Sclerosing Agents: Tips & Tricks Session: Liquid Embolics
|
|
- Kory Fields
- 6 years ago
- Views:
Transcription
1 Sclerosing Agents: Tips & Tricks Session: Liquid Embolics Jeffrey S. Pollak, M.D. Robert I. White, Jr., M.D. Professor of Interventional Radiology Yale University School of Medicine Department of Radiology and Biomedical Imaging
2 Jeffrey Pollak, M. D. Consultant: Cook Medical
3 Sclerosant Agents Liquid agents causing intimal injury with inflammation and endothelial destruction, thrombosis, & subsequent fibrotic obliteration Examples ethanol hypertonic glucose detergents hot contrast doxycycline OK-432 (Picibanil) bleomycin Ethibloc not FDA approved
4 Sclerosants: Indications General: flow into a space (e.g., vascular bed) targeted for destruction/obliteration Specific examples superficial varices gonadal varices varicocele & pelvic congestion portal hypertensive varices and lobar portal vein low flow vascular malformations high flow vascular malformations arteriovenous fistulae typically small tumors nonvascular (e.g., pleurodesis, lymphocele)
5 Approaches Transvascular/transluminal transarterial transvenous Direct puncture
6 Technique Often, preliminary contrast injection determine volume assess connections to nontarget sites (e.g., normal veins) superficial sites (e.g., varicose veins) can primarily inject sclerosant Administer sclerosant use volume contrast volume prior to opacifying nontarget sites small volume connecting tube fluoroscopic monitoring
7 Visualize agent contrast displacement opacify the sclerosant Techniques Foam with detergent sclerosants ultrasound to check distribution Combine with other embolization agents/devices mechanical devices & occlusion balloon occlude nontarget pathways retain the sclerosant in the target
8 Detergent Sclerosants Fatty acid derivatives Common agents FDA approved for LE vv s sodium tetradecyl sulfate (STS) (Sotradecol) concentrations of 1% and 3% available polidocanol (liquid and foam formulations) Less common sodium morrhuate ethanolamine
9 Detergent Sclerosants Concentration full (STS 3%) or diluted for smaller vessels Maximum doses uncertain, STS & polidocanol recommended <10-15 ml per session May opacify water soluble C or iodized oil Physical state liquid or foam mix with air or CO 2
10 Advantages of Detergent Sclerosant Foam Broad intimal contact Not diluted by blood (displaces it) Prolonged intimal contact Small amount of agent large volume foam Extrav of foam appears less injur than liquid Echogenic for ultrasound guidance more effective intimal injury Like liquid, flows into communicating spaces
11 Teenage girl with painful low flow intramuscular venous malformation in lateral right forearm Persistent despite two prior operations.
12 2 nd direct punct, SP 1 st STS foam Direct puncture venogram Final, SP 3 punctures Contrast displacement total STS foam (echogenic) = 10 ml
13 38 yo woman with painful right medial thigh IM VM Axial T2 fat sat Deep femoral vein Compressible venous space
14 Coil embolization of outflow routes to prevent nontarget sclerosant exposure
15 STS foam injection, displacing contrast pre post Echogenic foam in venous space
16 Varicocele Embolization with Sclerosant & Coils L Sclerosant Coils 1 st coil to limit inferior spread. Sclerosant foam displacing contrast, into upper pampiniform plexus & collaterals extensive intimal damage.
17 50 yo man w chr L > R vcl s & scrotal discomfort Hilar collat with comptnt sup L ISV Microcatheter in tortuous hilar collateral, only to L5 level
18 Opacified sclerosant foam with water-soluble contrast Opacified STS foam in low ISV S/P low ISV STS foam S/P coils & 2 nd STS foam
19 69 yo man with alcoholic cirrhosis and bleeding gastric varices Occlusion balloon to contain sclerosant foam, opacified with iodized oil and air
20 50s man w HCV cirrhosis, ascites, encephalopathy, and now profusely bleeding umbilical varices
21 Direct umbilical vein catheterization AVP2 & STS foam 5 months
22 50s yo woman w dominant outflow L pelvic AVM and pain SP arterial glue and retrograde & direct puncture outflow vein coil embolization. Persistent AVM.
