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Paul Vincent Suhocki

Associate Professor of Radiology
Radiology, Interventional Radiology
Box 3808 Med Ctr, Durham, NC 27710
1502 Hosp North, Durham, NC 27710

Selected Publications


Long term impact of transjugular intrahepatic portosystemic shunt (TIPS) creation on hepatic morphology.

Journal Article Clin 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 ... Full text Link to item Cite

Yttrium-90 Radioembolization of a Large Hepatic Hemangioma.

Journal Article Cardiovasc Intervent Radiol · January 2024 Full text Link to item Cite

Cerebral venous biomarkers and veno-arterial gradients: untapped resources in Alzheimer's disease.

Journal Article Front Neurol · 2023 Blood based biomarkers (BBB) derived from forearm veins for estimating brain changes is becoming ubiquitous in Alzheimer's Disease (AD) research and could soon become standard in routine clinical diagnosis. However, there are many peripheral sources of con ... Full text Link to item Cite

Safety Profile of Particle Embolization for Treatment of Acute Lower Gastrointestinal Bleeding.

Journal Article J 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 ... Full text Link to item Cite

Probing gut-brain links in Alzheimer's disease with rifaximin.

Journal Article Alzheimers Dement (N Y) · 2022 Gut-microbiome-inflammation interactions have been linked to neurodegeneration in Alzheimer's disease (AD) and other disorders. We hypothesized that treatment with rifaximin, a minimally absorbed gut-specific antibiotic, may modify the neurodegenerative pr ... Full text Link to item Cite

Influence of peritoneal dialysis catheter type on complications and long-term outcomes: an updated systematic review and meta-analysis.

Journal Article J Nephrol · December 2021 BACKGROUND: There is currently no consensus regarding the optimal type of peritoneal dialysis catheter (PDC). We compared the outcomes of PDCs according to the number of cuffs, intercuff and intraperitoneal segment shape, and presence of a weighted tip. ME ... Full text Link to item Cite

Surgical versus percutaneous catheter placement for peritoneal dialysis: an updated systematic review and meta-analysis.

Journal Article J Nephrol · October 2021 BACKGROUND: No consensus currently exists regarding the optimal approach for peritoneal dialysis catheter placement. We aimed to compare the outcomes of percutaneous and surgical peritoneal dialysis catheter placement. METHODS: A systematic review of the l ... Full text Link to item Cite

Proton pump inhibitor use is associated with increased rates of post-TIPS hepatic encephalopathy: Replication in an independent patient cohort.

Journal Article Clin 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 ... Full text Link to item Cite

Intravascular Ultrasound-Guided Transvenous Biopsy of Abdominal and Pelvic Targets Difficult to Access by Percutaneous Needle Biopsy: Technique and Initial Clinical Experience.

Journal Article J 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 ... Full text Link to item Cite

Sharp Recanalization of Chronic Central Venous Occlusions of the Thorax Using a Steerable Coaxial Needle Technique from a Supraclavicular Approach.

Journal Article Cardiovasc Intervent Radiol · May 2021 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 ... Full text Link to item Cite

Preemptive VAE-An Important Tool for Managing Blood Loss in MVT Candidates With PMT.

Journal Article Transplant 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 ... Full text Link to item Cite

Percutaneous gastrojejunostomy tubes: Identification of predictors of retrograde jejunal limb migration into the stomach.

Journal Article Clin Imaging · February 2021 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 ... Full text Link to item Cite

Percutaneous Gastrojejunostomy Tube Insertion in Patients with Surgical Gastrojejunal Anastomoses: Analysis of Success Rates and Durability.

Journal Article J Vasc Interv Radiol · February 2021 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 ... Full text Link to item Cite

High-risk third trimester pregnancy with decompensated cirrhosis safely delivered following emergent preoperative interventional radiology for mitigation of variceal bleeding.

