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 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 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 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 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 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 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 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 articleTop Magn Reson Imaging · 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 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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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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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 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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