23 Direct vein puncture & STS AVM occluded
24 Detergents: Adverse Events Safer than ethanol. Polidocanol, STS > others Local & regional local pain & swelling adjacent tissue injury appears uncommon skin/mucous membrane ulceration very rare: peripheral neuropathy, muscle injury DVT/PE also uncommon Systemic foam: infrequent fleeting CNS effects stroke/tia very rare in varicose vein studies rarely hemoglobinuria & hemostatic abn s
25 Sclerosant Agents: Conclusions Useful for contiguous spread within a target space with broad surface intimal injury particularly: vascular malformations, varices Detergent sclerosants can be used as foam Value of direct puncture Visualize: C displacement, opacify, US of foam Value of combining with mechanical devices to contain and avoid nontarget exposure coils, plugs, occlusion balloon
BRTO: Updates to Techniques
Session XIV: BRTO, PARTO and Portal Hypertension GEST2016 BRTO: Updates to Techniques Hiro Kiyosue Oita University Hospital, Japan Hiro Kiyosue, MD Royalty: Cook, Medkit Consulting Fee: Stryker Japan,
More informationMichael Meuse, MD Vascular and Interventional Radiology
Michael Meuse, MD Vascular and Interventional Radiology OBJECTIVES BACKGROUND PATHOPHYSIOLOGY SYMPTOM COMPLEX EVALUATION AND RX OPTIONS INDICATION FOR EMBOLOTHERAPY RESULTS 1857 Richet: Chronic pelvic
More informationManagement of an Unusual Iliac Fossa Venous Plexus
Management of an Unusual Iliac Fossa Venous Plexus Irwin M Best, Emory University Journal Title: Case Reports in Vascular Medicine Volume: Volume 2011, Number 2011 Publisher: 2011-11-22, Pages 1-4 Type
More informationOvarian Vein Embolization
Scan for mobile link. Ovarian Vein Embolization Ovarian vein embolization is a minimally invasive treatment for pelvic congestion syndrome, a painful condition resulting from the presence of enlarged or
More informationMichele Bettinelli RN CCRN Lahey Health and Medical Center
Michele Bettinelli RN CCRN Lahey Health and Medical Center Differentiate the types of varices Identify glue preparations utilized when treating gastric varices Review the process of glue administration
More informationEvaluation and Management of Pelvic Venous Disorders
Evaluation and Management of Pelvic Venous Disorders Mark H. Meissner, MD Peter Gloviczki Professor of Venous & Lymphatic Disorders University of Washington School of Medicine Seattle, WA Mark H. Meissner,
More informationAdditional Information S-55
Additional Information S-55 Network providers are encouraged, but not required to participate in the on-line American Venous Forum Registry (AVR) - The First National Registry for the Treatment of Varicose
More informationCY2017 Hospital Outpatient: Vascular Procedure APCs and Complexity Adjustments
CY2017 Hospital Outpatient: Vascular Procedure APCs and Complexity Adjustments Comprehensive Ambulatory Payment Classifications (c-apcs) In CY2015 and in an effort to help pay providers for quality, not
More informationRight Ovarian Vein Syndrome. Nasser Algharem, MD, FRCR, EBIR.