Journal Article Clin Imaging · December 2020 Coagulopathy coupled with severe portal hypertension in the setting of cirrhosis increases the risk of mortality from variceal bleeding in pregnant women. Studies suggest transjugular intrahepatic portosystemic shunt (TIPS) creation to be a safe procedure ... Full text Link to item Cite

Length of Stay Predicts Risk of Early Infection for Hospitalized Patients Undergoing Central Venous Port Placement.

Journal Article J 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 ... Full text Link to item Cite

Relative Sarcopenia With Excess Adiposity Predicts Survival After Transjugular Intrahepatic Portosystemic Shunt Creation.

Journal Article AJR 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 ... Full text Link to item Cite

Long term impact of transjugular intrahepatic portosystemic shunt (TIPS) creation on hepatic morphology.

Journal Article Clin 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 ... Full text Link to item Cite

Yttrium-90 Radioembolization of a Large Hepatic Hemangioma.

Journal Article Cardiovasc Intervent Radiol · January 2024 Full text Link to item Cite

Cerebral venous biomarkers and veno-arterial gradients: untapped resources in Alzheimer's disease.

Journal Article Front Neurol · 2023 Blood based biomarkers (BBB) derived from forearm veins for estimating brain changes is becoming ubiquitous in Alzheimer's Disease (AD) research and could soon become standard in routine clinical diagnosis. However, there are many peripheral sources of con ... Full text Link to item Cite

Safety Profile of Particle Embolization for Treatment of Acute Lower Gastrointestinal Bleeding.

Journal Article J 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 ... Full text Link to item Cite

Probing gut-brain links in Alzheimer's disease with rifaximin.

Journal Article Alzheimers Dement (N Y) · 2022 Gut-microbiome-inflammation interactions have been linked to neurodegeneration in Alzheimer's disease (AD) and other disorders. We hypothesized that treatment with rifaximin, a minimally absorbed gut-specific antibiotic, may modify the neurodegenerative pr ... Full text Link to item Cite

Influence of peritoneal dialysis catheter type on complications and long-term outcomes: an updated systematic review and meta-analysis.

Journal Article J Nephrol · December 2021 BACKGROUND: There is currently no consensus regarding the optimal type of peritoneal dialysis catheter (PDC). We compared the outcomes of PDCs according to the number of cuffs, intercuff and intraperitoneal segment shape, and presence of a weighted tip. ME ... Full text Link to item Cite

Surgical versus percutaneous catheter placement for peritoneal dialysis: an updated systematic review and meta-analysis.

Journal Article J Nephrol · October 2021 BACKGROUND: No consensus currently exists regarding the optimal approach for peritoneal dialysis catheter placement. We aimed to compare the outcomes of percutaneous and surgical peritoneal dialysis catheter placement. METHODS: A systematic review of the l ... Full text Link to item Cite

Proton pump inhibitor use is associated with increased rates of post-TIPS hepatic encephalopathy: Replication in an independent patient cohort.

Journal Article Clin 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 ... Full text Link to item Cite

Intravascular Ultrasound-Guided Transvenous Biopsy of Abdominal and Pelvic Targets Difficult to Access by Percutaneous Needle Biopsy: Technique and Initial Clinical Experience.

Journal Article J 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 ... Full text Link to item Cite

Sharp Recanalization of Chronic Central Venous Occlusions of the Thorax Using a Steerable Coaxial Needle Technique from a Supraclavicular Approach.

Journal Article Cardiovasc Intervent Radiol · May 2021 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 ... Full text Link to item Cite

Preemptive VAE-An Important Tool for Managing Blood Loss in MVT Candidates With PMT.

Journal Article Transplant 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 ... Full text Link to item Cite

Percutaneous gastrojejunostomy tubes: Identification of predictors of retrograde jejunal limb migration into the stomach.

Journal Article Clin Imaging · February 2021 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 ... Full text Link to item Cite

Percutaneous Gastrojejunostomy Tube Insertion in Patients with Surgical Gastrojejunal Anastomoses: Analysis of Success Rates and Durability.

Journal Article J Vasc Interv Radiol · February 2021 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 ... Full text Link to item Cite

High-risk third trimester pregnancy with decompensated cirrhosis safely delivered following emergent preoperative interventional radiology for mitigation of variceal bleeding.

