ConferenceAnn Surg Oncol · November 20, 2024
BACKGROUND: Hepatic arterial infusion (HAI) is an established treatment for patients with unresectable colorectal liver metastases (uCRLM). Until recently, HAI was only performed at a limited number of centers. We previously reported early outcomes suggest ...
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Journal ArticleAnn Surg Oncol · November 2024
INTRODUCTION: Desmoid tumors (DTs) are rare, fibroblastic cell proliferations that can exhibit locally aggressive behavior but lack metastatic potential. Initial management has traditionally involved upfront resection; however, contemporary guidelines and ...
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Journal ArticleRadiology · November 2024
With the rising incidence of hepatocellular carcinoma, there has been increasing use of local-regional therapy (LRT) to downstage or bridge to transplant, for definitive treatment, and for palliation. The CT/MRI Liver Imaging Reporting and Data System (LI- ...
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Journal ArticleJ Vasc Interv Radiol · October 2024
PURPOSE: To determine the degree of renal function deterioration after renal cryoablation in patients with a solitary functioning kidney on the basis of ablation volume. MATERIALS AND METHODS: Over a 15-year period, 81 percutaneous cryoablations were perfo ...
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Journal ArticleJ Vasc Interv Radiol · October 2024
PURPOSE: To evaluate safety and impact of particle embolization on pancreatic function in a pig model. MATERIALS AND METHODS: Embolization of the dorsal pancreatic artery using 100-300-μm particles was performed on 14 Yorkshire pigs. Baseline and post-embo ...
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ConferenceCancer Research · September 15, 2024
AbstractLess than 20% of patients diagnosed with pancreatic cancer will present with localized disease and receive both resection and systemic therapy. Within this group of patients, actual 10-year survival ...
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Journal ArticleJ Vasc Access · July 2024
RATIONALE AND OBJECTIVE: This study aimed to develop a cosmesis scale to evaluate the cosmetic appearance of hemodialysis (HD) arteriovenous (AV) accesses from the perspective of the patient and clinician, which could be incorporated into clinical trials. ...
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Journal ArticleClin Imaging · June 2024
PURPOSE: The purpose of this study was to evaluate long-term morphologic changes occurring in the liver after TIPS creation with correlation with hepatic function to gain insight on the physiologic impact of TIPS on the liver. METHODS: This retrospective s ...
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Journal ArticleJ Am Coll Radiol · June 2024
Uterine fibroids are the most common benign tumor in women of reproductive age and can present with symptoms including bleeding, bulk related symptoms, and infertility. Several treatment options are available for the management of uterine fibroids, includi ...
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Journal ArticleNucl Med Commun · January 1, 2024
PURPOSE: To report efficiency of resin y90 delivery using SIROS via 175 cm TruSelect microcatheter with double-flush protocol (40 ml dextrose total). METHODS: IRB-approved retrospective review of all patients undergoing SIROS injection of y90 Sir-Spheres v ...
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Journal ArticleClin J Pain · January 1, 2024
OBJECTIVES: To summarize and appraise the use of dexmedetomidine in epidural labor analgesia, we conducted a systematic review and meta-analysis of randomized controlled trials (RCTs). METHODS: We conducted the literature search about the RCTs of epidural ...
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Journal ArticleJ Surg Oncol · December 2023
OBJECTIVES: We performed a retrospective analysis within a national cancer registry on outcomes following resection or ablation for intrahepatic cholangiocarcinoma (iCCA). METHODS: The National Cancer Database was queried for patients with clinical stage I ...
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Journal ArticleJ Vasc Interv Radiol · October 2023
PURPOSE: To compare the laboratory markers of acute liver injury after transjugular intrahepatic portosystemic shunt (TIPS) creation performed using intravascular ultrasound (IVUS) guidance with those using other techniques. MATERIALS AND METHODS: This sin ...
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Journal ArticleAnn Surg Oncol · October 2023
BACKGROUND: Hepatectomy is the cornerstone of curative-intent treatment for intrahepatic cholangiocarcinoma (ICC). However, in patients unable to be resected, data comparing efficacy of alternatives including thermal ablation and radiation therapy (RT) rem ...
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Journal ArticleJ Magn Reson Imaging · June 2023
As the incidence of hepatocellular carcinoma (HCC) and subsequent treatments with liver-directed therapies rise, the complexity of assessing lesion response has also increased. The Liver Imaging Reporting and Data Systems (LI-RADS) treatment response algor ...
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Journal ArticleJ Am Coll Radiol · May 2023
As the incidence of thoracoabdominal aortic pathology (aneurysm and dissection) rises and the complexity of endovascular and surgical treatment options increases, imaging follow-up of patients remains crucial. Patients with thoracoabdominal aortic patholog ...
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Journal ArticleJ Am Coll Radiol · May 2023
Vertebral compression fractures (VCFs) can have a variety of etiologies, including trauma, osteoporosis, or neoplastic infiltration. Osteoporosis related fractures are the most common cause of VCFs and have a high prevalence among all postmenopausal women ...
