Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Jun 2006
Elective transjugular intrahepatic portosystemic shunt creation for portal decompression in the immediate pretransplantation period in adult living related liver transplant recipient candidates: preliminary results.
To evaluate (i) the efficacy of purposeful creation of transjugular intrahepatic portosystemic shunts (TIPS) before transplantation to optimize potential living related liver transplantation (LRLTx) and (ii) the efficacy of TIPS creation in this setting in reducing perioperative resource utilization. ⋯ Newly created TIPS do not interfere with the intraoperative technical and perioperative clinical aspects of adult LRLTx. Preoperative TIPS creation before transplantation may reduce the postoperative morbidity and mortality seen in liver transplant recipients who have a greater APACHE II score at the outset of treatment.
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J Vasc Interv Radiol · May 2006
Use of the right external jugular vein as the preferred access site when the right internal jugular vein is not usable.
The present study describes the authors' experience with central venous access through the right external jugular vein (EJV) when the right internal jugular vein (IJV) is not available. ⋯ The right EJV is an acceptable and preferred access site when the right IJV is not available for central venous catheterization.
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J Vasc Interv Radiol · Apr 2006
Withdrawal of port-catheter system for hepatic arterial infusion chemotherapy implanted with fixed catheter tip method.
To evaluate the feasibility and safety of a method to withdraw port-catheter systems implanted by the fixed catheter tip method. ⋯ When retrieval of a port-catheter system implanted with the fixed catheter tip method is necessary, withdrawal can be accomplished safely with high frequency.
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J Vasc Interv Radiol · Apr 2006
Randomized Controlled Trial Comparative StudyComparison of adjunctive use of rofecoxib versus ibuprofen in the management of postoperative pain after uterine artery embolization.
The primary purpose of the present study was to compare the antiinflammatory effectiveness of rofecoxib with that of ibuprofen in the first 5 days after uterine artery embolization (UAE). The secondary aim was to compare pain levels and narcotic use among patients treated with different embolic agents. ⋯ There was no difference between rofecoxib and ibuprofen with respect to postprocedural pain or narcotic use after UAE. Embolic agent appeared to have a greater impact, with patients in the Embosphere Gold group reporting higher pain scores and those in the Contour SE group requiring a lower amount of narcotic drug than those in the Embosphere Gold or Embosphere groups.
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J Vasc Interv Radiol · Apr 2006
Comparative StudyOptional inferior vena cava filter retrieval with retained thrombus: an in vitro model.
Retrieval of an optional inferior vena cava (IVC) filter with retained thrombus may result in pulmonary emboli if the trapped thrombus is not removed along with the filter. An in vitro model was developed to determine the fate of trapped thrombus during filter removal. ⋯ In our in vitro model, we have established that the mass of thrombus retrieved with optional filters is only a fraction of the initial clot burden. Because of the risk of pulmonary emboli, care should be taken when IVC filters with large amounts of trapped thrombus are removed from patients.