Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Jul 2012
Clinical TrialAMPLATZER Vascular Plug 4 for proximal splenic artery embolization in blunt trauma.
A consecutive case series was conducted evaluating proximal splenic artery embolization (SAE) with the AMPLATZER Vascular Plug 4 (AVP4) (St. Jude Medical, Inc, St. Paul, Minnesota) in eight patients with high-grade splenic trauma. ⋯ There were no immediate complications. One patient developed a perisplenic abscess requiring percutaneous drainage and antibiotics. Results of this initial study show the suitability of the AVP4, with its ease of deployment without a guiding sheath and accurate placement, as a viable adjunct to nonoperative management of blunt splenic injury.
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J Vasc Interv Radiol · Jul 2012
Interventional radiologists' involvement in evaluation and management services and association with practice characteristics.
To characterize the current state and level of interventional radiology evaluation and management (E&M) services provided to the Medicare population and to investigate the relationship between the level of E&M services provided by an individual provider and volumes, charges, and types of procedures performed. ⋯ This study found significant differences between practice characteristics of IRs providing high and low levels of E&M services. The results suggest that greater involvement in E&M is associated with higher-reimbursement procedural work.
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J Vasc Interv Radiol · Jul 2012
Letter Case ReportsTranshepatic removal of an inferior vena cava filter.
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J Vasc Interv Radiol · Jun 2012
Embolization for multicompartmental bleeding in patients in hemodynamically unstable condition: prognostic factors and outcome.
To determine prognostic factors and evaluate outcomes of transcatheter arterial embolization in severely injured patients in hemodynamically unstable condition with multicompartmental bleeding. ⋯ In patients in hemodynamically unstable condition, transcatheter arterial embolization effectively controls bleeding and improves hemodynamic stability. Immediate survival is related to hemodynamic condition before embolization, and 30-d mortality is mainly related to associated brain trauma.