Abstract：
PURPOSE:Transradial access (TRA) has shown lower morbidity and decreased bleeding complications compared to transfemoral access. This study evaluates the safety and feasibility of TRA in thrombocytopenic patients undergoing visceral interventions. METHODS AND MATERIALS:Patients who underwent visceral interventions via the radial artery with platelet count less than or equal to 50,000/µL were included in the study. Outcome variables included technical success, access site, bleeding, transfusion, and neurological complications. RESULTS:From July 1, 2012, to May 31, 2015, a total of 1353 peripheral interventions via TRA were performed, of which 85 procedures were performed in 64 patients (mean age 62.2 years) with a platelet count <50,000/µL (median 39,000/µL). Interventions included chemoembolization (n = 46), selective internal radiation therapy (n = 30), and visceral embolization (n = 9). Technical success was 97.6% with two cases of severe vessel spasm requiring ipsilateral femoral crossover. There was no major access site, bleeding, or neurological adverse events at 30 days. Minor access site hematomas occurred in five cases (5.9%) and were treated conservatively in all cases. Pre-procedural platelet transfusions were administered in 23 (27.1%) cases. There was no statistically significant difference in access site or bleeding complications between the transfused and nontransfused groups. CONCLUSIONS:Transradial visceral interventions in patients with thrombocytopenia are both feasible and safe, possibly without the need for platelet transfusions.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Titano JJ,Biederman DM,Marinelli BS,Patel RS,Kim E,Tabori NE,Nowakowski FS,Lookstein RA,Fischman AMdoi
10.1007/s00270-015-1264-3subject
Has Abstractpub_date
2016-05-01 00:00:00pages
676-682issue
5eissn
0174-1551issn
1432-086Xpii
10.1007/s00270-015-1264-3journal_volume
39pub_type
杂志文章abstract：:We describe a case of successful recanalization of a longstanding right common iliac occlusion with a radiofrequency (RF) guidewire. The patient had been symptomatic with claudication for 3 years, and a preliminary attempt to cross the lesion using conventional techniques proved unsuccessful. Using low and medium inte...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-011-0327-3
更新日期：2012-10-01 00:00:00
abstract：PURPOSE:Complete biliary occlusions at different anatomic locations that are not amenable to surgical, endoscopic, or routine percutaneous methods pose a challenge to physicians. Biliary ductal neoanastomosis technique can play a very important role in solving such clinical problems. MATERIALS:Between October 2004 and...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-020-02544-z
更新日期：2020-11-01 00:00:00
abstract：PURPOSE:To evaluate the effectiveness and cost of commercially available video conferencing units and standard Integrated Services Digital Network (ISDN) connections for real-time multi-site transmissions of interventional procedures. METHODS:A network of five separate interventional radiology departments-three in the...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-001-0019-5
更新日期：2001-09-01 00:00:00
abstract：:The purpose of this study was to compare the clinical effectiveness of expanded polytetrafluoroethylene/fluorinated-ethylene-propylene (ePTFE/FEP)-covered stents with that of uncovered nitinol stents for the palliation of malignant jaundice caused by inoperable pancreatic head cancer. Eighty patients were enrolled in ...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00270-010-9880-4
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND:This study aimed to evaluate the embolic properties, time to reperfusion, and histologic changes in temporary embolization of liver tissue with degradable starch microspheres (DSM) in a swine model. METHODS:In four adult minipigs, DSMs were injected into the right or left hepatic artery on the lobar level u...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-014-0966-2
更新日期：2015-04-01 00:00:00
abstract：:A case of skin infarction after transcatheter ablation of a hypernephroma using alcohol is described. Possible avenues for migration are discussed. ...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02552899
更新日期：1985-01-01 00:00:00
abstract：PURPOSE:Pelvic congestion syndrome is a common cause of chronic pelvic pain in women and its association with venous congestion has been described in the literature. We evaluated the potential benefits of lumbo-ovarian vein embolization in the treatment of lower abdominal pain in patients presenting with pelvic varicos...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s002709900116
更新日期：1997-03-01 00:00:00
abstract：PURPOSE:To evaluate the effect of previous transarterial iodized oil tissue marking (ITM) on technical parameters, three-dimensional (3D) computed tomographic (CT) rendering of the electroporation zone, and histopathology after CT-guided irreversible electroporation (IRE) in an acute porcine liver model as a potential ...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-014-0910-5
更新日期：2015-02-01 00:00:00
abstract：:The purpose of this study was to evaluate the effectiveness of a newly developed perfused monopolar radiofrequency (RF) probe with an umbrella-shaped array. A perfused umbrella-shaped monopolar RF probe based on a LeVeen electrode (Boston Scientific Corp., Natick, MA, USA) with a 3-cm array diameter was developed. Fiv...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-007-9125-3
更新日期：2007-09-01 00:00:00
abstract：PURPOSE:The bovine arch is the most common variant of the aortic arch and occurs when the innominate artery shares a common origin with the left common carotid artery. We report an endovascular repair of aortic arch aneurysm in patients with a bovine arch using the Najuta proximal scalloped and fenestrated stent graft....