Right Ovarian Vein Syndrome Nasser Algharem, MD, FRCR, EBIR. Disclosure Speaker name: Nasser Algharem... I do not have any potential conflict of interest Safi A 47-year-old multiparous woman who had conceived
More informationMedicare C/D Medical Coverage Policy
Varicose Vein Treatment Medicare C/D Medical Coverage Policy Origination Date: June 1, 1993 Review Date: February 15, 2017 Next Review: February, 2019 DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins
More informationThe Evaluation & Treatment of Pelvic Venous Disorders
The Evaluation & Treatment of Pelvic Venous Disorders Mark H. Meissner, MD Professor of Surgery University of Washington School of Medicine Seattle, Washington Pelvic Venous Disorders Pelvic Congestion
More informationYoung patient with swelling of mandible
HR J Young patient with swelling of mandible, p. 66-71 Clinical Case - Test Yourself Interventional Young patient with swelling of mandible Nikolaos Galanakis 1, Maria Papadaki 2, Dimitrios Tsetis 1 1
More informationGastric fundal varices with hemorrhage are
alloon-occluded Retrograde Transvenous Obliteration of Gastric Varices review of the anatomy, technique, and outcomes. Y SHER S. SRI, MD; ULKU C. TUR, MD; WEL E.. SD, MD; UH WHN PRK, MD; ND JOHN F. NGLE,
More informationManejo Actual del Sangrado por Varices Gástricas
Manejo Actual del Sangrado por Varices Gástricas Juan Carlos Garcia-Pagán Barcelona Hepatic Hemodynamic Laboratory. Liver Unit. IMDIM. Hospital Clinic. IDIBAPS. Ciberehd. XXIV Congreso de la Asociación
More informationNYU 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
More informationPOLIDOCANOL VS STS FOR SPIDER VEINS. Steven E. Zimmet, MD RPVI RVT FACPh
POLIDOCANOL VS STS FOR SPIDER VEINS Steven E. Zimmet, MD RPVI RVT FACPh Disclosures/COI No COI Off-label use Lipid bilayer with membrane proteins Lipid bilayers are the basic structures that make up cell
More informationCorporate Medical Policy
Corporate Medical Policy Ovarian, Internal Iliac and Gonadal Vein Embolization, Ablation and File Name: Origination: Last CAP Review: Next CAP Review: Last Review: ovarian_and_internal_iliac_vein_embolization
More informationRecanalization of the Left Common Iliac Vein for MayeThurner Syndrome Associated with Arteriovenous Fistula
EJVES Short Reports (2015) 29, 3e7 SHORT REPORT Recanalization of the Left Common Iliac Vein for MayeThurner Syndrome Associated with Arteriovenous Fistula H. Yuan a, J. Sun b,h.t.qi c, X. Jin a, X.J.
More informationBRTO /PARTO Indications and outcomes
BRTO /PARTO Indications and outcomes Saher Sabri, MD Associate Professor of Radiology and Surgery Division of Interventional Radiology University of Virginia Health System Saher Sabri, M.D. Speakers Bureau:
More informationFeatures compression after open and endovascular operation in vascular malformation
Features compression after open and endovascular operation in vascular malformation Sapelkin Sergey Institute of Surgery named A.V. Vishnevsky, Moscow, Russia 21.10.2017 CIRC Meeting, Grassau AV-malformations:
More information[Kreussler Studies] FDA. multicenter GCP. controlled. randomized. prospective. blinded SUMMARY OF PIVOTAL STUDIES ON SCLEROTHERAPY OF VARICOSE VEINS
[Kreussler Studies] SUMMARY OF PIVOTAL STUDIES ON SCLEROTHERAPY OF VARICOSE VEINS FDA randomized controlled GCP blinded prospective multicenter [Sclerotherapy of Varices] Healthy legs with microfoam Chemische
More informationVaricose Veins What Are They? Sclerotherapy in the Treatment of Venous Disease Zachary C. Schmittling, MD, FACS May 4, 2018
Sclerotherapy in the Treatment of Venous Disease Zachary C. Schmittling, MD, FACS May 4, 2018 Sclerotherapy for Venous Disease: Overview 1 in 5 Americans Approximately 25% of women have some type of lower
More informationCMS Limitations Guide - Radiology Services
CMS Limitations Guide - Radiology Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations
More informationTransjugular Intrahepatic Portosystemic Shunt Reduction for Management of Recurrent Hepatic Encephalopathy
CLINICAL IMAGES Ochsner Journal 17:311 316, 2017 Ó Academic Division of Ochsner Clinic Foundation Transjugular Intrahepatic Portosystemic Shunt Reduction for Management of Recurrent Hepatic Encephalopathy
More informationBleeding Gastric Varices Obliteration with Balloonoccluded Retrograde Transvenous Obliteration Using Sodium Tetradecyl Sulfate Foam
CLINICAL STUDY Bleeding Gastric Varices Obliteration with Balloonoccluded Retrograde Transvenous Obliteration Using Sodium Tetradecyl Sulfate Foam Saher S. Sabri, MD, Warren Swee, MD, Ulku C. Turba, MD,
