
Endovascular Trauma Management Thomas Larzon, MD, PhD Dep of Cardiothoracic and Vascular Surgery Örebro University Hospital, Sweden Medtronic Symposium, LINC 2016 Disclosures I have the following potential
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue Robert M. Bersin, M.D. Director, Endovascular Services Seattle Cardiology and the Cardiovascular
Visceral Artery Aneurysms Endovascular vs. Open?
Disclosures Visceral Artery Aneurysms Endovascular vs. Open? John S. Lane III, MD Professor and Acting Chief of Vascular Surgery UC San Diego, Department of Surgery None relevant UCSF Vascular Symposium,
Trauma MedEd. Emphasis: Solid Organ - Spleen January 2012 T RAUMA C ALENDAR OF E VENTS WESTERN TRAUMA ASSOCIATION 42 ND ANNUAL MEETING
The Trauma Professional s Blog Trauma MedEd Emphasis: Solid Organ - Spleen January 2012 Grading Spleen Injuries - Simplified Spleen injury grading is not as complicated as people think! The grading system
Splenic blunt trauma - from diagnostic MDCT to embolisation: The role of the radiologists
Splenic blunt trauma - from diagnostic MDCT to embolisation: The role of the radiologists Poster No.: C-1859 Congress: ECR 2010 Type: Educational Exhibit Topic: Interventional Radiology Authors: J. Cazejust,
Traumatic Renocaval Fistula With Pseudoaneurysm Leading To Renal Atrophy
ISPUB.COM The Internet Journal of Radiology Volume 6 Number 2 Traumatic Renocaval Fistula With Pseudoaneurysm Leading To Renal Atrophy M Kukkady, A Deena, S Raj, Ramachandra Citation M Kukkady, A Deena,
PERPHERAL ARTERY ANEURYSM. By Pooja Sharma and Susanna Sebastianpillai
PERPHERAL ARTERY ANEURYSM By Pooja Sharma and Susanna Sebastianpillai Defintions True Aneurysm Involves all three layers of the vessel. Have two basic shapes; Fusiform = symmetric widening of the vessels
PRACTICE GUIDELINE TITLE: NON-OPERATIVE MANAGEMENT OF LIVER / SPLENIC INJURIES
PRACTICE GUIDELINE Effective Date: 6-18-04 Manual Reference: Deaconess Trauma Services TITLE: N-OPERATIVE MANAGEMENT OF LIVER / SPLENIC INJURIES PURPOSE: To define when non-operative management of liver
SANWICH TECHNIQUE TO REDUCE COMPLICATIONS WHEN TREATING BILATERAL INTERNAL ILIAC ARTERY
SANWICH TECHNIQUE TO REDUCE COMPLICATIONS WHEN TREATING BILATERAL INTERNAL ILIAC ARTERY TRAN TRA GIANG.MD Interventional cardiovascular department Hanoi Heart Hospital, Hanoi, Viet Nam Nothing to Disclose
Endovascular management of blunt trauma to the
Endovascular Management of Abdominal Solid Organ Trauma Indications and embolic agents for successful noninvasive treatment. BY RICARDO YAMADA, MD; MARCELO GUIMARAES, MD, FSIR; AND CLAUDIO SCHÖNHOLZ, MD
Transcatheter Arterial Embolization of Traumatic Lumbar Artery Injury: Experience in One Institution
J Radiol Sci 2011; 36: 31-36 Transcatheter Arterial Embolization of Traumatic Lumbar Artery Injury: Experience in One Institution Sheng-Che Hung 1,2,3,5 Huan-Wu Chen 3,5 Yon-Cheong Wong 3,5 Cheng-Hsien
NYU School of Medicine Department of Radiology Rotation-Specific House Staff Evaluation
Vascular & Interventional Radiology Rotation 1 Core competency in vascular and interventional radiology during the first resident rotation consists of clinical objectives, technical objectives and image
Abdominal Solid Organ Injury
Abdominal Solid Organ Injury 9th Nordic Trauma Radiology Course Aarhus, Denmark May 23-26, 2016 K.SHANMUGANATHAN M.D. ABDOMINAL TRAUMA OBJECTIVES Splenic injury Late arterial / early p-v phase imaging
Embolization of Spontaneous Rupture of an Aneurysm of the Ovarian Artery Supplying the Uterus with Fibroids
Acta Radiologica ISSN: 0284-1851 (Print) 1600-0455 (Online) Journal homepage: https://www.tandfonline.com/loi/iard20 Embolization of Spontaneous Rupture of an Aneurysm of the Ovarian Artery Supplying the
Abdominal Solid Organ Injury
Abdominal Solid Organ Injury 8 th Nordic Course Stockholm, Sweden May 19-22, 2014 K.SHANMUGANATHAN M.D. ABDOMINAL TRAUMA OBJECTIVES Splenic injury Late arterial / early p-v phase imaging Liver injury Blunt
CY2015 Hospital Outpatient: Endovascular Procedure APCs and Complexity Adjustments
CY2015 Hospital Outpatient: Endovascular Procedure APCs Complexity Adjustments Comprehensive Ambulatory Payment Classifications (c-apcs) CMS finalized the implementation of 25 Comprehensive APC to further
General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]
![General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]](/thumbs/76/74079340.jpg "General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]")
General Imaging Imaging modalities Conventional X-rays Ultrasonography [ US ] Computed tomography [ CT ] Radionuclide imaging Magnetic resonance imaging [ MRI ] Angiography conventional, CT,MRI Interventional
ADDITIONS. The following codes have been added.
