Cardiovascular and interventional radiology
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Cardiovasc Intervent Radiol · Mar 1999
Radiologic damage control: evaluation of a combined CT and angiography suite with a pivoting table.
To evaluate retrospectively the integrated diagnostic and therapeutic management of severely polytraumatized patients using a combined computed tomography (CT) and angiography suite with a single pivoting table. ⋯ The use of a combined CT-angiography suite enables rapid diagnostic investigation and hemostatic embolization in actively bleeding trauma patients.
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Cardiovasc Intervent Radiol · Jan 1999
Case ReportsPercutaneous retrieval of a central venous catheter sutured to the wall of the right atrium.
A transjugular central venous catheter was inadvertently sutured to the wall of the right atrium in a 63-year-old female during coronary bypass surgery. Using two nitinol Goose Neck snares via a transfemoral and a transjugular approach the catheter was severed into two pieces and retrieved percutaneously.
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Cardiovasc Intervent Radiol · Jan 1999
Clinical TrialFirst clinical experience with a high-capacity implantable infusion pump for continuous intravenous chemotherapy.
To evaluate the efficiency of a new high-capacity pump for systemic venous chemotherapy and to verify the quality of implantation by interventional radiology staff. ⋯ The new implantable pump showed good flow rate accuracy and reliable operation. The pump-related complications were related to its external design and have now been corrected by appropriate modifications. From a radiologic and surgical viewpoint, the venous implantation procedure is identical to that of conventional vascular access devices and can be performed by radiologists familiar with these techniques. The current limitations lie in the high cost of the pump and, for certain drugs, the short time between refills.
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Cardiovasc Intervent Radiol · Sep 1998
Case ReportsPercutaneous retrieval of a right atrioventricular embolus.
Percutaneous retrieval of a 12-cm-long serpiginous clot lodged in the right atrium and ventricle is reported. Following bilateral common femoral vein puncture, a Bird's Nest cava filter was first positioned ready to deploy immediately below the renal veins via the right femoral vein. ⋯ The filter was immediately deployed, leaving the clot trapped inferior to the renal veins, in the cava and left iliac vein. The patient remained well and asymptomatic at discharge.