Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3657_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •Preface
- •Contents
- •Contributors
- •Endovascular Aneurysm Repair
- •Clinical Applications
- •Aortic Procedures Planning
- •Performance Assessment
- •Future Prospects
- •References
- •References
- •Introduction
- •Medical Error
- •Traditional Training
- •Animal Simulation Labs
- •Virtual Reality Simulation
- •3: Radiation Safety
- •Introduction
- •Basic Radiation Physics Units
- •Personnel Dose Limits
- •Pregnant Personnel
- •References
- •4: Tools of the Trade
- •Needles, Catheters, and Wires
- •Vascular Access
- •Double Wall
- •Single Wall
- •Advantages/Disadvantages
- •Nonvascular Needles (Table 4.1)
- •Guidewires
- •Curved
- •Straight/Angled
- •Stiffness
- •Flexibility
- •Coating
- •Torqueability
- •Opacity
- •Catheters
- •Flush Catheters
- •Visceral Catheters
- •Multipurpose Catheters
- •Cerebral Catheters
- •Guiding Catheters
- •Microcatheters
- •Vascular Sheaths
- •Vessel Dilators
- •Accessories
- •Embolic Agents
- •Temporary Agents
- •Permanent Agents
- •Pushable Coils
- •Detachable Coils
- •Coiling Techniques (Fig. 4.48)
- •Vascular Plugs
- •Particulates
- •Liquid Embolics
- •Fogarty Balloons
- •Angioplasty Balloons
- •Drug-Coated Balloons
- •Vascular Stents
- •Balloon Expandable Stents
- •Self-Expandable Stents
- •Specialty Stents
- •References
- •Consults
- •Pre-procedure Evaluation
- •Consent
- •Code Status
- •Laboratory Testing
- •Antibiotic Prophylaxis
- •Anticoagulation
- •Antihypertensives
- •Contrast Allergy Prophylaxis
- •Procedure Plan
- •Post-procedure Management
- •Hospital Admission
- •Discharge
- •Follow-up Visits
- •IR Clinic
- •Conclusion
- •References
- •6: The IR Road Map: Vascular Anatomy Overview
- •Introduction
- •Imaging Modalities
- •Ultrasound
- •Computed Tomography
- •Magnetic Resonance Imaging
- •Cross-Sectional Anatomy
- •Chest
- •Segmental Lung Anatomy
- •Mediastinum
- •Pulmonary Arteries
- •Pulmonary Veins
- •Bronchial Arteries
- •Liver
- •Arterial Access
- •Double-Wall Technique
- •Common Femoral Artery Access
- •Kidneys
- •Ureters
- •Bladder
- •Uterus
- •References
- •Alternative Arterial Access Sites
- •Venous Access
- •Manual Compression
- •Closure Devices
- •Compression Devices
- •Topical Agents
- •Invasive Devices
- •References
- •9: Central Venous Access
- •Pathophysiology
- •Non-tunneled Central Catheters (NTCCs)
- •Tunneled Central Catheters (TCCs)
- •Implantable Ports
- •Peripherally Inserted Central Catheters (PICCs)
- •Clinical Indication
- •Conventional Therapy
- •Non-tunneled Central Catheters
- •Tunneled Central Catheters
- •Ports
- •PICCs
- •Interventional Therapy
- •Ports
- •PICCs
- •Pre-procedural Prep
- •History
- •Physical Exam
- •Imaging
- •Complex Venous Access
- •Post-procedural Management
- •Complications
- •Acute Complications
- •Long-Term Complications
- •Device Removal
- •Tunneled Catheter Removal
- •Port Removal
- •References
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •References
- •11: IVC Filters
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •IVC Filter Placement
- •VTE Prevention
- •Preprocedural Preparation
- •Complication
- •Access Site
- •Device-Related
- •Postprocedural Management
- •IVC Filter Retrieval
- •Advanced IVC Filter Retrieval Techniques
- •Conclusion
- •References
- •Pathophysiology
- •Arteriovenous Fistula
- •Arteriovenous Graft
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •AVG Angioplasty
- •AVF Angioplasty
- •References
- •13: Pelvic Congestion Syndrome
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •References
- •14: Varicocele
- •Pathophysiology
- •Conventional Therapy
- •Interventional Therapy
- •References
- •15: Varicose Veins
