Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Feb 2008
Case ReportsRetrograde cannulation of the thoracic duct and embolization of the cisterna chyli in the treatment of chylous ascites.
The authors offer a previously undescribed technique for cisterna chyli embolization in the treatment of chylous ascites. After the failure of conventional percutaneous direct cisterna chyli cannulation, the authors accessed the thoracic duct directly from the subclavian vein. ⋯ The patient's symptoms returned 10 days after embolization. This technique provided short-term success in the treatment of the patient's chylous ascites.
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J Vasc Interv Radiol · Feb 2008
New vertebral osteoporotic compression fractures after percutaneous vertebroplasty: retrospective analysis of risk factors.
To investigate risk factors for new vertebral compression fractures (VCFs) after vertebroplasty. ⋯ New VCFs are common in patients with a low BMI, which suggests osteoporosis as a mechanism of fracture.
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J Vasc Interv Radiol · Jan 2008
Percutaneous image-guided splenic biopsy in the oncology patient: an audit of 156 consecutive cases.
To assess the safety and diagnostic accuracy of percutaneous image-guided splenic biopsy in patients known to have or suspected of having malignancy. ⋯ Splenic biopsy in the evaluation of new or recurrent neoplasm is a minimally invasive procedure with low complication rates and a high diagnostic yield.
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J Vasc Interv Radiol · Jan 2008
The Chait Trapdoor cecostomy catheter: an alternative access device to pigtail catheters for chronic cholecystostomy drains.
Acute cholecystitis is a well known complication in the critically ill patient population. These patients are often at high risk for morbidity and mortality associated with cholecystectomy. ⋯ In four patients with patent cystic ducts, standard drainage catheters were exchanged for 10.2-F Chait pediatric cecostomy catheters. The low profile of the catheter and the "Trapdoor" feature allow maintenance and increased patient satisfaction while maintaining drainage and access.
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J Vasc Interv Radiol · Dec 2007
Implantation of a port-catheter system through the superior mesenteric artery for repeated hepatic arterial infusion chemotherapy.
Between March 1999 and March 2006, 292 patients at the authors' institution required placement of a percutaneously implantable port-catheter system through which repeated hepatic arterial infusion chemotherapy would be administered. In 10 patients, the port-catheter system was implanted through the superior mesenteric artery. In these patients, implantation through the superior mesenteric artery instead of the celiac artery was necessary because all hepatic arteries arose from the superior mesenteric artery or because the blood supply to almost all tumors was from a hepatic artery arising from the superior mesenteric artery. Implantation of the port-catheter system was successful without complications in these 10 patients.