ADDITIONS The following codes have been added. 99446 Interprofessional telephone/internet assessment and management service provided by treating/requesting physician or other qualified health care professional;
Radiological Investigations of Abdominal Trauma
76 77 Investigations of Abdominal Trauma Introduction: Trauma to abdominal organs is a common cause of patient morbidity and mortality among trauma patients. Causes of abdominal trauma include blunt injuries,
Postpancreatectomy Hemorrhage: Imaging and Interventional Radiological Treatment
Postpancreatectomy Hemorrhage: Imaging and Interventional Radiological Treatment Poster No.: C-1422 Congress: ECR 2014 Type: Educational Exhibit Authors: T. Matsuura, K. Takase, T. Hasegawa, H. Ota, K.
KNIFED IN THE ABDOMEN
Originally Posted: November 01, 2014 KNIFED IN THE ABDOMEN Resident(s): Andrew Duarte, MD Attending(s): Ryan Scott, MD & David Kay, MD Program/Dept(s): St. Joseph s Hospital and Medical Center, Phoenix,
Chungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University Hospital Sangmin Kim
Endovascular Procedures for Isolated Common Iliac and Internal Iliac Aneurysm Chungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University
Gastro-Intestinal Bleeding- Interventional Radiology turning off the tap. Simon McPherson, Vascular Interventional Radiologist, Leeds
Gastro-Intestinal Bleeding- Interventional Radiology turning off the tap Simon McPherson, Vascular Interventional Radiologist, Leeds Scale UK 100,000 /year Commonest Vascular IR on-call 75% UGIB 65% NVUGIB
EAST MULTICENTER STUDY PROPOSAL
EAST MULTICENTER STUDY PROPOSAL (Proposal forms must be completed in its entirety, incomplete forms will not be considered) GENERAL INFORMATION Study Title: Functional Outcomes after Post-Traumatic Pelvic
Bladder Trauma Data Collection Sheet
Bladder Trauma Data Collection Sheet If there was no traumatic injury with PENETRATION of the bladder DO NOT proceed Date of injury: / / Time of injury: Date of hospital arrival: / / Time of hospital arrival:
Tasopoulou KM 1, Argyriou C 1, Mantatzis M 2, Kantartzi K 3, Passadakis P 3, Georgiadis GS 1
Tasopoulou KM 1, Argyriou C 1, Mantatzis M 2, Kantartzi K 3, Passadakis P 3, Georgiadis GS 1 1 Department of Vascular Surgery, 2 Department of Radiology/Interventional Radiology Unit and 3 Department of
EVAR and TEVAR: Extending Their Use for Rupture and Traumatic Injury. Conflict of Interest. Hypotensive shock 5/5/2014. none
EVAR and TEVAR: Extending Their Use for Rupture and Traumatic Injury Bruce H. Gray, DO MSVM FSCAI Professor of Surgery/Vascular Medicine USC SOM-Greenville Greenville, South Carolina none Conflict of Interest
Talent Abdominal Stent Graft
Talent Abdominal with THE Xcelerant Hydro Delivery System Expanding the Indications for EVAR Treat More Patients Short Necks The Talent Abdominal is the only FDA-approved device for proximal aortic neck
Acute, Blood, Trauma /ecr2015/C-2116
The Baltimore CT Severity Index (CTSI) versus the American Association of Surgical Trauma (AAST) for grading splenic Injury on CT: Use and implications of an imaging based grading system for splenic injury
Ruptured aberrant internal carotid artery pseudoaneurysm presenting with spontaneous massive ear bleeding following a single sneeze: a case report
Case eport JNET 7:312-316, 2013 uptured aberrant internal carotid artery pseudoaneurysm presenting with spontaneous massive ear bleeding following a single sneeze: a case report Seiichiro HIONO 1) Eiichi
MANAGEMENT OF SOLID ORGAN INJURIES: NON- OPERATIVE, INTERVENTIONAL AND OPERATIVE