Journal Article Clin Imaging · December 2020 Coagulopathy coupled with severe portal hypertension in the setting of cirrhosis increases the risk of mortality from variceal bleeding in pregnant women. Studies suggest transjugular intrahepatic portosystemic shunt (TIPS) creation to be a safe procedure ... Full text Link to item Cite

Length of Stay Predicts Risk of Early Infection for Hospitalized Patients Undergoing Central Venous Port Placement.

Journal Article J 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 ... Full text Link to item Cite

Relative Sarcopenia With Excess Adiposity Predicts Survival After Transjugular Intrahepatic Portosystemic Shunt Creation.

Journal Article AJR 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 ... Full text Link to item Cite

Foreign Body Retrieval

Chapter · January 1, 2020 Full text Cite

Management of Port Occlusions in Adults: Different-Site Replacement versus Same-Site Salvage.

Journal Article J 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 ... Full text Link to item Cite

No Increased Mortality After TIPS Compared with Serial Large Volume Paracenteses in Patients with Higher Model for End-Stage Liver Disease Score and Refractory Ascites.

Journal Article Cardiovasc 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 ... Full text Link to item Cite

Proton Pump Inhibitor Use Is Associated with an Increased Frequency of New or Worsening Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt Creation.

Journal Article J 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 ... Full text Link to item Cite

Minimal Risk of Biliary Tract Complications, Including Hepatic Abscess, After Transarterial Embolization for Hepatocellular Carcinoma Using Concentrated Antibiotics Mixed with Particles.

Journal Article Cardiovasc Intervent Radiol · September 2018 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 ... Full text Link to item Cite

Progression of Treated versus Untreated Liver Imaging Reporting and Data System Category 4 Masses after Transcatheter Arterial Embolization Therapy.

Journal Article J Vasc Interv Radiol · May 2018 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 ... Full text Link to item Cite

Albumin-bilirubin grade versus MELD score for predicting survival after transjugular intrahepatic portosystemic shunt (TIPS) creation.

Journal Article Diagn Interv Imaging · March 2018 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: ... Full text Link to item Cite

Hemorrhage risk with transjugular intrahepatic portosystemic shunt (TIPS) insertion at the main portal vein bifurcation with stent grafts.

Journal Article Diagn Interv Imaging · December 2017 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 ... Full text Link to item Cite

Pilot Evaluation of Angiogenesis Signaling Factor Response after Transcatheter Arterial Embolization for Hepatocellular Carcinoma.

Journal Article Radiology · October 2017 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 ... Full text Link to item Cite

Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement.

Journal Article J Vasc Interv Radiol · January 2017 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 ... Full text Link to item Cite

Percutaneous biliary drainage catheter insertion in patients with extensive hepatic metastatic tumor burden.

Journal Article J Gastrointest Oncol · December 2016 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 ... Full text Link to item Cite

Patient and tumor characteristics predictive of an elevated hepatopulmonary shunt fraction before radioembolization of hepatic tumors.

Journal Article Nucl 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 ... Full text Link to item Cite

Effectiveness of Transarterial Embolization of Hepatocellular Carcinoma as a Bridge to Transplantation.

Journal Article J Vasc Interv Radiol · January 2016 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 ... Full text Link to item Cite

Postintervention Patency Rates and Predictors of Patency after Percutaneous Interventions on Intragraft Stenoses within Failing Prosthetic Arteriovenous Grafts.

Journal Article J Vasc Interv Radiol · November 2015 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 ... Full text Link to item Cite

Transjugular intrahepatic portosystemic shunt complications: prevention and management.

Journal Article Semin Intervent Radiol · June 2015 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, ... Full text Link to item Cite

Interventional procedures for global health radiology

Journal Article · October 1, 2014 Diagnostic imaging has revolutionized modern medicine; however, its availability is limited or nonexistent in developing countries. Though the evolution of minimally invasive interventional radiological procedures has allowed unique therapies to minimize o ... Full text Cite

Coil embolization of the splenic artery: impact on splenic volume.