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Journal ArticleJ Vasc Interv Radiol · April 2023
PURPOSE: To compare the diagnostic accuracy and adverse event rates of intravascular ultrasound (US)-guided transvenous biopsy (TVB) versus those of computed tomography (CT)-guided percutaneous needle biopsy (PNB) for retroperitoneal (RP) lymph nodes. MATE ...
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Journal ArticleCA Cancer J Clin · March 2023
Intrahepatic cholangiocarcinoma (ICC) is the second most common primary liver tumor and remains a fatal malignancy in the majority of patients. Approximately 20%-30% of patients are eligible for resection, which is considered the only potentially curative ...
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ConferenceDig Dis Sci · January 2023
BACKGROUND: Acute gastrointestinal (GI) bleeding is one of the leading causes of emergency department visits and hospital admissions. CT angiography (CTA) has had an expanding role in the evaluation of acute GI bleeding because it is rapidly performed, wid ...
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Journal ArticleHepatoma Research · January 1, 2023
There are multiple liver-directed treatment options for hepatocellular carcinoma (HCC), which provide curative intent, help patients achieve remission, and/or provide a bridge to transplant by controlling local tumor progression and downstaging patients. A ...
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Journal ArticleCurr Probl Diagn Radiol · 2023
PURPOSE: The financial sustainability of the US healthcare system is a growing concern in an environment of declining reimbursement and rising costs. Variable Centers for Medicare and Medicaid (CMS) reimbursement and denial rates for specific imaging exami ...
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Journal ArticleJ Vasc Interv Radiol · December 2022
PURPOSE: To measure the ablation zone temperature and nontarget tissue temperature during radiofrequency (RF) ablation in bone containing metal instrumentation versus no metal instrumentation (control group). MATERIALS AND METHODS: Ex vivo experiments were ...
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Journal ArticleJ Vasc Interv Radiol · December 2022
A technique to create a coaxial, self-expanding stent graft inside a constraining, bare-metal, balloon-expandable stent for transjugular intrahepatic portosystemic shunt (TIPS) reduction is described. The key steps are performed on a back table rather than ...
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Journal ArticleAnn Surg · December 1, 2022
BACKGROUND: Hepatic artery infusion (HAI) is a liver-directed therapy that delivers high-dose chemotherapy to the liver through the hepatic arterial system for colorectal liver metastases and intrahepatic cholangiocarcinoma. Utilization of HAI is rapidly e ...
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Journal ArticleJ Am Coll Radiol · November 2022
The treatment and management of hepatic malignancies can be complex because it encompasses a variety of primary and metastatic malignancies and an assortment of local and systemic treatment options. When to use each of these treatments is critical to ensur ...
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Journal ArticleJ Vasc Interv Radiol · March 2022
PURPOSE: To assess ischemic adverse events following particle embolization when used as a second-line embolic to coil embolization for the treatment of acute lower gastrointestinal bleeding (LGIB). MATERIALS AND METHODS: The single-institution retrospectiv ...
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Journal ArticleBMJ Open Gastroenterol · January 2022
OBJECTIVE: The transjugular intrahepatic portosystemic shunt (TIPS) procedure is an important intervention for management of complications of portal hypertension. The objective of this study was to identify predictors of mortality from the TIPS procedure w ...
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Journal ArticleJ Vasc Access · December 10, 2021
BACKGROUND: The purpose of this study was to assess the feasibility and outcomes of recanalization and subsequent HeRO graft outflow component insertion across stent interstices in patients with an otherwise abandoned upper extremity. METHODS: Over a 10-ye ...
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Journal ArticleDigestive Disease Interventions · December 2021
Abstract
Purpose The purpose of this study was to develop a novel swine model of recurrent gastrointestinal bleeding that could potentially be utilized for the study of provocative mesenteric angiography. ...
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Journal ArticleClin Imaging · September 2021
PURPOSE: Proton pump inhibitor (PPI) use is a potential risk factor for hepatic encephalopathy (HE), but few studies have examined the effect on post-TIPS HE. The purpose of this study was to determine whether PPIs are associated with increased rates of po ...
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Journal ArticleJ Vasc Interv Radiol · September 2021
PURPOSE: To report initial clinical experience with intravascular ultrasound (US)-guided transvenous biopsy (TVB) for perivascular target lesions in the abdomen and pelvis using side-viewing phased-array intracardiac echocardiography catheters. MATERIALS A ...
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Journal ArticleDiagn Interv Radiol · September 2021
PURPOSE: There is increasing interest in the distal radial artery in the anatomic snuffbox as an alternative arterial access point, but the durability of the distal radial artery to support repetitive accesses over multiple procedures is not well establish ...
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Journal ArticleJ Vasc Interv Radiol · July 2021
PURPOSE: To determine whether socioeconomic status (SES) is associated with hepatic encephalopathy (HE) risk after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS: This single-institution retrospective study included 36 ...
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Journal ArticleAbdom Radiol (NY) · June 2021
PURPOSE: CT angiography (CTA) requires vascular access with flow rates of 5-7Â mL/s. Hemodialysis (HD) is performed at 6-10Â mL/s. The purpose of our study is to evaluate the structural integrity of HD catheters in the administration of contrast media via a ...
