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ESTUDIOS


30 abril 2009

SOCIEDAD ESPAÑOLA DE NEFROLOGIA. Accesos vasculares para hemodiálisis trombosados rescate mediante técnicas de radiología vascular intervencionista

J. García Medina 1 1 , N. Lacasa Pérez 1 , S. Muray Cases Servicio de Radiología. Hospital General Universitario Reina Sofía de Murcia. Murcia. 2 , I. Pérez Garrido 2 3 originales , V. García Medina. Servicio de Radiología. Hospital General Universitario Reina Sofía de Murcia. Murcia. 2 Servicio de Nefrología. Hospital General Universitario Reina Sofía de Murcia. Murcia. Servicio de Nefrología. Hospital Virgen de la Arrixaca de Murcia. Murcia.

Introducción: el objetivo de este trabajo es comunicar nuestra experiencia en el rescate o salvación de los accesos vasculares para hemodiálisis trombosados (fístulas autólogas e injertos protésicos) mediante técnicas de radiología vascular intervencionista. © 2009 Órgano Oficial de la Sociedad Española de Nefrología

14 agosto 2006

REVISTA DEL HOSPITAL ITALIANO DE BUENOS AIRES. Embolización de miomas uterinos

Ricardo D. García Mónaco y Roberto Testa

Los miomas uterinos son tumores sumamente frecuentes, que afectan al 25-50% de las mujeres mayores de 30 años y son responsables del 60% de las histerectomías realizadas en los países occidentales. Los miomas pueden ser asintomáticos, pero frecuentemente causan síntomas tales como meno-metrorragia, dolor pelviano, dispareunia, trastornos urinarios y lumbalgias. Asimismo, pueden estar asociados a infertilidad. Servicio de Diagnóstico por Imágenes (R.D.G.M.) y Servicio de Ginecología (R.T.). Hospital Italiano de Buenos Aires. URL: http://revista.hospitalitaliano.org.ar

07 mayo 2009

MEDICINA BALEAR 2009. Enfermedades de la aorta y su tratamiento con endoprótesis aórticas

J. Albertos, J. Pueyo, J. Zarzar, E. Moran2, P. de Miguel, R. Jorda3, A. Merino4

El aneurisma aórtico es una entidad de diagnóstico cada vez más frecuente y con unas indicaciones claras de reparación por su mala evolución en ciertos casos. El presente estudio descriptivo, de serie de casos, expone la experiencia en la utilización de endoprótesis aórticas para el tratamiento de aneurismas en 13 pacientes, intervenidos desde hace diez años en nuestro centro hospitalario. Los resultados obtenidos han sido satisfactorios, sobre todo al considerar la importante comorbilidad que presentaba la mayoría de pacientes. No se ha producido mortalidad tardía por ruptura del aneurisma ni se ha precisado conversión al procedimiento abierto en ningún caso. Pese a las limitaciones derivadas del tamaño muestral, los resultados obtenidos permiten plantear una ampliación de las indicaciones, muy restrictiva hasta ahora. Servicio de Cirugía Cardiovascular 1- Servicio de Radiología Intervencionista 2- Servicio de Anestesiología 3- Servicio de Cuidados Intensivos 4- Institut Cardiològic Clínica Rotger. Palma de Mallorca

27 junio 2010

SEMINARS IN INTERVENTIONAL RADIOLOGY. A Step-by-Step Practical Approach to Imaging Diagnosis and Interventional Radiologic Therapy in Vascular Malformations

Gerald M. Legiehn, M.D., F.R.C.P.C.,1 and Manraj K.S. Heran, M.D., F.R.C.P.C.

Within vascular anomalies, vascular malformations are those present at birth that grow with the patient and exhibit abnormal dilated vascular channels lined by mature endothelium. Vascular tumors, the other group of vascular anomalies, demonstrate endothelial hypercellularity. Vascular malformations are further divided into low-flow varieties (capillary, venous, and lymphatic malformations) and high-flow varieties (arteriovenous malformation and fistula). Semin Intervent Radiol 2010;27:209–231. Copyright # 2010 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662. ISSN 0739-9529

28 marzo 2011

SEMINARS IN INTERVENTIONAL RADIOLOGY. Bronchial Artery Embolization for Hemoptysis

David R. Sopko, M.D. and Tony P. Smith, M.D.

