Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Sep 2014
Ultrasound-guided supraclavicular brachial plexus block for analgesia during endovascular treatment of dysfunctional hemodialysis fistulas.
To evaluate prospectively the efficacy and safety of ultrasound (US)-guided supraclavicular brachial plexus block (BPB) for analgesia during endovascular treatment of dysfunctional hemodialysis fistulas. ⋯ US-guided supraclavicular BPB can be used safely to provide analgesia during endovascular treatment of dysfunctional hemodialysis fistulas in adult patients.
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J Vasc Interv Radiol · Sep 2014
Comparative StudyHigh-frequency jet ventilation under general anesthesia facilitates CT-guided lung tumor thermal ablation compared with normal respiration under conscious analgesic sedation.
To determine whether technical difficulty of computed tomography (CT)-guided percutaneous lung tumor thermal ablations is altered with the use of high-frequency jet ventilation (HFJV) under general anesthesia (GA) compared with procedures performed with normal respiration (NR) under conscious sedation (CS). ⋯ HFJV under GA appears to reduce technical difficulty of CT-guided percutaneous applicator placement for lung tumor thermal ablations, with similar complication rates compared with treatment sessions performed with NR under CS. The technique is safe and may facilitate treatment of technically challenging tumors.
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J Vasc Interv Radiol · Sep 2014
A single-incision technique for placement of implantable venous access ports via the axillary vein.
To evaluate the technical feasibility and safety of a single-incision technique for placement of implantable venous access ports via the axillary vein. ⋯ The single-incision technique for placing ports via the axillary vein was a feasible and safe procedure with high technical success and low risk of complications.
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J Vasc Interv Radiol · Sep 2014
Thoracic duct embolization and disruption for treatment of chylous effusions: experience with 105 patients.
To review the indications, technical approach, and clinical outcomes of thoracic duct embolization (TDE) and thoracic duct disruption (TDD) in patients with symptomatic chylous effusions. ⋯ TDE and TDD are safe and effective minimally invasive treatments for traumatic thoracic duct injuries. In the present series, factors affecting procedural success included etiology of effusion, postprocedural effusion volume, and rate of postprocedural effusion volume reduction.
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To assess feasibility, safety, and efficacy of microwave ablation of spinal metastatic bone tumors. ⋯ Microwave ablation appears to be feasible, safe, and an effective treatment of painful refractory spinal metastases and may be considered as a potential alternative percutaneous technique in the management of spinal metastases.