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Journal ArticleCardiovasc Intervent Radiol · May 2021
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PURPOSE: To evaluate the technical success and safety of a steerable coaxial sharp recanalization technique that utilizes routine needles in patients with refractory thoracic central venous occlusions. MATERIALS AND METHODS: This retrospective study was pe ...
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Journal ArticleJ Am Coll Radiol · May 2021
Cirrhosis is a heterogeneous disease that cannot be studied as a single entity and is classified in two main prognostic stages: compensated and decompensated cirrhosis. Portal hypertension, characterized by a pathological increase of the portal pressure an ...
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Journal ArticleJ Vasc Interv Radiol · April 2021
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Extravascular perforation is a risk of recanalizing chronic central venous occlusions. The authors describe an endovascular technique to bypass venous occlusions using a combination of a hydrophilic guide wire and radiofrequency wire in 7 patients to achie ...
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Journal ArticleTransplant Direct · March 2021
UNLABELLED: Explantation of native viscera in multivisceral transplant candidates, particularly in those with extensive portomesenteric thrombosis (PMT), carries considerable morbidity due to extensive vascularized adhesions. Preemptive visceral angioembol ...
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Journal ArticleClin Imaging · February 2021
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PURPOSE: To identify whether technically modifiable factors during gastrojejunostomy (GJ) tube insertion are predictive of retrograde jejunal limb migration into the stomach. MATERIALS AND METHODS: Retrospective review of our procedural database over a 5-y ...
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Journal ArticleJ Vasc Interv Radiol · February 2021
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Patients with a gastrojejunal anastomosis pose challenging anatomy for percutaneous gastrojejunostomy (GJ)-tube placement. A retrospective review of 24 patients (mean age 67.8 years, 13 males) with GJ anastomoses who underwent attempted GJ tube placement r ...
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Journal ArticleInternational Journal of Gastrointestinal Intervention · January 1, 2021
Although percutaneous radiologic jejunostomy has not been widely accepted as a primary insertion technique due to the technical difficulty for inexperienced operators, it may be a crucial procedure for patients with previous gastrectomy or an otherwise ina ...
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Journal ArticleAnn Surg Oncol · December 2020
BACKGROUND: Hepatic artery infusion (HAI) combined with systemic chemotherapy is a treatment strategy for patients with unresectable liver-only or liver-dominant colorectal liver metastases (CRLM). Although HAI has previously been performed in only a few c ...
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Journal ArticleRadiol Cardiothorac Imaging · December 2020
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PURPOSE: To assess the diagnostic performance of ferumoxytol-enhanced MR venography for the detection of thoracic central vein stenosis or occlusion with conventional venography as the reference standard. MATERIALS AND METHODS: In this retrospective study, ...
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Journal ArticleWorld journal of hepatology · October 2020
Hepatocellular carcinoma (HCC) is a leading cause of morbidity and mortality worldwide, with rising clinical and economic burden as incidence increases. There are a multitude of evolving treatment options, including locoregional therapies which can be used ...
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Journal ArticleJ Vasc Interv Radiol · August 2020
PURPOSE: To assess and quantify the financial effect of unbundling newly unbundled moderate sedation codes across major payors at an academic radiology practice. MATERIALS AND METHODS: Billing and reimbursement data for 23 months of unbundled moderate seda ...
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Journal ArticleJ Vasc Interv Radiol · July 2020
PURPOSE: To determine whether a single 10-mg intravenous dose of the promotility agent metoclopramide reduces the fluoroscopy time, radiation dose, and procedure time required for gastrojejunostomy (GJ) tube placement. METHODS: This prospective, randomized ...
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Journal ArticleJ Vasc Interv Radiol · July 2020
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PURPOSE: To retrospectively compare technical success and major complication rates of laparoscopically versus radiologically inserted jejunostomy tubes. MATERIALS AND METHODS: In this single-institution retrospective study, 115 patients (60 men; mean age, ...
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Journal ArticleJournal of the American College of Radiology : JACR · May 2020
Hemorrhage, resulting from gastric varies, can be challenging to treat, given the various precipitating etiologies. A wide variety of treatment options exist for managing the diverse range of the underlying disease processes. While cirrhosis is the most co ...
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Journal ArticleJ Am Coll Radiol · May 2020
Infected fluid collections are common and occur in a variety of clinical scenarios throughout the body. Minimally invasive image-guided management strategies for infected fluid collections are often preferred over more invasive options, given their low rat ...
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Journal ArticleJ Am Coll Radiol · May 2020
Acute obstructive uropathy is a medical emergency, which often is accompanied by acute renal failure or sepsis. Treatment options to resolve the acute obstructive process include conservative medical management, retrograde ureteral stenting, or placement o ...
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Journal ArticleJ Vasc Interv Radiol · March 2020
PURPOSE: To compare early totally implantable central venous port catheter-related infection rates after inpatient vs outpatient placement and to determine whether the risk associated with inpatient placement is influenced by length of hospital stay. MATER ...
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Journal ArticleJ Vasc Interv Radiol · February 2020
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PURPOSE: To compare outcomes after conversion of arteriovenous (AV) access to Hemodialysis Reliable Outflow (HeRO) graft vs stent deployment in patients with arm swelling owing to ipsilateral central vein stenosis. MATERIALS AND METHODS: This single-center ...