Objectives: Upon completion of this article, the reader should be able to explain the etiologies, pathophysiology, and the diagnostic and management strategies of hemoptysis as related to bronchial artery embolization, as well as state the techniques of arteriography and embolization and the associated procedural outcomes and complications. Semin Intervent Radiol 2011;28:48–62. Copyright#2011 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662. ISSN 0739-9529.

24 enero 2012

CASE REPORT Postoperative Use of the NormaTec Pneumatic Compression Device in Vascular Anomalies

Simon G. Talbot, MD,a David Kerstein, MD,b Laura F. Jacobs, MD, PhD,b and Joseph Upton, MDa aDepartment of Plastic Surgery, Children’s Hospital, Boston, MA; and bNormaTec, Newton Center, MA

Arteriovenous malformations have a wide range of clinical presentations and an unfortunately unpredictable response to both nonsurgical and surgical intervention. The authors report on the surgical treatment of a 19-year-old man with a complex lower extremity arteriovenous malformation, previously unsuccessfully treated with numerous local sclerotherapy and interventional radiology embolization procedures leading to massive tissue necrosis and deep infection. The patient was definitively treated with wide excision of the necrotic tissue, coils, and arteriovenous malformation, but with preservation of the tibial nerve and vascular supply to the foot. Significant postoperative complications were prevented with the use of a novel dynamic compression device employing peristaltic pulse pneumatic compression. www.eplasty.com

28 marzo 2011

SEMINARS IN INTERVENTIONAL RADIOLOGY. Endovascular Management of Acute Aortic Syndromes

Parag J. Patel, M.D., William Grande, M.D., and Robert A. Hieb, M.D.

The term ‘‘acute aortic syndrome’’ (AAS) refers to a spectrum of life-threatening thoracic aortic pathologies including intramural hematoma, penetrating atherosclerotic ulcer, and aortic dissection. Clinically, patients often present with characteristic aortic pain. AAS often leads to aortic rupture. Therefore, recognition of this condition, its prompt diagnosis, and timely treatment is crucial to obtain clinical success and improved overall survival. The management of AAS, however, remains a therapeutic challenge. Endovascular strategies have gained wide acceptance and now represent a minimally invasive alternative to traditional open surgery. Several studies have shown endovascular repair of varying thoracic aortic pathologies to be technically feasible with fewer complications than open surgery. In this review, the authors discuss AAS pathology and its management, with particular attention to the current role of endovascular aortic repair and its treatment. Semin Intervent Radiol 2011;28:10–23. Copyright # 2011 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662. ISSN 0739-9529.

09 octubre 2011

INTERNATIONAL JOURNAL OF HEPATOLOGY. Hepatic Arterial Embolization for the Treatment of Metastatic Neuroendocrine Tumors

Eric Lee, H. Leon Pachter, and Umut Sarpel Surgical Oncology, Bellevue Hospital Center, 550 First Avenue, NBV 15 South 11, New York, NY 10016, USA

Neuroendocrine tumors (NETs) have a high predilection for metastasizing to the liver and can cause severe debilitating symptoms adversely affecting quality of life. Although surgery remains the treatment of choice, many liver metastases are inoperable at presentation. Hepatic arterial embolization procedures take advantage of the arterial supply of NET metastases. The goals of these therapies are twofold: to increase overall survival by stabilizing tumor growth, and to reduce the morbidity in symptomatic patients. Patients treated with hepatic arterial embolization demonstrate longer progression-free survival and have 5-year survival rates of nearly 30%. The safety of repeat embolizations has also been proven in the setting of recurrent symptoms or progression of the disease. Despite not being curative, hepatic arterial embolization should be used in the management of NETs with liver metastases. Long-term survival is not uncommon, making aggressive palliation of symptoms an important component of treatment. Copyright © 2012 Eric Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

24 noviembre 2011

CVIR. Impact of Splenic Artery Embolization on the Success Rate of Nonoperative Management for Blunt Splenic Injury

C. H. van der Vlies • J. Hoekstra • K. J. Ponsen • J. A. Reekers • O. M. van Delden • J. C. Goslings

Introduction Nonoperative management (NOM) has become the treatment of choice for hemodynamically stable patients with blunt splenic injury. Results of outcome after NOM are predominantly based on large-volume studies from level 1 trauma centers in the United States. This study was designed to assess the results of NOM in a relatively low-volume Dutch level 1 trauma center. Cardiovasc Intervent Radiol. 2012 February; 35(1): 76–81. Published online 2011 March 24. Copyright © The Author(s) 2011

01 marzo 2011

SEMINARS IN INTERVENTIONAL RADIOLOGY. Improving the Tracking and Removal of Retrievable Inferior Vena Cava Filters

Anthony D. Goei, M.D., F.A.C.S., Shellie C. Josephs, M.D., Thomas B. Kinney, M.D., F.S.I.R., Charles E. Ray, Jr, M.D., F.S.I.R., and David Sacks, M.D., F.S.I.R.