MANAGEMENT OF SOLID ORGAN INJURIES: NON- OPERATIVE, INTERVENTIONAL AND OPERATIVE April 4, 2017 Ellen Omi, MD, FACS Trauma and Critical Care Site Program Director, Surgery Advocate Christ Medical Center
Pediatric emergencies. Emergent Neuroimaging Acute chest (non-trauma) Acute abdomen (non-trauma) Sports injuries (trauma) Highlights/Trends Polytrauma
Department of Clinical Radiology, Munich University Hospital Pediatric emergencies Emergent Neuroimaging Acute chest (non-trauma) Acute abdomen (non-trauma) Sports injuries (trauma) Highlights/Trends Polytrauma
A Severely Injured Pediatric Trauma Patient: Case Presentation and Discussion
A Severely Injured Pediatric Trauma Patient: Case Presentation and Discussion Christopher Butts PhD, DO Surgical Critical Care Fellow Cooper University Hospital H&P 10 year old female presents as a trauma
IMAGING OF BLUNT ABDOMINAL TRAUMA, PART I
IMAGING OF BLUNT ABDOMINAL TRAUMA, PART I QuickTime and a TIFF (Uncompressed) decompressor are needed to see this picture. Ruedi F. Thoeni, M. D. D University of California, San Francisco SCBT-MR Summer
MANAGEMENT OF SOLID ORGAN INJURIES
MANAGEMENT OF SOLID ORGAN INJURIES Joseph Cuschieri, MD FACS Professor of Surgery, University of Washington Director of Surgical Critical Care, Harborview Medical Center Introduction Solid organ injury
Stent-assisted coil embolization of a wide-necked renal artery aneurysm
Stent-assisted coil embolization of a wide-necked renal artery aneurysm Bjoern Kitzing 1*, John Vedelago 1, Nick Bajic 1, Grace Lai 1, Richard Waugh 1 1. Department of Radiology, Royal Prince Alfred Hospital,
DISCLOSURE TEST YOUR WAVEFORM IQ. Partial volume artifact. 86 yo female with right arm swelling, picc line. AVF on left? Dx?
Deborah Rubens University of Rochester Rochester, NY DISCLOSURE Neither I nor my immediate family have a financial relationship with a commercial organization that may have a direct or indirect interest
Originally Posted: November 15, 2014 BRUIT IN THE GROIN
Originally Posted: November 15, 2014 BRUIT IN THE GROIN Resident(s): Donald ML Tse, MD Attending(s): KT Tan, MD Program/Dept(s): University Health Network/Mount Sinai Hospital, Toronto, ON, Canada CHIEF
CT IMAGING OF BLUNT SPLENIC INJURY: A PICTORIAL ESSAY
CT IMAGING OF BLUNT SPLENIC INJURY: A PICTORIAL ESSAY Radhiana H, Azian AA, Ahmad Razali MR, Amran AR, Azlin S, S Kamariah CM Department of Radiology International Islamic University Malaysia Kuantan,
Nellix Endovascular System: Clinical Outcomes and Device Overview
Nellix Endovascular System: Clinical Outcomes and Device Overview Jeffrey P. Carpenter, MD Professor and Chief, Department of Surgery CAUTION: Investigational device. This product is under clinical investigation
LIVER TRAUMA. Jonathan R. Hiatt, MD
Jonathan R. Hiatt, MD HISTORY 1880 1900 1908 MORTALITY OF LIVER INJURY MODERN CONCEPTS PACKS, RESECTION PRINGLE WW II 27% KOREA 14% VIETNAM 8.5% URBAN TRAUMA CTRS. EPIDEMIOLOGY CLASSIFICATION THERAPEUTIC
DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service
M AY. 6. 2011 10:37 A M F D A - C D R H - O D E - P M O N O. 4147 P. 1 DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control
Trauma Center Practice Management Guideline Iowa Methodist Medical Center Des Moines
Trauma Center Practice Management Guideline Iowa Methodist Medical Center Des Moines Splenic Injury Evaluation and Management Guideline ADULT Practice Management Guideline Contact: Trauma Center Medical
Introduction What Causes Peripheral Vascular Disease? How Do Doctors Treat Peripheral Vascular Disease?... 9
Patient Information Table of Contents Introduction... 3 What is Peripheral Vascular Disease?... 5 What Are Some of the Symptoms of Peripheral Vascular Disease?... 7 What Causes Peripheral Vascular Disease?...