More informationCurrent Management of Varicose Veins
Current Management of Varicose Veins Michael J. Heidenreich, MD St. Joseph Mercy Hospital Ann Arbor, MI March 23, 2013 Nothing to disclose History Prevalence Anatomy Risk factors Clinical manifestations
More informationRecanalization Techniques: Sharp Needle Recanalization. Recanalization Techniques: Sharp Needle Recanalization
Recanalization of Occluded Central Veins When Conventional Methods Failed: Abigail Falk, MD, FSIR American Access Care New York, NY Conventional Methods of Recanalization Directional 0.035 and 0.018 Guidewires
More informationCurtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. SCRIPPS CLINIC
Avoiding and Managing Femoral Access Site Complications Curtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. Director, Peripheral Interventions Program Director, Interventional Cardiology Fellowship Division
More informationBare Metal Stents vs Stent Grafts
Bare Metal Stents vs Stent Grafts ASDIN 12th Annual Scientific Meeting Phoenix, AZ, February 20, 2016 Dirk Hentschel, MD Director, Interventional Nephrology Brigham and Women s Hospital Disclosure Consultant:
More informationTREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY
TREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY TL LUK Consultant Vascular Surgeon Sarawak General Hospital HKL Vascular Conference 19/06/2013 PREVALENCE OF LOWER LIMB VENOUS DISEASE Affects half of
More informationAppendix 1 to Direct Vision Sclerotherapy AUSTRALASIAN COLLEGE OF PHLEBOLOGY CLINICAL PROCEDURES. CP Direct Vision Sclerotherapy Clinical procedure
Appendix 1 to Direct Vision Sclerotherapy AUSTRALASIAN COLLEGE OF PHLEBOLOGY CLINICAL PROCEDURES CP Direct Vision Sclerotherapy Clinical procedure 1 PURPOSE This procedure summarises the actions required
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A ACLF. See Acute-on-chronic liver failure (ACLF) Acute kidney injury (AKI) in ACLF patients, 967 Acute liver failure (ALF), 957 964 causes
More informationUNIVERSITY OF PRETORIA
UNIVERSITY OF PRETORIA 1 WELCOME Current Interventional Trends in Angiography Dr Samia Ahmad Department of Angiography and Intervention Department of Radiology Steve Biko Academic Hospital University of
More informationRandomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous vein
Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous vein Raghu Kolluri, MD, Director Vascular Medicine OhioHealth Riverside Methodist Hospital
More informationThrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)
Dialysis Vascular Access Coverage, Coding and Reimbursement Overview Hospital Outpatient 2019 Edition All Reimbursement Amounts are Listed at ational Unadjusted Medicare Rates and Do ot Include the 2%
More informationFind From Varicose Veins. VenaSeal
Find Relief From Varicose Veins VenaSeal Closure System Understand Varicose veins may be a sign of something more severe venous reflux disease. Your doctor can help you understand if you have this condition.
More informationCase Endovascular management of non maturing dyalisis vascular access
Case 10238 Endovascular management of non maturing dyalisis vascular access Guedes Pinto 1, Erique; Madeira 2, Célia; Sousa 3, Marta; Penha 1, Diana; Rosa 1, Luís; Germano 1, Ana; Baptista 1, Manuela 1
More informationAn 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
More informationHigh-Flow Vascular Malformation of Ear: A Case Report
256 Ear high-flow vascular malformation Case Report High-Flow Vascular Malformation of Ear: A Case Report Ankit Gupta 1*, Shyam Gupta 1, Akhil Kumar 2, Sameek Bhattacharaya 1, Manoj Jha 1, Vinay Tiwari
More informationComplete Guide for Interventional Radiology
2015 Complete Guide for Interventional Radiology Contents Introduction... 1 CPT Codes and Descriptions...1 Procedure Codes...2 Chapter 1: The Basics... 5 APC Basics Why Is This Important?...5 CCI Edits
More informationEvidence-Base Management of Esophageal and Gastric Varices
Evidence-Base Management of Esophageal and Gastric Varices Rino Alvani Gani Hepatobiliary Division Department of Internal Medicine Faculty of Medicine Universitas Indonesia Cipto Mangunkusumo National
More informationFIND RELIEF FROM VARICOSE VEINS. VenaSeal Closure System
FIND RELIEF FROM VARICOSE VEINS VenaSeal Closure System UNDERSTAND Varicose veins may be a sign of something more severe venous reflux disease Your doctor can help you understand if you have this condition.
