Cardiovascular and interventional radiology
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Cardiovasc Intervent Radiol · Nov 1999
CT-guided epidural/perineural injections in painful disorders of the lumbar spine: short- and extended-term results.
Evaluation of short- and extended-term results of repeated epidural/perineural injections (EDT/PRT) of corticoids in painful afflictions of the lumbar spine. ⋯ Results indicate that CT-guided EDT/PRT in combination with partial facet joint denervation is a safe and effective outpatient treatment.
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Cardiovasc Intervent Radiol · Nov 1999
Case ReportsStomal varices: treatment by percutaneous transhepatic coil embolization.
Bleeding from stomal varices in a patient with portal hypertension, uncontrolled by surgical ligation and sclerotherapy, was well controlled by percutaneous transhepatic embolization with platinum and stainless-steel coils.
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Pleurodesis using talc as the sclerosing agent is an effective procedure for preventing reaccumulation of malignant pleural effusions. Because of its thickness, the talc slurry is usually instilled through large bore (20-28 Fr), surgically placed thorocostomy tubes. ⋯ Six of the eight patients (75%) had a successful pleurodesis without a reaccumulation of fluid. We conclude that this is an acceptable method for treating patients with malignant pleural effusions.
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Cardiovasc Intervent Radiol · Sep 1999
Routine chest radiographs after central line insertion: mandatory postprocedural evaluation or unnecessary waste of resources?
To study the cost and impact on patient management of the routine performance of chest radiographs in patients undergoing imaged-guided central venous catheter insertion. ⋯ Postprocedural chest radiographs after image-guided central venous catheter insertion are not routinely required. A postprocedural chest radiograph can be performed on a case-by-case basis at the discretion of the interventional radiologist.
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Cardiovasc Intervent Radiol · Mar 1999
Transcatheter intracavitary fibrinolysis of loculated pleural effusions: experience in 102 patients.
To assess the efficacy of intrapleural urokinase instillation through small-caliber catheters for the treatment of loculate and/or septate effusions. ⋯ The use of intrapleural fibrinolytic agents delivered through small-caliber catheters for the treatment of loculate and/or septate pleural effusion is a simple, effective, minimally invasive and inexpensive procedure that can prevent sequelae and shorten drainage time.