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •References
- •16: Vascular Malformations
- •Pathophysiology
- •Hemangiomas
- •Vascular Malformations
- •Arteriovenous Malformations (High Flow)
- •Venous Malformations (Low Flow)
- •Lymphatic Malformations
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •High-Flow AVMs
- •Low-Flow Venous Malformations
- •Klippel-Trenaunay Syndrome
- •Lymphatic Malformations
- •References
- •Pathophysiology
- •Abdominal Aortic Aneurysm (AAA)
- •Thoracic Aortic Aneurysm (TAA)
- •Clinical Indication
- •Abdominal Aortic Aneurysm
- •Thoracic Aortic Aneurysm
- •Conventional Therapy
- •Abdominal Aortic Aneurysm
- •Thoracic Aortic Aneurysm
- •Interventional Therapy
- •Abdominal Aortic Aneurysm
- •Thoracic Aortic Aneurysm
- •Common Complications
- •Access
- •Contrast Nephropathy
- •Spinal Cord Ischemia
- •Postoperative Monitoring
- •References
- •18: Aortic Dissection
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Preprocedure Work-Up
- •Post-procedural Management
- •References
- •19: Endoleak
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Type II Endoleaks
- •Type III Endoleaks
- •Type IV Endoleaks
- •Type V Endoleaks
- •References
- •20: Traumatic Aortic Injury
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Pre-procedural Prep
- •Pre-procedural Imaging
- •Post-procedural Management
- •Post-procedural Imaging
- •References
- •21: Bronchial Artery Embolization
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Outcomes
- •References
- •Pathophysiology
- •Pulmonary Arteriovenous Malformation
- •Pulmonary Artery Pseudoaneurysm
- •Clinical Indication
- •Pulmonary Arteriovenous Malformation
- •Pulmonary Artery Pseudoaneurysm
- •Conventional Therapy
- •Pulmonary Arteriovenous Malformation
- •Pulmonary Artery Pseudoaneurysm
- •Interventional Therapy
- •Pulmonary Arteriovenous Malformation
- •Pulmonary Artery Pseudoaneurysm
- •References
- •23: Lymphatic Interventions
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Pedal Lymphangiography (PL)
- •Intranodal Lymphangiography (IL)
- •Dynamic Contrast Enhanced MR Lymphangiography (DCMRL)
- •Thoracic Duct Embolization
- •Plastic Bronchitis
- •References
- •24: Mesenteric Ischemia
- •Pathophysiology
- •Acute Mesenteric Ischemia
- •Chronic Mesenteric Ischemia
- •Clinical Indication
- •Acute Mesenteric Ischemia
- •Arterial Occlusive Disease
- •Nonocclusive Mesenteric Ischemia (NOMI)
- •Portomesenteric Vein Thrombosis
- •Chronic Mesenteric Ischemia
- •Conventional Therapy
- •Acute Mesenteric Ischemia
- •Arterial Occlusive Disease
- •Nonocclusive Mesenteric Ischemia (NOMI)
- •Portomesenteric Vein Thrombosis
- •Chronic Mesenteric Ischemia
- •Interventional Therapy
- •Acute Mesenteric Ischemia
- •Chronic Mesenteric Ischemia
- •References
- •25: Visceral Aneurysms
- •Pathophysiology
- •Visceral Artery True Aneurysms (VATAs)
- •Visceral Artery Pseudoaneurysm (VAPA)
- •Clinical Indication
- •VATA
- •VAPA
- •Conventional Therapy
- •Interventional Therapy
- •Splenic Artery Aneurysms
- •Renal Artery Aneurysms
- •Hepatic Artery Aneurysms
- •Celiac Artery Aneurysms
- •Complications
- •Splenic Aneurysm
- •Renal Aneurysm
- •Hepatic Aneurysm
- •References
- •26: Renal Artery Stenosis
- •Pathophysiology
- •Clinical Indications
- •Conventional Therapy
- •Interventional Therapy
- •Post-procedural Care
- •Conclusion
- •References
- •27: GI Bleeding
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Complications
- •References
- •28: Uterine Artery Embolization
- •Pathophysiology
- •Fibroids
- •Adenomyosis
- •Postpartum Hemorrhage
- •Clinical Indication
- •Conventional Therapy
- •Fibroids
- •Adenomyosis
- •Postpartum Hemorrhage
- •Interventional Therapy
- •Fibroids
- •Adenomyosis
- •Postpartum Hemorrhage
- •AV Fistula
- •References