INFERIOR VENA CAVA FILTERS QUIZ 10 QUESTIONS MAY 5, 2014
INFERIOR VENA CAVA FILTERS QUIZ 10 QUESTIONS MAY 5, 2014 QUESTION 1 1. Anatomically Transposition of the IVC is observed in what % of individuals A) 1-5% B).2-.05% C) 3-5% D) 5-10% ANSWER QUESTION 1 Answer
Endovascular and Hybrid Treatment of TASC C & D Aortoiliac Occlusive Disease
Endovascular and Hybrid Treatment of TASC C & D Aortoiliac Occlusive Disease Arash Bornak, MD FACS Vascular & Endovascular Surgery University of Miami Miller School of Medicine No disclosure BACKGROUND
Renal Artery Embolization for the Treatment of Renal Artery Pseudoaneurysm Following Partial Nephrectomy
The Ochsner Journal 13:259 263, 2013 Ó Academic Division of Ochsner Clinic Foundation Renal Artery Embolization for the Treatment of Renal Artery Pseudoaneurysm Following Partial Nephrectomy Cara Irwine,
Endovascular Repair o Abdominal. Aortic Aneurysms. Cesar E. Mendoza, M.D. Jackson Memorial Hospital Miami, Florida
Endovascular Repair o Abdominal Aortic Aneurysms Cesar E. Mendoza, M.D. Jackson Memorial Hospital Miami, Florida Disclosure Nothing to disclose. 2 Mr. X AAA Mr. X. Is a 70 year old male who presented to
Pediatric Abdomen Trauma
Pediatric Abdomen Trauma Susan D. John, MD, FACR Pediatric Trauma Trauma is leading cause of death and disability in children and adolescents Causes and effects vary between age groups Blunt trauma predominates
CIRSE Guidelines: Quality Improvement Guidelines for Endovascular Treatment of Traumatic Hemorrhage
Cardiovasc Intervent Radiol (2012) 35:472 482 DOI 10.1007/s00270-012-0339-7 INVITED SUBMISSION: CIRSE STANDARDS OF PRACTICE GUIDELINES CIRSE Guidelines: Quality Improvement Guidelines for Endovascular
Damage Control in Abdominal and Pelvic Injuries
Damage Control in Abdominal and Pelvic Injuries Raul Coimbra, MD, PhD, FACS The Monroe E. Trout Professor of Surgery Surgeon-in Chief UCSD Medical Center Hillcrest Campus Executive Vice-Chairman Department
Type II Endoleak Embolization Choice of Materials: EVOH, Glue, Thrombin & Coils. Michael S. Rosenberg, MD Assistant Professor of Radiology
Type II Endoleak Embolization Choice of Materials: EVOH, Glue, Thrombin & Coils Michael S. Rosenberg, MD Assistant Professor of Radiology Michael Rosenberg, M. D. No relevant financial relationship reported
CT diagnosis of splenic infarction in blunt trauma: imaging features, clinical significance and complications
Clinical Radiology (2004) 59, 342 348 CT diagnosis of splenic infarction in blunt trauma: imaging features, clinical significance and complications L.A. Miller, S.E. Mirvis, K. Shanmuganathan, A.S. Ohson*
The Management and Treatment of Ruptured Abdominal Aortic Aneurysm (RAAA)
The Management and Treatment of Ruptured Abdominal Aortic Aneurysm (RAAA) Disclosure Speaker name: Ren Wei, Li Zhui, Li Fenghe, Zhao Yu Department of Vascular Surgery, The First Affiliated Hospital of
Broken Bones and Bleeding Vessels; Emergency Embolization Explored
Broken Bones and Bleeding Vessels; Emergency Embolization Explored Poster No.: C-1827 Congress: ECR 2015 Type: Educational Exhibit Authors: W. Mubarak, A. sayedin, O. Almokdad, J. Al Rayahi, V. chavan,
Initial Pelvic Fracture Management. Patrick M Reilly MD FACS February 27, 2010
Initial Pelvic Fracture Management Patrick M Reilly MD FACS February 27, 2010 John Pryor MD Field Triage* * Step One : Physiology * Step Two : Anatomy * Step Three : Mechanism * Step Four : Co-Morbid Conditions
Guidelines and Protocols
TITLE: PELVIC TRAUMA PURPOSE: Develop a protocol of care that will insure rapid identification and treatment of these patients PROCESS: I. CARE OF PATIENTS WITH PELVIC TRAUMA A. Patients in hemorrhagic
How to manage TAVI related vascular complications. Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI
How to manage TAVI related vascular complications Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI Definition VARC-2 consensus statement Complications caused by: Wire Catheter Anything related to vascular access
Renal Artery Embolization in Post Traumatic Vascular Lesions
Med. J. Cairo Univ., VoL 81, No. 2, March: 69-73, 2013 www.medicaljournalofcairouniversity.com Renal Artery Embolization in Post Traumatic Vascular Lesions IHAB I. ALI, M.D.*; HESHAM BADAWY, M.D.**; AMR
Internal iliac artery aneurysms: When to intervene and outcomes of EVAR
Internal iliac artery aneurysms: When to intervene and outcomes of EVAR Frans Moll Wuttichai Saaengprakai, George Georgiadis, Joost van Herwaarden Department of Vascular Surgery, UMC Utrecht, The Netherlands
Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry
Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry Michel MPJ Reijnen, MD, PhD Department of Vascular Surgery, Rijnstate Hospital
Reimbursement Guide Zenith Fenestrated AAA Endovascular Graft
MEDICAL Reimbursement Guide Zenith Fenestrated AAA Endovascular Graft Disclaimer: The information provided herein reflects Cook s understanding of the procedure(s) and/or device(s) from sources that may
Penetrating abdominal trauma clinical view. Ari Leppäniemi, MD Department of Abdominal Surgery Meilahti hospital University of Helsinki Finland
Penetrating abdominal trauma clinical view Ari Leppäniemi, MD Department of Abdominal Surgery Meilahti hospital University of Helsinki Finland Meilahti hospital - one of Helsinki University hospitals -
Percutaneous Transarterial Embolization of Pseudoaneurysm Secondary to Pancreatitis: a case report
Chin J Radiol 2003; 28: 347-351 347 Percutaneous Transarterial Embolization of Pseudoaneurysm Secondary to Pancreatitis: a case report HSIN-YI LAI YUNG-FANG CHEN HSEIN-JAR CHIANG WU-CHUNG SHEN Department
Imaging in abdominal trauma
Imaging in abdominal trauma Dilyana Baleva Medical University Varna Landesklinikum Mistelbach-Gänserndorf Learning objectives Definition, demographics and etiology Imaging modalities and protocols Common
An unusual source of right upper quadrant pain
Originally Posted: Month, 00, 20xx An unusual source of right upper quadrant pain Resident(s): Ashish R. Vyas MD (PGY-V), Dominic T. Semaan M.D., J.D. (PGY-V) Attending(s): Dr. Denis Lincoln Program/Dept(s):
The role for contrast-enhanced ultrasonography outside of focal liver lesions
The role for contrast-enhanced ultrasonography outside of focal liver lesions Paul S. Sidhu King s College Hospital, London, UK Introduction Contrast-enhanced ultrasonography (US) of focal liver lesions
Civilian versus Military Trauma Management
Western University From the SelectedWorks of Vivian C. McAlister November, 2010 Civilian versus Military Trauma Management Vivian C. McAlister Available at: https://works.bepress.com/vivianmcalister/151/
An Overview of Post-EVAR Endoleaks: Imaging Findings and Management. Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC
An Overview of Post-EVAR Endoleaks: Imaging Findings and Management Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC Disclosure Slide Mark O. Baerlocher: Current: Consultant for Boston
Endovascular treatment of acquired arteriovenous fistula with severe hemodynamic effects: a case report
Endovascular treatment of acquired arteriovenous fistula with severe hemodynamic effects: a case report The Leipzig Interventional Course, January 24 27, 2017 El Samman K., Šedivý P., Šnajdrová A., Přindišová
UBC Department of Urologic Sciences Lecture Series. Urological Trauma
UBC Department of Urologic Sciences Lecture Series Urological Trauma Disclaimer: This is a lot of information to cover and we are unlikely to cover it all today These slides are to be utilized for your
TEVAR FOR! THORACIC AORTIC TRAUMA"