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Journal ArticleAJR Am J Roentgenol · January 2020
OBJECTIVE. The purpose of this study was to assess the impact of relative sarcopenia with excess adiposity on mortality after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS. In this single-institution retrospective stu ...
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Journal ArticleDig Dis Interv · 2020
Heat-based percutaneous thermal ablation techniques have emerged as popular and effective treatments for liver cancer. As the technology continues to evolve, there is a need for optimized methods for experimentation to identify advantageous modifications a ...
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Journal ArticleDiagn Interv Imaging · November 2019
A variety of dermatologic complications can occur after interventional radiology procedures, including fluoroscopy-induced radiation dermatitis, thermal skin injury from tumor ablation, non-target embolization to the skin, allergic reactions related to int ...
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Journal ArticleJ Vasc Interv Radiol · November 2019
PURPOSE: To determine the angiographic prevalence of spinal arteries originating directly from the bronchial arteries in the setting of embolization for hemoptysis. MATERIALS AND METHODS: Over a 14-year interval, 205 patients underwent angiography for hemo ...
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Journal ArticleRadiology · July 2019
Background In 2017, the Liver Imaging Reporting and Data System (LI-RADS) included an algorithm for the assessment of hepatocellular carcinoma (HCC) treated with local-regional therapy. The aim of the algorithm was to enable standardized evaluation of trea ...
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Journal ArticleJ Vasc Interv Radiol · July 2019
PURPOSE: To compare the safety and effectiveness of different-site port placement versus same-site port salvage in adult patients with occluded ports. MATERIALS AND METHODS: Ninety-five occluded subcutaneous infusion ports (ports) in 95 patients presenting ...
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Journal ArticleCardiovasc Intervent Radiol · May 2019
PURPOSE: To compare survival after transjugular intrahepatic portosystemic shunt (TIPS) creation versus serial large volume paracenteses (LVP) in patients with refractory ascites and higher Model for End-Stage Liver Disease (MELD) scores. MATERIALS AND MET ...
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Journal ArticleJ Am Coll Radiol · May 2019
Biliary obstruction is a serious condition that can occur in the setting of both benign and malignant pathologies. In the setting of acute cholangitis, biliary decompression can be lifesaving; for patients with cancer who are receiving chemotherapy, untrea ...
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Journal ArticleJ Arthroplasty · February 2019
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BACKGROUND: Left common iliac vein (LCIV) compression by the right or left common iliac artery (RCIA, LCIA) is known to cause venous thromboembolism (VTE), but the extent to which occult LCIV compression synergizes with lower extremity orthopedic surgery i ...
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Journal ArticleJ Vasc Interv Radiol · February 2019
PURPOSE: To determine whether proton pump inhibitor (PPI) use increases the rate of new or worsening hepatic encephalopathy (HE) after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS: In this retrospective study, 284 of ...
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Journal ArticleCardiovasc Intervent Radiol · November 2018
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PURPOSE: To assess the contribution of the heat sink effect when combining thermal ablation with transarterial embolization (TAE). MATERIALS AND METHODS: Radiofrequency ablation (RFA) or microwave ablation (MWA) were performed in the liver of non-tumor bea ...
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Journal ArticleCancer · September 1, 2018
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Hepatocellular carcinoma (HCC) is increasing in incidence and mortality. Although the prognosis remains poor, long-term survival has improved from 3% in 1970 to an 18% 5-year survival rate today. This is likely because of the introduction of well tolerated ...
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Journal ArticleCardiovasc Intervent Radiol · September 2018
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PURPOSE: To assess the incidence of biliary complications, cholecystitis, and abscess formation in HCC patients following transarterial embolization (TAE) using particles mixed with concentrated antibiotics. MATERIALS AND METHODS: Retrospective review of H ...
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Journal ArticleJ Vasc Interv Radiol · May 2018
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PURPOSE: To compare outcomes of treated vs untreated Liver Imaging Reporting and Data System category 4 (LR-4) masses after transcatheter arterial embolization. MATERIALS AND METHODS: In 167 patients undergoing embolization for HCC from January 2005 to Dec ...
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Journal ArticleJ Am Coll Radiol · May 2018
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Uterine fibroids, also known as leiomyomas, are the most common benign tumor in women of reproductive age. When symptomatic, these patients can present with bleeding and/or bulk-related symptoms. Treatment options for symptomatic uterine leiomyomas include ...
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Journal ArticleDiagn Interv Imaging · March 2018
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OBJECTIVES: The purpose of this study was to compare the albumin-bilirubin (ALBI) grade and model for end-stage liver disease (MELD) scores for predicting survival after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS: ...
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Journal ArticleAbdom Radiol (NY) · January 2018
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Radiologists play a central role in the assessment of patient response to locoregional therapies for hepatocellular carcinoma (HCC). The identification of viable tumor following treatment guides further management and potentially affects transplantation el ...
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Journal ArticleDiagn Interv Imaging · December 2017
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PURPOSE: The purpose of this study was to assess the incidence of major hemorrhage after transjugular intrahepatic portosystemic shunt (TIPS) insertion using a stent graft at the main portal vein bifurcation. PATIENTS AND METHODS: TIPS insertion using sten ...