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Fibrovein 3%, 1%, 0.5% and 0.2% Solution for Injection Sodium tetradecyl sulphate
PACKAGE LEAFLET: INFORMATION FOR THE USER Fibrovein 3%, 1%, 0.5% and 0.2% Solution for Injection Sodium tetradecyl sulphate Read all of this leaflet carefully before you start using this medicine. Keep
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Absolute alcohol, for embolization, 153 157 N-Acetylcysteine, for contrast agent-induced nephropathy prevention, 106 107 Acute Respiratory
More informationLINC, Christine Teichert, MD University Medicine of Rostock, Dept. of diagnostic and interventional radiology, Germany
Comparison of the efficacy, safety, the primary and secondary technical success of the endovenous nonthermal, tumescensless mechanochemical ablation of varicose veins with the subjective outcome using
More informationGPX by Fluidx Medical: A New Biomimetic in situ Setting Embolization Agent
GPX by Fluidx Medical: A New Biomimetic in situ Setting Embolization Agent Jihad A. Mustapha, MD, FACC, FSCAI Advanced Cardiac & Vascular Amputation Prevention Centers Grand Rapids, MI USA Disclosure Speaker
More informationCY2015 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
More information2018 CPT CODING CHANGES
17 2018 CPT coding changes by Samuel Smith, MD, FACS; Megan McNally, MD, FACS; and Jan Nagle, MS, RPh JAN 2018 BULLETIN American College of Surgeons 18 Significant changes in Current Procedural Terminology
More informationLast literature review version 19.3: Fri Sep 30 00:00:00 GMT 2011 This topic last updated: Thu Sep 30 00:00:00 GMT 2010 (More)
19.3 Liquid and foam sclerotherapy techniques for the treatment of lower extremity veins Authors Deborah L Greenberg, MD, FACP Sherry Scovell, MD, FACS Section Editors John F Eidt, MD Joseph L Mills, Sr,
More informationDeep Vein Thrombosis
Deep Vein Thrombosis Introduction Deep vein thrombosis (DVT) is a blood clot in a vein. This condition can affect men and women of any age and race. DVT is a potentially serious condition. If not treated,
More informationPelvic Congestion Syndrome Diagnosis and Treatment Hadjipolycarpou Andreas Vascular Surgery Clinic, Nicosia General Hospital Director Dr Ch.
Pelvic Congestion Syndrome Diagnosis and Treatment Hadjipolycarpou Andreas Vascular Surgery Clinic, Nicosia General Hospital Director Dr Ch. Bekos Vascular Surgical Society of Cyprus @ LIVE Patra, 2018
More informationHigh-Flow, Small-Hole Arteriovenous Fistulas: Treatment with Electrodetachable Coils
High-Flow, Small-Hole Arteriovenous Fistulas: Treatment with Electrodetachable Coils Guido Guglielmi, Fernando Viñuela, Gary Duckwiler, Jacques Dion, and Alfredo Stocker Summary: We present one case of
More informationCopy Right- Hongqi ZHANG-Department of Anatomy-Fudan University. Systematic Anatomy. Angiology Part 4. Veins. Dr.Hongqi Zhang ( 张红旗 )
Systematic Anatomy Angiology Part 4 Veins Dr.Hongqi Zhang ( 张红旗 ) Email: zhanghq58@126.com 1 General introduction of the veins Vessel which return the blood back to atrium No pulsation,veneous blood, metabolic
More informationTransjugular Intrahepatic
Transjugular Intrahepatic Portosystemic Shunt (TIPS): A Clinical and Procedural Review Mark R. Werley, M.D. and John Briguglio, M.D. Lancaster Radiology Associates, Ltd. INTRODUCTION This article reviews
More informationCase #1. Case #1- Possible codes. Unraveling the -59 modifier. Principles of Interventional. CASE 1: Simple angioplasty
Unraveling the -59 modifier Principles of Interventional Coding Donald Schon, MD, FACP Debra Lawson, CPC, PCS Distinct or independent from other services performed on the same day Normally not reported
More informationHemodynamic Disorders, Thrombosis, and Shock. Richard A. McPherson, M.D.
