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 ArticleFront 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 ...
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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 ArticleAlzheimers 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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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 ArticleCardiovasc 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 ...
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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
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
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 ArticleClin 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 ...
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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 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 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 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 · 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleDiagn 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: ...
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Journal ArticleDiagn 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 ...
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Journal ArticleRadiology · 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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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 ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleSemin 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, ...
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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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleAJR 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleClin 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 ...
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Journal ArticleCardiovasc 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleProceedings 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleAcad 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleClin 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleTechniques 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 ...
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Journal ArticleSouth 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleGastrointest 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 ...
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Journal ArticleLiver 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 ...
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Journal ArticleKidney 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 ...
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Journal ArticleSouth 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleAJR 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 ...
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Journal ArticleGastrointest 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 ...
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Journal ArticleLiver 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 ...
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Journal ArticleAJR 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 ...
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Journal ArticleGastrointest 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 ...
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Journal ArticleGastrointestinal 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleKidney 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 ...
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Journal ArticleAnn 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 ...
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Journal ArticleAJR 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleRadiology · 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 ...
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Journal ArticleRadiology · 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleRadiology · 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 ...
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Journal ArticleKidney 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 ...
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Journal ArticleHPB 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 ...
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Journal ArticleAnn 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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleCardiovasc 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 ...
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Journal ArticleElectrophoresis · 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 ...
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Journal ArticleElectrophoresis · 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 ...
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