Therapeutic and prophylactic inferior vena cava (IVC) filters should be placed based on currently accepted indications to prevent a fatal pulmonary embolism (PE). The protective effect of filters is offset by the potential for lower extremity deep venous thrombosis (DVT), caval thrombosis, and possible otherwise unnecessary life-long anticoagulation (AC). The duration of treatment for most DVTs or PEs is 3 to 6 months of AC/filter. Filters should be retrieved when duration of treatment for a DVT/PE has been met, the risk of a PE is no longer high, and/or there is no longer a contraindication to AC. Semin Intervent Radiol 2011;28:118–127. Copyright # 2011 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662. ISSN 0739-9529. Semin Intervent Radiol. 2011 March

01 mayo 2001

SERVEI 2001. Tratamiento intervencionista de las complicaciones del trasplante hepatico en la infancia

Dr. Acitores Suz, Jose Ignacio. Dr. Garzón Moll, Gonzalo. Dr. Ybáñez Carrillo, Fernando. Unidad de Radiología Vascular Intervencionista del Hospital La Paz de Madrid.

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15 noviembre 2010

CIRCULATION. Translesional Pressure Gradients to Predict Blood Pressure Response After Renal Artery Stenting in Patients With Renovascular Hypertension

Fabio Mangiacapra, MD, Catalina Trana, MD, Giovanna Sarno, MD, PhD, Giedrius Davidavicius, MD, PhD, Marcin Protasiewicz, MD, Olivier Muller, MD, PhD, Argyrios Ntalianis, MD, PhD, Nerijus Misonis, MD, Bruno Van Vlem, MD, PhD, Guy R. Heyndrickx, MD, PhD and Bernard De Bruyne, MD, PhD

In previous studies on the effect of renal stenting on arterial hypertension, patients were selected mainly on the basis of angiographic parameters of the renal artery stenosis. The aim of the present study was to evaluate whether translesional pressure gradients could identify the patients with renal artery stenosis who might benefit from stenting. Copyright © 2010 American Heart Association. All rights reserved. Print ISSN: 1941-7640. Online ISSN: 1941-7632

01 diciembre 2010

RADIOLOGY. Peripheral Arterial Occlusive Disease: Evaluation of a High Spatial and Temporal Resolution 3-T MR Protocol with a Low Total Dose of Gadolinium versus Conventional Angiography

Ulrike I. Attenberger, MD, Stefan Haneder, MD, John N. Morelli, MD, Steffen J. Diehl, MD, Stefan O. Schoenberg, MD and Henrik J. Michaely, MD

Purpose: To evaluate a peripheral magnetic resonance (MR) angiographic protocol combining continuous table movement (CTM) MR angiography of the entire runoff vasculature with time-resolved (TWIST) 3-T MR angiography of the calves with a total gadolinium dose of 0.1 mmol per kilogram of body weight. December 2010 Radiology: 257, 879-887. Copiryght © RSNA, 2010

01 diciembre 2010

SEMINARS IN INTERVENTIONAL RADIOLOGY. Miscellaneous Pharmaceutical Agents in Interventional Radiology

ason Oppenheimer, M.D., Charles E. Ray, Jr., M.D. and Kimi L. Kondo, D.O.

Interventional radiologists employ a wide variety of drugs on a daily basis to improve patient experiences and outcomes during interventional procedures. The expectation is for the interventionalist to be well-versed in all pharmaceuticals used in the interventional suite. In this article, the authors review the following classes of common miscellaneous pharmaceutical agents used in interventional radiology: vasodilators, vasoconstrictors, antiemetics, bowel antiperistalsis agents, and prothrombotics. Semin Intervent Radiol 2010;27:422–430. Copyright © 2010 by Thieme Medical Publishers, Inc. ISSN 0739-9529.

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