Hemodynamic Disorders, Thrombosis, and Shock Richard A. McPherson, M.D. Edema The accumulation of abnormal amounts of fluid in intercellular spaces of body cavities. Inflammation and release of mediators
More informationAmbulatory Phlebectomy & Sclerotherapy. Dr. S. Kundu Medical Director The Vein Institute of Toronto
Ambulatory Phlebectomy & Sclerotherapy Dr. S. Kundu Medical Director The Vein Institute of Toronto 1 Disclosures Consultant: Bard Canada Boston Scientific Canada Edwards Life Sciences Baylis Canada Sigmacon
More informationADDITIONS. 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;
More informationStarting with deep venous treatment
Starting with deep venous treatment Carsten Arnoldussen, MD Interventional Radiologist Maastricht University Medical Centre, Maastricht VieCuri Medical Centre, Venlo The Netherlands Background Maastricht
More informationA Case of Carotid-Cavernous Fistula
A Case of Carotid-Cavernous Fistula By : Mohamed Elkhawaga 2 nd Year Resident of Ophthalmology Alexandria University A 19 year old male patient came to our outpatient clinic, complaining of : -Severe conjunctival
More informationAlcohol injections for management of vascular malformations. Clinical case report. Hendro Sudjono Yuwono
Alcohol injections for management of vascular malformations Clinical case report Hendro Sudjono Yuwono Department of Surgery, School of Medicine, Padjadjaran University Bandung, Indonesia Abstract Vascular
More informationAs with any intervention, selection of an appropriate
DVT: ccess Decisions for Interventions ssessing the advantages and disadvantages of venous access options is crucial for safe and successful DVT intervention. Y JOHN. KUFMN, MD, MS, FSIR, FH, FCIRSE, EIR
More informationVARICEAL BLEEDING. Ram Subramanian MD Hepatology & Critical Care Medical Director of Liver Transplant Emory University, Atlanta.
VARICEAL BLEEDING Ram Subramanian MD Hepatology & Critical Care Medical Director of Liver Transplant Emory University, Atlanta Disclosures: None OUTLINE Pathophysiology of portal hypertension Splanchnic
More informationChronic Venous Insufficiency Compression and Beyond
Disclosure of Conflict of Interest Chronic Venous Insufficiency Compression and Beyond Shawn Amyot, MD, CCFP Fellow of the Canadian Society of Phlebology Ottawa Vein Centre I do not have relevant financial
More informationIntracranial dural arteriovenous fistulas (DAVFs) with retrograde
ORIGINAL RESEARCH W.J. van Rooij M. Sluzewski G.N. Beute Dural Arteriovenous Fistulas with Cortical Venous Drainage: Incidence, Clinical Presentation, and Treatment BACKGROUND AND PURPOSE: Our purpose
More informationTranjugular Intrahepatic Portosystemic Shunt
Tranjugular Intrahepatic Portosystemic Shunt Christopher Selhorst July 25, 2005 BIDMC Radiology Overview Portal Hypertension Indications, Contraindications The Procedure Case Review Complications Outcomes
More informationHemorroids and pelvic venous congestion: venous embolization is it efficient and sufficient?