Journal Article J Vasc Interv Radiol · June 2014 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 ... Full text Link to item Cite

Vascular artifact mimicking thrombosis on MR imaging using ferumoxytol as a contrast agent in abdominal vascular assessment.

Journal Article J Vasc Interv Radiol · June 2014 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 ... Full text Link to item Cite

Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition.

Journal Article J Vasc Interv Radiol · December 2013 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 ... Full text Link to item Cite

Covered transjugular intrahepatic portosystemic shunts: accuracy of ultrasound in detecting shunt malfunction.

Journal Article AJR Am J Roentgenol · April 2013 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 ... Full text Link to item Cite

Percutaneous interventions on the hemodialysis reliable outflow vascular access device.

Journal Article J Vasc Interv Radiol · April 2013 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 ... Full text Link to item Cite

Embolization of liver tumors

Chapter · January 1, 2013 Full text Cite

Early outcomes of empiric embolization of tumor-related gastrointestinal hemorrhage in patients with advanced malignancy.

Journal Article J Vasc Interv Radiol · November 2012 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 ... Full text Link to item Cite

Improved time to progression for transarterial chemoembolization compared with transarterial embolization for patients with unresectable hepatocellular carcinoma.

Journal Article Clin Colorectal Cancer · September 2012 BACKGROUND: Embolizing branches of the hepatic artery lengthens survival for patients with unresectable hepatocellular carcinoma (HCC), but the benefit of combining chemotherapy with the embolizing particles remains controversial. METHODS: A retrospective ... Full text Link to item Cite

Outcomes of prosthetic hemodialysis grafts after deployment of bare metal versus covered stents at the venous anastomosis.

Journal Article Cardiovasc Intervent Radiol · August 2012 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 ... Full text Link to item Cite

Hepatic venous pressure measurements: comparison of end-hole and balloon catheter methods.

Journal Article J Vasc Interv Radiol · February 2012 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 ... Full text Link to item Cite

Vascular radiology: Case 4

Chapter · January 19, 2012 Cite

Vascular radiology

Chapter · January 19, 2012 Cite

Gastrointestinal imaging

Chapter · January 19, 2012 Cite

Vascular radiology: Case 16

Chapter · January 19, 2012 Cite

Gastrointestinal imaging: Case 26

Chapter · January 19, 2012 Cite

Vascular radiology: Case 12

Chapter · January 19, 2012 Cite

Analysis of infection risk following covered stent exclusion of pseudoaneurysms in prosthetic arteriovenous hemodialysis access grafts.

Journal Article J Vasc Interv Radiol · January 2012 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 ... Full text Link to item Cite

Ring array transducers for real-time 3D ultrasound guidance of prostheticheart valve deployment

Journal Article Proceedings - IEEE Ultrasonics Symposium · December 1, 2010 We have previously developed 2D ring array transducers for real-timevolumetric imaging guidance of minimally invasive procedures. These transducerswere integrated with an 11 French catheter sheath of a Cook Medical, Inc. venacava filter deployment kit. We ... Full text Cite

Gastrostomy-to-gastrojejunostomy tube conversion: impact of the method of original gastrostomy tube placement.

Journal Article J Vasc Interv Radiol · July 2010 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 ... Full text Link to item Cite

Transjugular biopsy results in the transplanted liver: comparison of two surgical hepatic venous anastomotic configurations in 269 consecutive biopsies over a 14-year period.

Journal Article J Vasc Interv Radiol · April 2010 PURPOSE: To compare the results of transjugular liver biopsy in patients who have undergone liver transplantation via an inline versus a "piggyback" hepatic venous surgical anastomosis. MATERIALS AND METHODS: From October 1994 to July 2008 (165 months), 26 ... Full text Link to item Cite

Provocative mesenteric angiography for lower gastrointestinal hemorrhage: results from a single-institution study.