10th HKL Vascular Surgery Conference and Workshop" TEVAR FOR! THORACIC AORTIC TRAUMA" Dr Hanif Hussein" Vascular and General Surgeon" Department of Surgery" Hospital Kuala Lumpur" Source: MIROS! Thoracic
Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm
Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm Andrew Unzeitig MD Piedmont Atlanta Hospital Georgia Vascular Society 2017 Annual Meeting Lake Oconee, Georgia Disclosures None Case
Endovascular Techniques for Visceral Artery Aneurysm Treatment
Wednesday, January 31, 2017 17:21-17:27 Endovascular Techniques for Visceral Artery Aneurysm Treatment S.Müller-Hülsbeck, MD, EBIR, FCIRSE, FICA, FSIR ACADEMIC HOSPITALS Flensburg of Kiel University Faculty
Intraabdominal Active Bleeding: Helical CT, MDCT (64slice), DSA and Homeostatic Embolization Findings
Intraabdominal Active Bleeding: Helical CT, MDCT (64slice), DSA and Homeostatic Embolization Findings Poster No.: C-2495 Congress: ECR 2012 Type: Educational Exhibit Authors: B. ALPARSLAN, N. YILDIRIM,
ABDOMINAL TRAUMA Lecture Prof. Zbigniew Wlodarczyk
ABDOMINAL TRAUMA Lecture Prof. Zbigniew Wlodarczyk Epidemiology 2% of all traumas (4% amongst hospitalized patients) 75% M 25% F Average age 35 years 80% close 20% penetrating 40% liver and spleen, 10%
Introduction 3. What is Peripheral Vascular Disease? 5. What Are Some of the Symptoms of Peripheral Vascular Disease? 6
Patient Information Table of Contents Introduction 3 What is Peripheral Vascular Disease? 5 What Are Some of the Symptoms of Peripheral Vascular Disease? 6 What Causes Peripheral Vascular Disease? 7 How
How to Determine Tolerance for Branch Vessel Coverage
How to Determine Tolerance for Branch Vessel Coverage Venita Chandra, MD Clinical Assistant Professor of Surgery Division of Stanford Medical School, Stanford, CA PNEC May 25 th, 2017 DISCLOSURES Venita
The gastroduodenal artery: Radiological anatomy, imaging and endovascular intervention
The gastroduodenal artery: Radiological anatomy, imaging and endovascular intervention Poster No.: C-2049 Congress: ECR 2010 Type: Educational Exhibit Topic: Interventional Radiology Authors: R. D. White,
I-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical Department National Taiwan University Hospital
Comparisons of Aortic Remodeling and Outcomes after Endovascular Repair of Acute and Chronic Complicated Type B Aortic Dissections I-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical
SHORT REPORT. N. E. Manghat, 1 * A. J. Broadley, 2 M. A. Puckett, 1 J. Isaacs 1 and I. Currie 3
EJVES Extra 6, 10 14 (2003) doi: 10.1016/S1533-3167(03)00061-X, available online at http://www.sciencedirect.com on SHORT REPORT High Output Cardiac Failure Caused by Popliteal Pseudoaneurysm and Arteriovenous
Traumatic Posterior Tibial Pseudoaneursym: A rare late complication repaired conventionally
Volume 2 Issue 3 Article 3 2016 Traumatic Posterior Tibial Pseudoaneursym: A rare late complication repaired conventionally Farzad Amiri, MD; Zachary Sanford; and Constantinous Constantinou, MD Follow
What effects will proximal or distal disease have on an waveform?
Spectral Doppler Interpretation Director Director of of Ultrasound Ultrasound Education Education & & Quality Quality Assurance Assurance Baylor Baylor College College of of Medicine Medicine Division
Primary to non-coronary IVUS
codes 2018 2018 codes Primary to non-coronary IVUS Page 2 All coding, coverage, billing and payment information provided herein by Philips is gathered from third-party sources and is subject to change.
MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE
MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE AAA FACTS 200,000 New Cases Each Year Ruptured AAA = 15,000 Deaths per Year in U.S. 13th Leading Cause of Death 80% Chance of