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Journal ArticleRadiology · October 2017
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Purpose To identify changes in a broad panel of circulating angiogenesis factors after bland transcatheter arterial embolization (TAE), a purely ischemic treatment for hepatocellular carcinoma (HCC). Materials and Methods This prospective HIPAA-compliant s ...
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Journal ArticleCardiovasc Intervent Radiol · September 2017
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PURPOSE: The purpose of this study was to assess the technical feasibility of ultrasound-guided endovascular creation of a percutaneous extraluminal arterial bypass graft without a surgically created arterial anastomosis. MATERIALS AND METHODS: Nine swine ...
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Journal ArticleTopics in magnetic resonance imaging : TMRI · August 2017
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While imaging of the central venous system has traditionally been performed with conventional venography, MR venography (MRV) has emerged as an important modality as techniques and validation studies have evolved over time. While magnetic resonance angiogr ...
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Journal ArticleJ Vasc Access · May 15, 2017
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PURPOSE: To report patency rates for stent deployment for treatment of in-stent stenosis of the central veins of the chest in hemodialysis patients. MATERIALS AND METHODS: A retrospective analysis was performed on 29 patients who underwent 35 secondary per ...
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Journal ArticleJ Vasc Surg · January 2017
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OBJECTIVE: This study evaluated whether the use of a staged Hemodialysis Reliable Outflow (HeRO; Merit Medical, South Jordan, Utah) implantation strategy incurs increased early infection risk compared with conventional primary HeRO implantation. METHODS: A ...
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Journal ArticleJ Vasc Interv Radiol · January 2017
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PURPOSE: To compare early outcomes of skin closure with octyl cyanoacrylate skin adhesive versus subcuticular suture closure. MATERIALS AND METHODS: Over a 7-month period, 109 subjects (28 men and 81 women; mean age, 58.6 y) scheduled to undergo single-lum ...
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Journal ArticleClin Imaging · 2017
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PURPOSE: To determine the clinical implications of acute pelvicaliceal hematoma formation during percutaneous catheter nephrostomy (PCN) insertion. METHODS: Collecting system hematoma burden was retrospectively assessed for 694 PCN insertions in 502 patien ...
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Journal ArticleJ Vasc Interv Radiol · December 2016
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PURPOSE: To assess whether the number of fundal arteries embolized and use of gastroprotective agents have an impact on ghrelin suppression and gastric ulceration rates. MATERIALS AND METHODS: Twenty-two healthy, growing swine (mean, 38.4 kg; range, 30.3-4 ...
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Journal ArticleJ Gastrointest Oncol · December 2016
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BACKGROUND: Patients with metastatic disease of the liver can have hyperbilirubinemia due to a number of reasons, including biliary obstruction. The purpose of this study was to analyze patient outcomes after percutaneous biliary drainage (PBD) catheter in ...
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Journal ArticleNucl Med Commun · September 2016
OBJECTIVE: To determine whether any patient or hepatic tumor characteristics are predictive of hepatopulmonary shunt fraction when performed before radioembolization. MATERIALS AND METHODS: A retrospective review was performed on 190 patients who underwent ...
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Journal ArticleAJR Am J Roentgenol · February 2016
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OBJECTIVE: The objective of our study was to assess whether the degree and distribution of iliac artery calcifications as determined by a CT-based calcium scoring system correlates with outcomes after renal transplant. MATERIALS AND METHODS: A retrospectiv ...
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Journal ArticleJ Vasc Interv Radiol · January 2016
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PURPOSE: To assess the effectiveness of bland transarterial embolization of hepatocellular carcinoma (HCC) as a "bridge" to transplantation. MATERIALS AND METHODS: In this retrospective study, 117 patients with HCC that met Milan criteria underwent bland e ...
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Chapter · January 1, 2016
Diagnosis and treatment of obscure GI bleeding is challenging as the name suggests. In patient where conventional evaluations including upper, lower, and capsule endoscopy are unable to locate or treat the bleeding, especially from the small bowel, provoca ...
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Journal ArticleJ Vasc Interv Radiol · November 2015
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PURPOSE: To determine postintervention patency rates after endovascular interventions on intragraft stenosis within failing prosthetic arteriovenous (AV) grafts, as well as predictors of patency. MATERIALS AND METHODS: Retrospective review of percutaneous ...
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Journal ArticleAbdom Imaging · October 2015
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PURPOSE: Computed tomographic (CT) fluoroscopy-guided percutaneous cryoablation is an effective therapeutic method used to treat focal renal masses. The purpose of this study is to quantify the radiation dose to the patient and interventional radiologist d ...
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Journal ArticleAbdom Imaging · October 2015
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PURPOSE: The purpose of this study is to determine the prevalence of left renal vein compression in patients with varicoceles. METHODS: Abdominal and pelvis contrast-enhanced CT images from 100 male patients with varicoceles (mean age 50.6 years) and 100 m ...
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Journal ArticleJ Vasc Interv Radiol · August 2015
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PURPOSE: To compare the acute effects of radiofrequency (RF) ablation and cryoablation on the structural integrity of nontarget periarticular tissues that may be placed at risk during percutaneous bone ablation. MATERIALS AND METHODS: RF ablation and cryoa ...
