Cardiovascular and interventional radiology
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Cardiovasc Intervent Radiol · Nov 2002
Case ReportsPlacement of a retrievable Günther Tulip filter in the superior vena cava for upper extremity deep venous thrombosis.
A retrievable Günther Tulip caval filter (William Cook, Europe) was successfully placed and retrieved in the superior vena cava for upper extremity deep venous thrombosis in a 56-year-old woman. Bilateral subclavian and internal jugular venous thromboses thought secondary to placement of multiple central venous catheters were present. There have been reports of the use of permanent Greenfield filters and a single case report of a temporary filter in the superior vena cava. As far as we are aware this is the first reported placement and successful retrieval of a filter in these circumstances.
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Cardiovasc Intervent Radiol · Sep 2002
Percutaneous balloon pericardial window for patients with symptomatic pericardial effusion.
To describe the technique and our experience in percutaneous creation of a pericardial window in patients with recurrent pericardial effusion. ⋯ Percutaneous creation of a pericardial window can be a safe therapeutic alternative for patients with symptomatic pericardial effusion, particularly if this has a malignant etiology.
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Cardiovasc Intervent Radiol · Jul 2002
Case ReportsMassive air embolism during interventional laser therapy of the liver: successful resuscitation without chest compression.
We report on a rare, acute, life-threatening complication during percutaneous thermal therapy for hepatic metastases. Massive cardiac air embolism occurred during a maneuver of deep inspiration after the dislodgment of an introducer sheath into a hepatic vein. The subsequent cardiac arrest was treated successfully by immediate transthoracic evacuation of the air by needle aspiration followed by electrical defibrillation. In procedures that may be complicated by gas embolism, cardiopulmonary resuscitation should not be initiated before considering the likelihood of air embolism, and eventually aspiration of the gas.
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Cardiovasc Intervent Radiol · May 2002
Case ReportsPercutaneous and endovascular embolization of ruptured hepatic artery aneurysm.
A 72-year-old woman presented with an intraperitoneal hemorrhage from a ruptured intrahepatic artery aneurysm, with an associated pseudoaneurysm developing a high-flow arteriovenous fistula. Persistent coagulopathy and a median arcuate ligament stenosis of the celiac axis further complicated endovascular management. Aneurysm thrombosis required percutaneous embolization with coils, a removable core guidewire and polyvinyl alcohol particles.
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Cardiovasc Intervent Radiol · Jan 2002
Case ReportsSuccessful emergency stenting of acute ruptured false iliac aneurysm.
A 75-year-old man complaining of acute abdominal pain, 1 month after elective surgical repair of an abdominal aortic aneurysm by an aortabi-iliac bypass graft, was referred and admitted to the emergency room. Imaging by sonography and computed tomography scan revealed a ruptured iliac pseudoaneurysm at the right iliac anastomotic site with associated large retroperitoneal hematoma. We inserted a self-expanding covered Z-stent graft by a transfemoral approach and the iliac anastomotic pseudoaneurysm was successfully excluded. Our case demonstrates the possibilities of an endovascular approach for providing a fast, efficient and less aggravating procedure in order to treat these life-threatening conditions.