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-018-2058-1
更新日期：2018-11-01 00:00:00
abstract：:Stomal variceal bleeding can develop in patients with underlying cirrhosis and portal hypertension. Most patients are best treated with transjugular intrahepatic portosystemic shunt (TIPS) creation because this addresses the underlying problem of portal hypertension. However, some patients are not good candidates for ...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-009-9536-4
更新日期：2010-02-01 00:00:00
abstract：PURPOSE:To address the feasibility of prophylactic temporary occlusion of the cystic artery using a detachable coil during 90Y radioembolization. MATERIALS AND METHODS:From January 2012 to October 2016, nine patients underwent temporary occlusion of the cystic artery during 90Y radioembolization. Based on the planning...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-017-1688-z
更新日期：2017-10-01 00:00:00
abstract：PURPOSE:To evaluate the protective effect of using thermo-sensitive basement membrane extract (Matrigel) for hydrodissection to minimize thermal injury to nearby structures and to evaluate its heat sink effect on the ablation zone in radiofrequency ablation (RFA) of the liver. MATERIALS AND METHODS:First, the viscosit...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-017-1617-1
更新日期：2017-07-01 00:00:00
abstract：:Congenital anomalies of the inferior vena cava (IVC) are increasingly recognized with CT and venography techniques. Although many patients with IVC anomalies are asymptomatic, recent studies have suggested an association with venous thromboembolism. We report the case of a 62-year-old woman with extensive venous clot ...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-013-0559-5
更新日期：2013-12-01 00:00:00
abstract：PURPOSE:To present our experience performing percutaneous cholangioscopy in the management of 25 patients with biliary disease. METHODS:During the last 3 years, 26 percutaneous cholangioscopies were performed in 25 patients with common bile duct disease (n = 16), intrahepatic ducts disease (n = 6), and gallbladder dis...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s002700010100
更新日期：2000-11-01 00:00:00
abstract：:Based on theoretical advantages and successful pilot experiments in dogs, therapeutic transluminal penile venoablation underwent clinical trials in 13 impotent men. Catheter access to the penile venous structures was gained via (1) direct percutaneous puncture of the deep dorsal penile vein, (2) cut-down over the dors...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02577012
更新日期：1988-08-01 00:00:00
abstract：:The aim of the present study was to determine whether there is a linear relation between the doses measured above and those measured under the lead apron of the radiologists performing interventional procedures. To monitor radiation exposure the International Commission of Radiological Protection (ICRP) recommends the...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-008-9307-7
更新日期：2008-05-01 00:00:00
abstract：PURPOSE:The effectiveness of angiography and embolization in diagnosis and treatment were assessed in a cohort of patients presenting with upper gastrointestinal hemorrhage secondary to hepatic artery pseudoaneurysm following laparoscopic cholecystectomy. METHODS:Over a 6-year period 1513 laparoscopic cholecystectomie...
