Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Oct 2004
Case ReportsValue of multislice CT in the diagnosis of pulmonary artery pseudoaneurysm from Swan-Ganz catheter placement.
Perforation of a pulmonary artery after placement of a Swan-Ganz catheter is a serious complication that requires immediate management. Exact description of size and anatomic localization of a pulmonary pseudoaneurysm is crucial for planning further therapy. ⋯ However, multislice computed tomography not only correctly demonstrated the anatomic location of the pseudoaneurysm but was also able to directly visualize the feeder vessel and its connection to the aneurysm. This information was essential for subsequent superselective angiographic visualization of the feeder vessel and for successful embolization as the least invasive method of choice.
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J Vasc Interv Radiol · Oct 2004
Case ReportsEndovascular treatment of a giant intracranial aneurysm with a stent-graft.
This report describes a giant intracavernous carotid aneurysm successfully treated by the placement of a single covered stent. A 40-year-old woman was admitted with a progressive diplopia in relation with palsy of the IV and VI cranial nerves. ⋯ A covered stent was successfully placed, and complete exclusion of the aneurysm was confirmed at 11-month follow-up angiography. The use of covered stents in intracranial vascular structures can now be a feasible way of treating selected cases of wide-necked intracranial aneurysms.
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To evaluate the SMART stent for treating angioplasty-resistant hemodialysis access venous stenoses. ⋯ The SMART stent is safe and effective for treating dialysis access venous stenoses that are resistant to standard angioplasty.
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J Vasc Interv Radiol · Oct 2004
Letter Case ReportsRetrieval of the Bard recovery filter from the superior vena cava.
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J Vasc Interv Radiol · Oct 2004
Comparative StudyComparison of percutaneous management techniques for recurrent malignant ascites.
The Pleurx subcutaneous tunneled catheter is approved for repeated, long-term drainage of malignant pleural effusions; however, there is limited literature describing its use in malignant ascites. The authors compared the safety and efficacy of two percutaneous drainage methods: large volume paracentesis and Pleurx catheter placement over a 41-month period. The Pleurx catheter provided effective palliation with a complication rate similar to that for large volume paracentesis, while preventing the need for frequent trips to the hospital for repeated percutaneous drainage.