Journal Article J Vasc Interv Radiol · April 2010 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 ... Full text Link to item Cite

Wireless surveillance for transjugular intrahepatic portosystemic shunts (TIPS): a feasibility study.

Journal Article Acad Radiol · April 2010 RATIONALE AND OBJECTIVES: Shunt surveillance is a critical component of follow-up for patients with cirrhosis with transjugular intrahepatic portosystemic shunts (TIPS). Transabdominal Doppler ultrasound analysis of the shunt has been used as a noninvasive ... Full text Link to item Cite

Treatment of TIPS/biliary fistula-related endotipsitis with a covered stent.

Journal Article J Vasc Interv Radiol · June 2008 "Infective endotipsitis" describes a recurrent bacteremia or fungemia in patients with a transjugular intrahepatic portosystemic shunt (TIPS) in place and no other identifiable source of infection. The present report describes a patient who developed polym ... Full text Link to item Cite

New classes of anticoagulation and antiplatelet agents: preprocedure management and safety guidelines for imaging-guided intervention.

Journal Article J Comput Assist Tomogr · 2008 OBJECTIVE: New medications are available for prophylaxis of deep venous thrombosis, the treatment of venous thromboembolism, and also to reduce the risk of acute coronary syndrome and stroke. The purpose of this review is to provide the radiologist a pract ... Full text Link to item Cite

Vascular Complications

Journal Article · January 1, 2007 Full text Cite

Radiation hand exposure during restoration of flow to the thrombosed dialysis access graft.

Journal Article J Vasc Interv Radiol · October 2006 PURPOSE: To determine radiation dose to the hands of interventional radiologists during restoration of flow to thrombosed dialysis access grafts. MATERIALS AND METHODS: Sixty-two procedures were performed in 54 patients with thrombosed synthetic arterioven ... Full text Link to item Cite

Massive gastrointestinal hemorrhage due to rupture of a donor pancreatic artery pseudoaneurysm in a pancreas transplant patient.

Journal Article Clin Transplant · February 2004 Enteric drainage of secretions by anastomosing the donor duodenum to the recipient's small bowel has become common in pancreatic transplantation. While it eliminates many problems, endoscopic access to the transplanted duodenum and pancreas is made difficu ... Full text Link to item Cite

Percutaneous cholecystostomy in patients with acute cholecystitis: experience of 45 patients at a US referral center.

Journal Article J Am Coll Surg · August 2003 BACKGROUND: Standard treatment for acute cholecystitis is cholecystectomy, but some patients are at high risk for immediate surgery. Percutaneous cholecystostomy might be the procedure of choice in this group. We reviewed the experience of percutaneous cho ... Full text Link to item Cite

De-novo cholangiocarcinoma in the setting of recurrent primary sclerosing cholangitis following liver transplant.

Journal Article Am J Transplant · May 2003 Orthotopic liver transplantation is the only definitive therapeutic option in patients with primary sclerosing cholangitis (PSC) and end-stage liver disease. However, PSC recurs in up to 20% of patients transplanted for this indication. To date, no patient ... Full text Link to item Cite

Provocative angiography for obscure gastrointestinal bleeding

Journal Article Techniques in Gastrointestinal Endoscopy · January 1, 2003 Patients who present for angiography in 2003 present a challenge not experienced by angiographers 4 decades ago. Patients who have gone through the battery of sophisticated radiologic, scintigraphic, and endoscopic examinations available today and remain w ... Full text Cite

Gastrointestinal bleeding in adult patients with Meckel's diverticulum: the role of technetium 99m pertechnetate scan.

Journal Article South Med J · November 2002 Obscure gastrointestinal (GI) bleeding is often challenging for the primary care physician, but with improved diagnostic testing the cause of this blood loss is determined in most patients. However, approximately 5% of the time no underlying cause is found ... Link to item Cite

Cryosurgery after chemoembolization for hepatocellular carcinoma in patients with cirrhosis.