- •29: Prostate Artery Embolization
- •Pathophysiology
- •Benign Prostatic Hyperplasia
- •Prostate Cancer/Hematuria
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •References
- •30: Aortoiliac Disease
- •Pathophysiology
- •Blue Toe Syndrome
- •Leriche Syndrome
- •Fibromuscular Dysplasia
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Abdominal Aorta
- •Aortic Bifurcation
- •Common Iliac Artery
- •External Iliac Artery
- •Internal Iliac Artery
- •Blue Toe Syndrome
- •References
- •31: Infrainguinal Disease
- •Pathophysiology
- •Claudication (Rutherford Categories 1–3)
- •Critical Limb Ischemia: Rest Pain (Rutherford Category 4)
- •Critical Limb Ischemia: Skin Lesions (Rutherford Categories 5–6)
- •Acute Limb Ischemia
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Percutaneous Transluminal Angioplasty
- •Stents
- •Acute Limb Ischemia
- •References
- •Pathophysiology
- •Spleen
- •Liver
- •Kidney
- •Clinical Indication
- •Spleen
- •Liver
- •Kidney
- •Conventional Therapy
- •Spleen
- •Liver
- •Kidney
- •Interventional Therapy
- •Spleen
- •Pre-procedure
- •Post-procedure
- •Liver
- •Pre-procedure
- •Post-procedure
- •Kidney
- •Pre-procedure
- •Post-procedure
- •References
- •Pathophysiology
- •Pelvic Fractures
- •Extremity Fractures
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •References
- •34: Transarterial Chemoembolization
- •Pathophysiology
- •Clinical Indications
- •Conventional Therapy
- •Medical Management
- •Surgical Management
- •Interventional Therapy
- •Post-procedure
- •References
- •35: Transarterial Radioembolization (TARE)
- •Introduction
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Primary Liver Cancers
- •Hepatic Metastatic Disease
- •References
- •36: Liver Ablation
- •Pathophysiology
- •Liver Cancer
- •Liver Metastases
- •Liver Cysts
- •Clinical Indication
- •Conventional Therapy
- •Liver Cancer
- •Liver Metastases
- •Liver Cysts
- •Interventional Therapy
- •References
- •Pathophysiology
- •Lung Cancer
- •Renal Cell Carcinoma
- •Bone Lesions
- •Clinical Indication
- •Lung Cancer
- •Kidney Cancer
- •Bone Lesions
- •Conventional Therapy
- •Lung Cancer
- •Kidney Cancer
- •Bone Lesions
- •Interventional Therapy
- •Radiofrequency Ablation (RFA)
- •Microwave Ablation (MWA)
- •Cryoablation
- •Irreversible Electroporation (IRE)
- •Lung Cancer
- •Kidney Cancer
- •Bone Lesions
- •References
- •Pathophysiology
- •Conventional Therapy
- •Ascites
- •Varices
- •Interventional Therapy
- •References
- •Pathophysiology
- •Etiology
- •Clinical Indication
- •Conventional Therapy
- •Medical Management
- •Surgical Management
- •Interventional Therapy
- •Post-procedural Management
- •Complications
- •References
- •40: Biliary Drainage
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Conclusion
- •References
- •41: Biopsy Techniques
- •Introduction
- •Clinical Indication
- •Interventional Therapy
- •Needle Selection
- •Biopsy Techniques
- •References
- •Introduction
- •Pathophysiology
- •Ascites
- •Clinical Indication
- •Ascites
- •Conventional Therapy
- •Ascites
- •Interventional Therapy
- •Ascites
- •References
- •43: Obstructive Uropathy
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Urolithiasis
- •Infection
- •Urothelial Carcinoma
- •Neurogenic Bladder
- •Interventional Therapy
- •References
- •Pathophysiology
- •Clinical Indications
- •Percutaneous Radiologic Gastrojejunostomy (PRGJ) Tube
- •Percutaneous Jejunostomy (PJ) Tube
- •Conventional Therapy
- •Interventional Therapy
- •Percutaneous Radiologic Gastrostomy (PRG)
- •Post-procedural Management
- •Percutaneous Radiologic Gastrojejunostomy (PRGJ)
- •Percutaneous Jejunostomy (PJ)
- •References
- •45: Stroke
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Complications
- •Post-procedure Management
- •References