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Journal ArticleAJR Am J Roentgenol · August 2015
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OBJECTIVE: Many radiologists are unfamiliar with the new antithrombogenic medications and how to modify patient management before nonvascular percutaneous procedures performed in a radiology department. In this article, we review the indications for use, m ...
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Journal ArticleSemin Intervent Radiol · June 2015
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Infectious complications following interventional radiology (IR) procedures can cause significant patient morbidity and, potentially, mortality. As the number and breadth of IR procedures grow, it becomes increasingly evident that interventional radiologis ...
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Journal ArticleSemin Intervent Radiol · June 2015
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Image-guided interventions have allowed for minimally invasive treatment of many common diseases, obviating the need for open surgery. While percutaneous interventions usually represent a safer approach than traditional surgical alternatives, complications ...
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Journal ArticleSemin Intervent Radiol · June 2015
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Transjugular intrahepatic portosystemic shunt (TIPS) insertion has been well established as an effective treatment in the management of sequelae of portal hypertension. There are a wide variety of complications that can be encountered, such as hemorrhage, ...
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Journal ArticleSemin Intervent Radiol · June 2015
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Minimally invasive percutaneous interventions are often used for enteral nutrition, biliary and urinary diversion, intra-abdominal fluid collection drainage, and central venous access. In most cases, radiologic and endoscopic placement of catheters and tub ...
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Journal ArticleJ Vasc Interv Radiol · May 2015
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Obesity is a public health epidemic in the United States that results in significant morbidity, mortality, and cost to the health care system. Despite advancements in therapeutic options for patients receiving bariatric procedures, the number of overweight ...
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Journal ArticleJ Magn Reson Imaging · January 2015
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PURPOSE: To evaluate the feasibility of a respiratory-gated noncontrast magnetic resonance angiography (MRA) sequence for imaging the central veins of the chest. MATERIALS AND METHODS: Eleven healthy subjects underwent MRA of the central veins of the chest ...
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Journal ArticleSemin Dial · 2015
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The appropriate management of nonmaturing arteriovenous (AV) fistulae continues to be a controversial issue. While coil embolization of accessory side-branch veins can be performed to encourage maturation of nonmaturing AV fistulae, the true efficacy and o ...
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Journal ArticleJ Comput Assist Tomogr · 2015
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PURPOSE: The aim of the study was to assess the image quality of multi-detector-row computed tomography (CT) angiographic images of the thoracic aorta reconstructed with filtered back projection (FBP), adaptive statistical iterative reconstruction, and mod ...
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Journal ArticleJ Vasc Interv Radiol · October 2014
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PURPOSE: To determine whether a bacteriophage antimicrobial-lock technique can reduce bacterial colonization and biofilm formation on indwelling central venous catheters in a rabbit model. MATERIALS AND METHODS: Cuffed central venous catheters were inserte ...
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Journal ArticleGut Liver · September 2014
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BACKGROUND/AIMS: To determine the prevalence and time-course of t-fastener migration after gastropexy deployment. METHODS: We reviewed our procedural database for all percutaneous gastrostomy and gastrojejunostomy tube insertions performed over a 14-month ...
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Journal ArticleJ Magn Reson Imaging · July 2014
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PURPOSE: To compare abdominopelvic and lower extremity venous enhancement in contrast-enhanced magnetic resonance venography (ceMRV), using iron-based ferumoxytol and gadolinium-based gadofosveset. MATERIALS AND METHODS: This was a Health Insurance Portabi ...
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Journal ArticleAbdom Imaging · June 2014
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PURPOSE: To determine the prevalence, resulting clinical decisions, and the positive predictive value (PPV) of venous filling defects detected on portal venous phase (PVP) CT. METHODS: Over a 3-year period, 42412 consecutive patients underwent a PVP abdomi ...
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Journal ArticleJ Vasc Interv Radiol · June 2014
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PURPOSE: To determine the impact of coil embolization of the splenic artery on splenic volume based on computed tomography (CT) imaging. MATERIALS AND METHODS: Splenic artery embolization (SAE) was performed in 148 consecutive patients over an 8-year perio ...
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Journal ArticleJ Vasc Interv Radiol · June 2014
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PURPOSE: To describe an artifact that mimics thrombosis when assessing abdominal vasculature on magnetic resonance (MR) imaging using ferumoxytol in patients with contraindications to gadolinium-based contrast agents and to evaluate factors that may contri ...
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Journal ArticleAJR Am J Roentgenol · June 2014
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OBJECTIVE: The objective of our study was to test the hypothesis that an intercostal approach to imaging-guided percutaneous subdiaphragmatic abscess drainage is as safe as a subcostal approach. MATERIALS AND METHODS: A cohort of 258 consecutive patients w ...
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Journal ArticleBJU Int · June 2014
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To discuss the use of renal mass biopsy (RMB) for small renal masses (SRMs), formulate technical aspects, outline potential pitfalls and provide recommendations for the practicing clinician. The meeting was conducted as an informal consensus process and no ...