Journal Article J Gastrointest Surg · 2002 Most cirrhotic patients with hepatocellular carcinoma (HCC) are not candidates for resection. Transarterial chemoembolization (TACE) may ablate a significant portion of the tumor but has a high rate of recurrence. Cryosurgery may permit successful ablation ... Full text Link to item Cite

Current indication of a modified Sugiura procedure in the management of variceal bleeding.

Journal Article J Am Coll Surg · August 2001 BACKGROUND: The role of gastroesophageal devascularization (Sugiura-rype procedures) for the treatment of variceal bleeding remains controversial. Although Japanese series reported favorable longterm results, the technique has nor been widely accepted in t ... Full text Link to item Cite

Direct percutaneous endoscopic jejunostomy with small bowel enteroscopy and fluoroscopy.

Journal Article Gastrointest Endosc · May 2001 BACKGROUND: Approaches to the creation of a percutaneous jejunostomy (PEJ) include enteroscopy with jejunal transillumination, fluoroscopy with small bowel distension and tract dilation, and jejunal enteral tube placement through a percutaneous endoscopic ... Full text Link to item Cite

Biliary stricture secondary to donor B-cell lymphoma after orthotopic liver transplantation.

Journal Article Liver Transpl · January 2001 Biliary complications after orthotopic liver transplantation (OLT) lead to considerable morbidity and occasional mortality after surgery. Bile duct strictures secondary to localized lymphoproliferative disorder of the porta hepatis is rare, with only 12 ca ... Full text Link to item Cite

Hemodialysis arteriovenous access: detection of stenosis and response to treatment by vascular access blood flow.

Journal Article Kidney Int · January 2001 BACKGROUND: Hemodialysis access to the circulation is best provided by native and synthetic arteriovenous fistulae (AVF and AVG). Thromboses caused by venous outflow stenoses prevent the long-term use of AV access. This pilot study was performed to evaluat ... Full text Link to item Cite

Provocative angiography in obscure gastrointestinal bleeding.

Journal Article South Med J · December 2000 Obscure gastrointestinal (GI) bleeding is relatively common but difficult to manage. By definition, diagnosis of a specific etiology is particularly challenging. We report the diagnostic use of provocative angiography in a patient with recurrent obscure GI ... Link to item Cite

Conversion of indwelling chest port catheters to tunneled central venous catheters.

Journal Article J Vasc Interv Radiol · October 2000 PURPOSE: To determine the safety and efficacy of the conversion of subcutaneous chest wall infusion ports to tunneled central venous catheters. MATERIALS AND METHODS: During a period of 34 months, 67 patients were referred for conversion of indwelling subc ... Full text Link to item Cite

Transjugular intrahepatic portosystemic shunts (TIPS): effects of respiratory state and patient position on the measurement of Doppler velocities.

Journal Article AJR Am J Roentgenol · July 2000 OBJECTIVE: The purpose of this prospective study was to examine the effects of patient position and respiratory state on the measurements of Doppler velocities in transjugular intrahepatic portosystemic shunts. SUBJECTS AND METHODS: Thirty-eight transjugul ... Full text Link to item Cite

The role of ERCP in diagnosis and management of accessory bile duct leaks after cholecystectomy.

Journal Article Gastrointest Endosc · October 1999 BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) plays an important role in the management of bile leaks after cholecystectomy. Although most leaks occur from the cystic duct stump, clinically significant leakage from accessory bile ducts ... Full text Link to item Cite

Incarceration of umbilical hernia following transjugular intrahepatic portosystemic shunt for the treatment of ascites.

Journal Article Liver Transpl Surg · May 1999 Transjugular intrahepatic portosystemic shunt (TIPS) is an effective therapy for patients with medically refractory ascites. Many patients with refractory ascites have umbilical herniation. Incarceration of umbilical hernia has been reported following diur ... Full text Link to item Cite

Injury to aberrant bile ducts during cholecystectomy: a common cause of diagnostic error and treatment delay.

Journal Article AJR Am J Roentgenol · April 1999 OBJECTIVE: The purpose of this study was to determine the prevalence of injured aberrant bile ducts in a population with complications after cholecystectomy and to determine whether such injury resulted in significant delay in the diagnosis and treatment o ... Full text Link to item Cite

Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography.