- •46: Cerebral Angiography: Aneurysms
- •Pathophysiology
- •Clinical Indication
- •Conventional Therapy
- •Interventional Therapy
- •Pre-procedural Preparation
- •Post-procedural Management
- •Complications
- •References

Nicole A. Keefe
Ziv J Haskal
Auh Whan Park
John F. Angle
Editors
IR Playbook
A Comprehensive Introduction
to Interventional Radiology
123

IR Playbook

Nicole A. Keefe • Ziv J Haskal • Auh Whan Park
John F. Angle
Editors
IR Playbook
A Comprehensive Introduction
to Interventional Radiology

Editors
Nicole A. Keefe
Department of Radiology and Medical Imaging
University of Virginia
Charlottesville, VA, USA
Ziv J Haskal
Department of Radiology and Medical Imaging
University of Virginia
Charlottesville, VA, USA
Auh Whan Park
Department of Radiology and Medical Imaging
University of Virginia
Charlottesville, VA, USA
John F. Angle
Department of Radiology and Medical Imaging
University of Virginia
Charlottesville, VA, USA
ISBN 978-3-319-71299-4 ISBN 978-3-319-71300-7 (eBook)
https://doi.org/10.1007/978-3-319-71300-7
Library of Congress Control Number: 2018941097
© Springer International Publishing AG, part of Springer Nature 2018
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is
concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction
on microlms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation,
computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not
imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and
regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed
to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty,
express or implied, with respect to the material contained herein or for any errors or omissions that may have been
made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
Printed on acid-free paper
This Springer imprint is published by the registered company Springer International Publishing AG part of
Springer Nature.
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Thank you to my parents, Doug and Bridget, my sister, Sabrina, and my
wonderful husband, Phil, for their unwavering support and sacrice. Thank
you to my numerous mentors, particularly Geogy Vatakencherry, Reza Rajebi,
and my brilliant coeditors for always encouraging me to strive for more.
Nicole A. Keefe
To my wife, Dina, my daughters, Yael and Aliza, and my parents Ruth and
Haim, who taught me that life does not follow a playbook. And to the newest
members of the IR team: think, dream, inspire, and create. Write your own
playbooks.
Ziv J Haskal
I would really like to express my heartfelt respect and gratitude to all of my
patients who have always been great teachers in addition to the distinguished
colleagues and faculty members at UVA, IR families and communities around
the world (KSIR/SIR/Global IR). “We Are All Truly Connected.”
Auh Whan Park
To my wife and children for all their support and to my parents for all their
inspiration.
J.Fritz Ang
le

A Message to Students of IR
1
There has never been a better time to become an interventional radiologist. But then, it has
always been the “best time” to be one. The origins of the specialty can be traced to a cadre of
early “cowboys” who often had to invent procedures and devices on the y to treat patients. In
some cases, this impulse solved unique anatomic or pathologic complexities, while in others,
it created entirely new therapies—be it the rst TIPS, prostate embolization, or radioembolization. The conditions we treat have changed as other specialties have embraced image-guided
approaches or evidence has directed us to reevaluate ours. Twenty years ago, few of us might
have imagined our essential involvement today in women’s health, oncology, and venous disease or in managing clinics and clinical services.