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Journal ArticleJ Vasc Interv Radiol · March 2014
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PURPOSE: To evaluate the histopathologic sequelae of bariatric embolization on the gastric mucosa and to correlate with immunohistochemical evaluation of the gastric fundus, antrum, and duodenum. MATERIALS AND METHODS: This study was performed on 12 swine ...
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Chapter · January 1, 2014
Conventional venography has long been considered the gold standard for evaluation of the venous system. This exam is performed in an angiography suite using real-time X-ray imaging (fluoroscopy) to visualize intravenously injected iodinated contrast media. ...
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Journal ArticleJ Vasc Interv Radiol · December 2013
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PURPOSE: To evaluate technical success and long-term outcomes of percutaneous primary jejunostomy tubes for postpyloric enteral feeding compared with percutaneous gastrojejunostomy (GJ) tubes. MATERIALS AND METHODS: Over a 25-month interval, 41 consecutive ...
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Journal ArticleBacteriophage · October 1, 2013
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The purpose of this project was to determine whether bacteriophage can reduce bacterial colonization and biofilm formation on central venous catheter material. Twenty silicone discs were inoculated for 24 h with broth culture of Methicillin sensitive staph ...
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Journal ArticleJ Endourol · September 2013
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BACKGROUND AND PURPOSE: Renal mass protocol CT (RMP-CT) using multiphase abdomen and pelvis CT imaging is the mainstay for diagnosis, characterization, and follow-up for renal masses; however, it is associated with ionizing radiation to the patient. We sou ...
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Journal ArticleJ Vasc Interv Radiol · September 2013
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PURPOSE: To assess the success and safety of tunneled peritoneal drainage catheters for the management of ascites refractory to medical management. MATERIALS AND METHODS: A total of 188 consecutive patients (83 male, 105 female; average age 59 y) with refr ...
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Journal ArticleJ Vasc Interv Radiol · September 2013
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PURPOSE: To determine rates of dysfunction and infection for tunneled internal jugular vein hemodialysis catheters based on laterality of insertion and catheter tip position. MATERIALS AND METHODS: Retrospective review of a procedural database for tunneled ...
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Journal ArticleAJR Am J Roentgenol · July 2013
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OBJECTIVE: The purpose of this article is to evaluate contrast-enhanced (CE) MR venography (MRV) with a blood-pool agent for detection of abdominopelvic and lower extremity deep venous thrombosis (DVT) compared with a conventional unenhanced gradient-recal ...
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Journal ArticleAJR Am J Roentgenol · April 2013
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OBJECTIVE: The purpose of this study was to determine the accuracy of ultrasound for detecting transjugular intrahepatic portosystemic shunt (TIPS) malfunction in covered stents in comparison with bare metal stents. MATERIALS AND METHODS: During a 6-year p ...
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Journal ArticleJ Vasc Interv Radiol · April 2013
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PURPOSE: To determine the outcomes of percutaneous interventions for prolonging the patency of the Hemodialysis Reliable Outflow (HeRO) device. MATERIALS AND METHODS: Between January 2007 and August 2011, 73 percutaneous interventions were performed on 26 ...
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Journal ArticleRadiology · February 2013
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PURPOSE: To prospectively test in a porcine model the hypothesis that bariatric embolization with commercially available calibrated microspheres can result in substantial suppression of systemic ghrelin levels and affect weight gain over an 8-week period. ...
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Journal ArticleJ Vasc Access · 2013
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PURPOSE: To determine the impact of the phase of respiration on CVC tip position using cross-sectional imaging. METHODS: We retrospectively analyzed the CT scans of 24 consecutive patients (eight men and 16 women, mean age 56.3 years, range 18-79) who unde ...
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Journal ArticleJ Comput Assist Tomogr · 2013
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OBJECTIVE: To determine the prevalence of nutcracker phenomenon (left renal vein compression by the superior mesenteric artery) and secondary anatomic findings using multidetector computed tomographic (CT) angiography in an asymptomatic population. METHODS ...
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Journal ArticleJ Comput Assist Tomogr · 2013
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OBJECTIVE: The objectives of this study were to evaluate the feasibility of gadofosveset-enhanced magnetic resonance angiography (MRA) of the thoracic vasculature in the equilibrium phase and to determine the impact of gadofosveset dose on imaging quality. ...
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Journal ArticleJ Vasc Interv Radiol · November 2012
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PURPOSE: To report short-term results of empiric transcatheter embolization for patients with advanced malignancy and gastrointestinal (GI) hemorrhage directly from a tumor invading the GI tract wall. MATERIALS AND METHODS: Between 2005 and 2011, 37 mesent ...
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Journal ArticleAcad Radiol · September 2012
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RATIONALE AND OBJECTIVES: To assess whether dual-energy computed tomography (DECT) multidetector computed tomography (MDCT) angiography improves vascular contrast beyond MDCT angiography and digital subtraction angiography (DSA) while preserving the abilit ...
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Journal ArticleCardiovasc Intervent Radiol · August 2012
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PURPOSE: To compare postintervention patency rates after deployment of bare metal versus covered stents across the venous anastomosis of prosthetic arteriovenous (AV) grafts. METHODS: Review of our procedural database over a 6 year period revealed 377 proc ...