Journal Article Gastrointest Endosc · February 1999 BACKGROUND: Percutaneous biliary drainage is an established alternative to ERCP for managing bile duct obstruction. Although generally safe and effective, percutaneous drainage has its risks and is technically more difficult in patients with nondilated bil ... Full text Link to item Cite

Placement of a nasobiliary drain during ERCP facilitates subsequent percutaneous transhepatic cholangiography

Journal Article Gastrointestinal Endoscopy · December 1, 1998 Background: The management of patients with complex biliary pathology often requires the combined efforts of biliary endoscopists and vascular radiologists. Percutaneous access with placement of stents or drains is often needed if endoscopic retrograde cho ... Cite

Transjugular intrahepatic portosystemic shunt (TIPS) in patients with refractory ascites: effect on body weight and Child-Pugh score.

Journal Article Am J Gastroenterol · October 1998 OBJECTIVE: This study suggests that patients with medically refractory ascites treated with transjugular intrahepatic portosystemic shunt (TIPS) may have improved in overall clinical status. METHODS: We performed a retrospective study of 35 patients with m ... Full text Link to item Cite

Hereditary hemorrhagic telangiectasia causing high output cardiac failure: treatment with transcatheter embolization.

Journal Article Am J Gastroenterol · September 1998 We report a case of hereditary hemorrhagic telangiectasia complicated by high output heart failure caused by intrahepatic arteriovenous malformations. This patient was treated using transcatheter embolization of the intrahepatic arteriovenous malformations ... Full text Link to item Cite

Treatment of infected tunneled venous access hemodialysis catheters with guidewire exchange.

Journal Article Kidney Int · June 1998 Cuffed venous access catheters have become commonplace for hemodialysis access. The major complications of these catheters are catheter thrombosis, catheter fibrin sheathing and infection. When catheter associated bacteremia occurs treatment with antimicro ... Full text Link to item Cite

Liver transplantation complicated by misplaced TIPS in the portal vein.

Journal Article Ann Surg · March 1998 OBJECTIVE: The purpose of this study was to determine the incidence and complications related to transjugular intrahepatic portosystemic shunt (TIPS) stents found in the portal vein at the time of an orthotopic liver transplantation. BACKGROUND: Transjugul ... Full text Link to item Cite

Percutaneous cholecystostomy: who responds?

Journal Article AJR Am J Roentgenol · May 1997 OBJECTIVE: Our purpose was to identify clinical or radiologic features predictive of response to percutaneous cholecystostomy performed for the treatment of acute cholecystitis. MATERIALS AND METHODS: The clinical records and radiologic images of patients ... Full text Link to item Cite

Silastic cuffed catheters for hemodialysis vascular access: thrombolytic and mechanical correction of malfunction.

Journal Article Am J Kidney Dis · September 1996 Silastic cuffed catheters are assuming a greater role in providing long-term vascular access for hemodialysis patients. However, catheter thrombosis, fibrin sheath formation, and catheter malposition are recurrent problems that reduce extracorporeal flow r ... Full text Link to item Cite

CT during arterial portography: comparison of injection into the splenic versus superior mesenteric artery.

Journal Article Radiology · June 1996 PURPOSE: To determine whether the diagnostic quality of computed tomography (CT) during arterial portography (CTAP) performed via the splenic artery (SA) is better than that performed via the superior mesenteric artery (SMA). MATERIALS AND METHODS: The aut ... Full text Link to item Cite

Percutaneous transhepatic liver biopsy with tract embolization.

Journal Article Radiology · March 1996 PURPOSE: To determine the success and safety of percutaneous transhepatic liver biopsy with tract embolization (PBTE) in patients at risk for standard transhepatic biopsy. MATERIALS AND METHODS: Eighty biopsies were performed in 76 patients with diffuse li ... Full text Link to item Cite

Low insertion of hepatic segmental duct VII-VIII is an important cause of major biliary injury or misdiagnosis.