Hemorroids and pelvic venous congestion: venous embolization is it efficient and sufficient? Milka GREINER MD American Hospital of Paris Hôpital Pitié-Salpêtrière Paris I do not have any potential conflict
More informationPROF S.R.SUBRAMMANIYAN INSTITUTE OF VASCULAR SURGERY MADRAS MEDICAL COLLEGE
PROF S.R.SUBRAMMANIYAN INSTITUTE OF VASCULAR SURGERY MADRAS MEDICAL COLLEGE VARICOSE VEINS OF SUPERFICIAL VENOUS SYSTEM OF LOWER LIMBS A SYMPTOM NOT A DISEASE INITIAL,MILD CASES and severe cases with contraindication
More informationArterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS Assistant Professor of Surgery Vascular Endovascular Surgery Louisiana State University Health - Shreveport Disclosures None Objective
More informationLindsay Machan, MD University of British Columbia Vancouver, British Columbia
Varicocele Embolization and Serum Testosterone: What is the Evidence? Lindsay Machan, MD University of British Columbia Vancouver, British Columbia Lindsay Machan, MD, FSIR Stock: A4L, Calgary Scientific,
More informationVeins that are firm to
Intravenous cannulation is a technique in which a cannula is placed inside a vein to provide venous access. Venous access allows sampling of blood as well as administration of fluids, medications, parenteral
More informationCatheter Embolization 1
http://www.radiologyinfo.org Catheter Embolization This procedure is reviewed by a physician with expertise in the area presented and is further reviewed by committees from the American College of Radiology
More informationCLINICAL GUIDELINES ID TAG
Title: Author: Speciality/ Division: Directorate: Date Uploaded: Review Date: September 2019 CG ID TAG CG0423 CLINICAL GUIDELINES ID TAG Clinical Guideline for Alteplase in intra-arterial thrombolysis
More informationChronic pelvic pain typically presents in young
Endovascular Treatment of Pelvic Congestion Syndrome PCS remains underdiagnosed and undertreated, but recognizing this condition and providing endovascular treatment can benefit women with chronic pelvic
More informationBC Vascular Day. Contents. November 3, Abdominal Aortic Aneurysm 2 3. Peripheral Arterial Disease 4 6. Deep Venous Thrombosis 7 8
BC Vascular Day Contents Abdominal Aortic Aneurysm 2 3 November 3, 2018 Peripheral Arterial Disease 4 6 Deep Venous Thrombosis 7 8 Abdominal Aortic Aneurysm Conservative Management Risk factor modification
More informationManagement of Endoleaks. Michael Meuse, M.D Vascular and Interventional Radiology 12/14/09
Management of Endoleaks Michael Meuse, M.D Vascular and Interventional Radiology 12/14/09 Endoleak Failure to totally exclude the abdominal aortic aneurysm (AAA) from continued perfusion and pressurization
More informationArterial Map of the Thorax, Abdomen and Pelvis 2017 Edition
Arterial Map of the Thorax, Abdomen and Pelvis Angiography 75605 (-26) Aortography, thoracic 75625 (-26) Aortography, abdominal by serialography 75630 (-26) Aortography, abdominal + bilat iliofemoral 75705
More informationGeorge D. Soltes, M.D. Assistant Professor Interventional Radiology University of Washington
George D. Soltes, M.D. Assistant Professor Interventional Radiology University of Washington History: 38 year old female with left lower extremity swelling and pain over 3 years with recent worsening Bilateral
More informationVisual Sclerotherapy. 1:24-1:36 Now 10 minutes flying along. Nick Morrison, MD, FACPh, FACS President, International Union of Phlebology
1:24-1:36 Now 10 minutes flying along Visual Sclerotherapy Nick Morrison, MD, FACPh, FACS President, International Union of Phlebology Sedona, Arizona Canyon de Chelly, Airzona Disclosures Educational
More informationEndovascular Treatment of Type II Endoleak Following TEVAR for Thoracic Aortic Aneurysm: Squeeze Technique to Reach the Aneurysmal Sac
Endovascular Treatment of Type II Endoleak Following TEVAR for Thoracic Aortic Aneurysm: Squeeze Technique to Reach the Aneurysmal Sac Chang Won Kim Department of Radiology Pusan National University Hospital
More informationWhat 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
More informationMINIMALLY INVASIVE MANAGEMENT OF RENOVASCULAR COMPLICATIONS AFTER RENAL GRAFT TRANSPLANTATION
MINIMALLY INVASIVE MANAGEMENT OF RENOVASCULAR COMPLICATIONS AFTER RENAL GRAFT TRANSPLANTATION Gortes, Francisco Javier B.S; Salsamendi, Jason Thomas M.D LEARNING OBJECTIVES Educate physicians on the prompt
More informationEndovascular 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
More informationVascular malformations: classification, imaging and treatment
Vascular malformations: classification, imaging and treatment Poster No.: C-2166 Congress: ECR 2015 Type: Educational Exhibit Authors: C. De Angelis, A. Goracci, G. Mauri, D. Poretti, V. Pedicini, 1 2
More informationRecurrent Varicose Veins We All See Them
We All See Them November 4, 2017 Austin, TX Arlington Heights, IL No conflicts Terminology REVAS REcurrent Varices After Surgery PREVAIT PREsence of Varices After Interventional Treatment Recurrent varices
More information7/5/2016. Neonatal high-output cardiac failure. Case 1 POSTNATAL STRATEGIES FOR CEREBRAL ATERIOVENOUS MALFORMATIONS
John Deveikis, M.D. POSTNATAL STRATEGIES FOR CEREBRAL ATERIOVENOUS MALFORMATIONS JULY, 2016 Neonatal high-output cardiac failure Tachypnea, tachycardia, hypotension, failure to thrive When congenital heart
More informationV I U R E V I E W. T h e O f f i c i a l J o u r n a l o f V e n o u s I n s u f f i c i e n c y U n i v e r s i t y
C o m p l i m e n t s o f S a n j i v L a k h a n p a l, M D, J a i m e M a r q u e z, M D, J e r r i l y n J u t t o n, M D, K e l l y O ' D o n n e l l, M D, R a j i v J h a v e r i, M D, L u i s A.