The essential need for image-guided interventional services in any modern hospital is both
established and recognized worldwide. The public will recognize your specialty. The American
Board of Medical Specialties has acknowledged its value by approving it as a stand-alone
specialty in American medicine. Other countries will inevitably follow this model.
What rst draws most of us into the specialty? Is it a charismatic mentor, witnessing a dening medical case, or publishing a paper? Or is it the adrenaline thrill of getting to handle the
tools and seeing the immediate effect? There is no discounting the endorphin thrill of deploying the stent graft or embolization coil; it is like playing video games with human stakes.
Bleeding stops, blood pressure rises, pressors cease, and patients are extubated and go home—
all these amazing facts accomplished just through thread-sized tubing. This intoxicating hunger doesn’t dim with time—witness the enduring success of Extreme IR course, wherein
standing-room-only crowds come to see an endless series of rapid-re adventures that have
gone well—or not so much.
But with maturity, one’s satisfactions must shift from congratulatory cases to a profound
belief that procedural medicine can be perfected while accepting that it cannot. And yet we
must practice as if it can be, by constantly seeking to tune approaches, skills, techniques, and
devices so that the most complex case appears controlled and mundane. Expertise means anticipating variance and controlling it to eliminate the drama. These satisfactions refocus us to the
very reasons we chose medicine as a profession—the sustaining human interactions with our
patients as we hopefully help them and as they buoy us by trusting and honoring while allowing us to participate in their care. Keep that ever in your minds.
We must evolve from cowboys to legionnaires. Where there is scientic evidence, we
should methodically march in support of it, applying it to our own patients. This means maintaining a lifelong commitment to study, reading journals, attending congresses, and Socratic
questioning—what is new, what has changed, and whether evidence supports clinical practice.
Our literature reects this evolution. It is gradually but denitively changing direction, from
1
Reprinted from Haskal ZJ, From the Editor: A Message to Students of IR, Journal of Vascular and Interventional
Radiology, Sept 2017, 28(9), with permission from Elsevier.
vii

viii
case reports and retrospective reviews to methodical prospective protocol-driven research and
systematic analyses. The next generation of interventional radiologists and endovascular specialists will undoubtedly innovate—creating new procedures, expanding into unrecognized
areas, and devising new devices. Equally, we must continue to drive up the levels of evidence,
focus upon meaningful quality of research, and endlessly read, question, and adopt.
Ziv JHaskal, MD, FSIR, FACR, FAHA
Editor in Chief, Journal of Vascular and Interventional Radiology
A Message to Students of IR

Preface
Some specialties evolve to understand a disease state or organ. Others are born out of the revelation that imaging technology could guide the development of many procedures and revolutionize medicine. Since its genesis, interventional radiology (IR) has evolved to meet the
growing demands of patient care by applying cutting-edge technology to minimally invasive
image-guided procedures. Interventionalists thrive on the desire to innovate, replacing the outdated with the updated, acting as an adjuvant to the existing, and developing novel procedures
where there was no previous treatment. We attract high-achieving, technology-loving, problemsolving medical professionals.
IR is a clinical specialty. We admit patients to the hospital, provide expert consultation,
make hospital rounds, and maintain busy clinics. The vast and ever-changing scope of IR
makes it difcult for patients and referring providers to grasp the breadth of our specialty. You
will need to continuously educate those around you about IR.Don’t be discouraged by this;
instead, revel in the fact that we are at the forefront of medicine.
The foundation of IR builds upon a solid understanding of diagnostic radiology (DR),
which distinguishes it from other specialties that perform image-guided procedures. While IR
may seem far removed from the dark rooms of diagnostics, focus on your imaging training to
master the specialty. Being dual certied in DR and IR allows interventionalists to accurately
interpret the imaging our patients receive, recommend appropriate follow-up studies, and conceptually understand how to best utilize imaging to perform procedures. Continued innovation
using different imaging modalities can only arise from understanding each modalities benets
and limitations.
A note to our future IR colleagues: though this textbook covers current IR procedures,
remember that medicine is a holistic pursuit. You should learn from other specialties and look
for opportunities to utilize IR procedures in novel ways. Good diagnostics, interventions, and
outcomes for patients should always be the goal. Furthermore, get involved in IR at the local,
regional, or national level and never lose sight of our foundation in innovation for the betterment of patient care.