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Journal ArticlePerspect Vasc Surg Endovasc Ther · June 2012
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In this study, the authors present an analysis of the outcomes of 105 low-flow vascular malformation patients treated over a 6-year period and report specific lesion characteristics that correlate with those vascular malformations that will benefit from so ...
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Journal ArticleJ Endourol · April 2012
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BACKGROUND AND PURPOSE: Renal cryoablation has gained popularity as a treatment option for localized renal masses. Treatment success is typically defined by the absence of contrast enhancement on follow-up imaging. We investigate the evolution of lesions t ...
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Journal ArticleJ Vasc Interv Radiol · February 2012
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PURPOSE: To determine the difference in hepatic venous pressures measured with the use of an end-hole diagnostic catheter versus a balloon catheter. MATERIALS AND METHODS: A total of 92 patients underwent transjugular hepatic venous pressure measurements w ...
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Journal ArticleJ Vasc Interv Radiol · January 2012
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PURPOSE: To determine whether exclusion of pseudoaneurysms with the use of a covered stent in prosthetic arteriovenous (AV) hemodialysis access grafts impacts the incidence of eventual AV graft infection. MATERIALS AND METHODS: Review of an interventional ...
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Journal ArticleAJR Am J Roentgenol · April 2011
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OBJECTIVE: The purpose of this study was to determine the incidence of collecting system and hemorrhagic complications resulting from CT-guided percutaneous cryoablation of renal tumors in which the radiographic ice ball abuts or involves the renal sinus. ...
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Journal ArticleJ Clin Imaging Sci · 2011
Knowledge of bronchial artery anatomy, including the possible locations of anomalous origin, is essential for complete catheter directed embolization for massive hemoptysis. Undetected anomalous bronchial arteries can be a source of failed bronchial artery ...
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Journal ArticleJournal of Surgical Radiology · January 1, 2011
Overview: The horseshoe kidney is more prone to blunt abdominal trauma because of its low position and the presence of the isthmus across the midline. This is a rare case of complete transection of a horseshoe kidney at the isthmus due to blunt abdominal t ...
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Journal Article · December 1, 2010
Determination of the site and etiology of lower gastrointestinal (GI) bleeding may lead to frustration for internists, gastroenterologists, surgeons, diagnostic, and interventional radiologists. The intermittent nature, variable severity, and changes in pa ...
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Journal ArticleEur Urol · July 2010
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BACKGROUND: Laparoscopic cryoablation (LCA) and percutaneous cryoablation (PCA) of small renal masses have gained popularity, but only limited data exist on the complication rates. OBJECTIVES: In this study, we report on postoperative complications associa ...
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Journal ArticleJ Vasc Interv Radiol · July 2010
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PURPOSE: To determine the outcome of gastrostomy tube-to-gastrojejunostomy tube conversion on the basis of the method of original gastrostomy tube placement. MATERIALS AND METHODS: One hundred twenty-four patients (age range, 13-87 years; 72 male and 52 fe ...
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Journal ArticleJ Vasc Interv Radiol · April 2010
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PURPOSE: To determine the diagnostic capability, complication rate, and potential predictors of success for provocative mesenteric angiography in patients with obscure and recurrent lower gastrointestinal (GI) hemorrhage. MATERIALS AND METHODS: Thirty-four ...
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Journal ArticleAJR Am J Roentgenol · November 2009
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OBJECTIVE: The purpose of this retrospective study was to assess the imaging characteristics of ovarian vein reflux using time-resolved MR angiography (TR-MRA). One hundred consecutive female patients underwent TR-MRA of the pelvis to evaluate suspected or ...
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Journal ArticleAJR Am J Roentgenol · November 2008
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OBJECTIVE: The purpose of our study was to show the usefulness and limitations of contrast-enhanced time-resolved MR angiography (MRA) for imaging the central veins of the chest. CONCLUSION: Time-resolved MRA is highly sensitive for the detection of abnorm ...
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Journal ArticleRadiology · May 2008
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PURPOSE: To retrospectively assess the diagnostic performance of time-resolved magnetic resonance (MR) angiography in the detection of stenoses and occlusions in the central veins of the chest, with angiographic and surgical findings and consensus readings ...
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Journal ArticleOcul Immunol Inflamm · 2005
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PURPOSE: To determine whether the MHC class Ib gene, Qa-1, is expressed in the tissues that surround the immune-privileged anterior chamber (AC) of the murine eye. METHODS: Transcription of Qa-1 mRNA in BALB/c ocular tissues was analyzed by reverse transcr ...
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Journal ArticleAm J Kidney Dis · January 2002
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Infection is the most serious complication arising in long-term continuous ambulatory peritoneal dialysis (CAPD), specifically peritonitis and exit-site infection. The initial weeks after implantation is the crucial period during which bacterial colonizati ...
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Journal ArticleTissue Antigens · April 1997
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The HLA-B35 serotype is one of the largest allelic groups of HLA class I molecules and includes four isotypes. Of the four, the B35 variant isoform is relatively rare and is the most acidic form. DNA sequencing of the rare isoforms revealed three alleles, ...
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