More informationSurgical Options in Thrombectomy for Non-Surgeons
Surgical Options in Thrombectomy for Non-Surgeons Shouwen Wang, MD, PhD, FASDIN AKDHC Ambulatory Surgery Center Arizona Kidney Disease and Hypertension Center Phoenix, Arizona Disclosure No relevant financial
More informationThe HeRO Graft. Shawn M. Gage, PA Division of Vascular Surgery Duke University Medical Center
The HeRO Graft Shawn M. Gage, PA Division of Vascular Surgery Duke University Medical Center Faculty Disclosure I disclose the following financial relationships: CryoLife/Hemosphere, Inc. & W.L. Gore and
More informationEpidemiology: Prevalence
Epidemiology: Prevalence More than 30 million Americans suffer from varicose veins or a more serious form of venous disease called Chronic Venous Insufficiency (CVI). 1 Of the over 30 million Americans
More informationLEFT RENAL VEIN COMPRESSION
MANAGEMENT of LEFT RENAL VEIN COMPRESSION in PATIENTS PRESENTING LEFT GONADAL VEIN REFLUX J. LEAL MONEDERO, MD S. ZUBICOA EZPELETA, MD angiovascularlyz@gmail.com Hospital Ruber Internacional. Madrid Á.
More informationType 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
More informationOvarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome. Original Policy Date
MP 4.01.11 Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome Medical Policy Section OB/Gyn/Reproduction Issue 12:2013 Original Policy Date 12:2013 Last Review Status/Date
More informationPORTAL HYPERTENSION An Introduction to the Culprit of Many Liver Failure Complications
PORTAL HYPERTENSION An Introduction to the Culprit of Many Liver Failure Complications Edy G. Trujillo, RN, MSN, ACNP-BC Liver Transplant RRUCLA Medical Center July 31, 2018 What Do We All Look Forward
More informationAV ACESS COMPLICATIONS. Ass. Prof. Dr. Habas
AV ACESS COMPLICATIONS Ass. Prof. Dr. Habas COMPLICATION AVF IS CONSIDERED A MINOR PROCEDURE INCIDENCE OF COMPLICATION- 20-27% MANY A COMPLICATION LEADS TO FAILURE OF FISTULA LOSS OF SITE AND VEIN FOR
More informationMale Infertility Caused by Varicoceles
What You Need to Know About Male Infertility Caused by Varicoceles INTERVENTIONAL RADIOLOGY Find us on www.sirweb.org Q&A Questions and Answers About Male Infertility Caused by Varicoceles Q. What is a
More informationCPT 2018 Radiology Code Changes
CPT 2018 Radiology Code Changes CPT 2018 Radiology Code Changes The following is a listing of new Current Procedural Terminology (CPT ) codes and their descriptors as described in the CPT 2018 codebook.
More informationComparison of Two Percutaneous Approaches in Varicocele Embolization: Study of Complications, Radiations and Recurrence Rate
Med. J. Cairo Univ., Vol. 86, No. 3, June: 1479-1484, 2018 www.medicaljournalofcairouniversity.net Comparison of Two Percutaneous Approaches in Varicocele Embolization: Study of Complications, Radiations
More informationFinal MPFS 2014 Summary SIR
Final MPFS 2014 Summary SIR The CY 2014 PFS CF is $27.2006 (p531) Impact Tables (p1285) Refinement Panel Recommendations (p183) Table 23 presents information on the work RVUs for the codes considered by
More information