With the advent of the IR pathway, the focus of education must shift to include medical students and residents. The IR/DR residency has established programs and criteria to meet the
growing demand. When I was a medical student, I found a paucity of IR resources catered
toward the student and young trainee. This textbook was developed to ll that void and serve as
a much-needed resource for the future generation of interventional radiologists. The rst section
is designed to give readers an introduction to IR including radiation safety, commonly used
devices, patient care, and anatomy. The remaining chapters cover procedures including pathophysiology, indications for treatment, as well as alternative treatments before delving into interventional therapy. If you only have a few minutes before a case starts, read the key point boxes
which are high-yield pearls along with the “How To” before you step into the room.
The editors of this book have a passion for IR and trainee education. I hope this book spurs
your enthusiasm for the eld and serves as a springboard to launch your career in IR.
Charlottesville, VA, USA Nicole A.Keefe
ix

Contents
Part I Radiology Basics
1 Evolution ofIR Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
John A. Kaufman
2 Simulation Training inInterventional Radiology . . . . . . . . . . . . . . . . . . . . . . . . . 7
Gabriel Bartal and John H. Rundback
3 Radiation Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Gabriel Bartal and Eliseo Vano
4 Tools of the Trade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Stephen Haug
5 Patient Care inIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
John F. Angle and Sandra L. Schwaner
6 The IR Road Map: Vascular Anatomy Overview . . . . . . . . . . . . . . . . . . . . . . . . . 65
Yasser J. El-Abd and Klaus D. Hagspiel
7 Introduction toCross-Sectional Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Adam Donithan, Jessie Jahjah, and Patrick T. Norton
Part II Vascular Access
8 Vascular Access Techniques andClosure Devices . . . . . . . . . . . . . . . . . . . . . . . . . 99
Vivian Lee Bishay, Ross B. Ingber, Paul J. O’Connor, and Aaron M. Fischman
9 Central Venous Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Daniel M. DePietro and Scott O. Trerotola
Part III Venous Disease
10 Venous Thromboembolism: Deep Venous Thrombosis
andPulmonary Embolism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Arya F. Derakhshani, Amish Patel, and Akhilesh Sista
11 IVC Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
James Chen and S. William Stavropoulos
12 Dialysis Fistulae andGrafts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Dheeraj K. Rajan
13 Pelvic Congestion Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Nicole A. Keefe and Anne Roberts
xi

xii
14 Varicocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Siobhan E. Alexander and Andre Uacker
15 Varicose Veins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Akhil Khetarpal and Malcolm K. Sydnor
16 Vascular Malformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Allan M. Conway and Robert J. Rosen
Part IV The Aorta
17 Abdominal andThoracic Aortic Aneurysms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Andy Lee and Michael D. Dake
18 Aortic Dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
William M. Sherk, Minhaj S. Khaja, and David M. Williams
19 Endoleak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Brian C. Gardner and Saher S. Sabri
20 Traumatic Aortic Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
Michael J. Hagar, Abhijit L. Salaskar, and Shawn Sarin
Part V Thoracic Interventions
Contents
21 Bronchial Artery Embolization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Leonardo I. Valentin and T. Gregory Walker
22 Pulmonary Angiography: Arteriovenous Malformation
andPseudoaneurysm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Jeffrey S. Pollak
23 Lymphatic Interventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Gregory J. Nadolski II and Maxim Itkin
Part VI Abdominal/Pelvic Arterial Interventions
24 Mesenteric Ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Andrew Chi and James R. Stone
25 Visceral Aneurysms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285
Jordan Tasse, Bulent Arslan, and Ulku Cenk Turba
26 Renal Artery Stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293
Andre Uacker and Alan H. Matsumoto
27 GI Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
Michael Darcy
28 Uterine Artery Embolization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
Nicole A. Keefe and Ziv J Haskal
29 Prostate Artery Embolization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
Timothy C. Huber, Benjamin N. Contrella, and Andre Uacker
Соседние файлы в папке Библиотека им академика М.И. Перельмана