Journal Article Am J Surg · January 1996 BACKGROUND: The importance of variant anatomy is only mentioned generally in most articles in this era of laparoscopic cholecystectomy. We report a series of 14 patients in whom a seemingly low insertion of hepatic segmental duct VII-VIII was clinically im ... Full text Link to item Cite

Prospective evaluation of pulmonary artery pressures during pulmonary angiography performed with low-osmolar nonionic contrast media.

Journal Article J Vasc Interv Radiol · 1996 PURPOSE: To determine the effects of pulmonary angiography performed with low-osmolar, nonionic contrast media on pulmonary artery pressures. PATIENTS AND METHODS: In a prospective, uncontrolled clinical trial, pulmonary artery pressures (systolic, diastol ... Full text Link to item Cite

Pulmonary angiography performed with iopamidol: complications in 1,434 patients.

Journal Article Radiology · January 1996 PURPOSE: To evaluate the safety of pulmonary angiography performed with iopamidol compared with pulmonary angiography performed with ionic contrast media. MATERIALS AND METHODS: The data in 1,434 patients who underwent pulmonary angiography with iopamidol ... Full text Link to item Cite

Correction of central venous stenoses: use of angioplasty and vascular Wallstents.

Journal Article Kidney Int · April 1994 Central venous stenoses are a frequent complication in hemodialysis patients. These lesions lead to fistula thromboses, arm swelling, and limit future vascular access. Stenoses are characterized by excellent initial response to transluminal angioplasty but ... Full text Link to item Cite

Non-operative management of a common bile duct injury sustained during cholecystectomy in a morbidly obese patient. (Non-operative repair of CBD injury).

Journal Article HPB Surg · 1994 A 29 year old morbidly obese patient suffered injury to his common bile duct during cholecystectomy. Subsequent access to the biliary tree was obtained by using a long heavy gauge needle after first opacifying the system with contrast injection through a n ... Full text Link to item Cite

Management of major biliary complications after laparoscopic cholecystectomy.

Journal Article Ann Surg · May 1993 OBJECTIVE: A total of 50 major bile duct injuries after laparoscopic cholecystectomy were managed by the Duke University Hepatobiliary Service from 1990-1992. The management of these complex cases is reviewed. SUMMARY BACKGROUND DATA: Laparoscopic cholecys ... Full text Link to item Cite

Chest case of the day. Traumatic pneumatocele.

Journal Article AJR Am J Roentgenol · June 1990 Full text Link to item Cite

Percutaneous transhepatic feeding tube: An alternate method for enteral alimentation

Journal Article Journal of Interventional Radiology · January 1, 1990 We describe the placement of a percutaneous transhepatic feeding tube in a patient with pancreatic carcinoma, who had developed delayed gastric emptying following gastrojejunostomy. The feeding tube was placed adjacent to a previously inserted biliary drai ... Cite

Superselective gelfoam embolotherapy using a highly visible small caliber catheter.

Journal Article Cardiovasc Intervent Radiol · October 1988 A new, highly visible and flexible 3F catheter has become available for superselective catheterization and embolization. We describe the first reported series of cases in which this catheter was used for superselective Gelfoam embolization of bleeding visc ... Full text Link to item Cite

The use of bacteriophage T4 as a set of molecular weight and isoelectric point markers for two‐dimensional electrophoresis

Journal Article ELECTROPHORESIS · January 1, 1981 We have studied the use of bacteriophage T4 coat proteins as a complete set of molecular weight and isoelectric point markers for two‐dimensional electrophoresis. We present data which support the feasibility of this approach. The potential utility and adv ... Full text Cite

Analysis of bacteriophage T4 coat proteins by two‐dimensional electrophoresis and computerized densitometry

Journal Article ELECTROPHORESIS · January 1, 1981 We have designed treatment conditions which allow analysis of the coat proteins of bacteriophage T4D+ by high resolution two‐dimensional electrophoresis. The best results were obtained when the mature phage particles were subjected to hypertoniclysis and D ... Full text Cite