journal_title：Cardiovascular and interventional radiology
pub_type： 临床试验,杂志文章
doi：10.1007/s002709900323
更新日期：1999-01-01 00:00:00
abstract：:The computed tomographic and angiographic findings of an isolated external iliac artery aneurysm secondary to cystic medial necrosis in a patient without Marfan's disease are demonstrated. A review of the differential diagnosis and surgical treatment of iliac artery aneurysms is presented. The dramatic surgical sequel...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02577923
更新日期：1986-01-01 00:00:00
abstract：:Because magnetic resonance tomography (MRT) has the ability to make cross-sectional images in three planes that have superior contrast between organs, muscle, fat, and bone, its use for the demonstration of pelvic disease shows considerable promise. The normal pelvic anatomy is clearly displayed because of the high co...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02552373
更新日期：1986-01-01 00:00:00
abstract：:Hepatic compartment syndrome is an increase in intrahepatic pressure sufficient to cause compromised hepatic perfusion. Early recognition and prompt management are essential for preventing catastrophic consequences including ischemic liver failure and hypovolemic shock. This is the rare case of laparoscopic adrenalect...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-018-02158-6
更新日期：2019-04-01 00:00:00
abstract：:We present the case of an 80-year-old male with squamous cell carcinoma with bilobar hepatic metastases who underwent targeted Yttrium-90 radioembolization of the right hepatic lobe lesion. Subsequently, there was complete regression of the nontargeted, left hepatic lobe lesion. This may represent the first ever repor...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-015-1259-0
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:Percutaneous osteosynthesis plus cementoplasty (POPC) is a minimally invasive technique that has never been reported before and that we have prospectively evaluated for patients with impending pathological fracture of the proximal femur. METHODS:We performed POPC in 12 patients (3 males, 9 females) with meta...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-011-0330-8
更新日期：2012-12-01 00:00:00
abstract：:Iatrogenic cardiac perforation is a recognized complication of central venous catheterization. We report a fatal complication by a 10F introducer sheath which was left in place and resulted in perforation of the right atrial wall 8 h later. This case is reported to emphasize the increased risk of cardiac perforation f...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02602990
更新日期：1993-03-01 00:00:00
abstract：:Adult mongrel dogs were used to evaluate and compare the use of ethanol and ethanol-Ethiodol for transcatheter renal arterial embolization. Each agent was administered into a main renal artery in five dogs and evaluated with regard to ease of use, radiopacity, arterial occlusion, parenchymal damage, and toxicity. Both...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02578633
更新日期：1990-10-01 00:00:00
abstract：:Two patients with sudden onset of acute abdominal pain caused by embolic disease of the superior mesenteric artery (SMA) were evaluated angiographically. In one patient, the study was performed soon after the clinical onset of symptoms, and successful treatment with low-dose topical streptokinase infusion produced tot...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02552688
更新日期：1984-01-01 00:00:00
abstract：PURPOSE:To evaluate experimentally the retrievability of the Tulip inferior vena cava (IVC) filter in an in vivo study. Changes which accompany venous healing after filter retrieval were investigated. METHODS:In 12 dogs, 23 filters were inserted percutaneously into the lumbar and intrahepatic segments of the IVC. Two ...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-001-0066-y
更新日期：2001-11-01 00:00:00
abstract：:The role of covered stent in the management of biliary complications is not yet defined in liver transplant recipients. This Case Report presents a patient with anastomotic stricture and leakage with biloma treated with a covered stent 32 months following liver transplantation. Signs of in-stent restenosis developed 5...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-009-9558-y
更新日期：2010-04-01 00:00:00
abstract：PURPOSE:To prospectively identify the complications, and rates of complication, in outpatient angiography and interventional procedures. METHODS:There were 1050 consecutive patients, 646 men and 404 women, aged 17-89 years, with a total of 1239 procedures studied in a 2-year period, 1997 to 1999. RESULTS:There were 5...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-001-0105-8
更新日期：2002-03-01 00:00:00
abstract：:Carotid artery stenting (CAS) is a revascularization modality that is an alternative to carotid endarterectomy. The efficacy of CAS in primary and secondary prevention from ischemic stroke has been demonstrated in various trials. Acute thrombosis of CAS is a rare complication that can lead to dramatic and catastrophic...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-014-0959-1
更新日期：2015-08-01 00:00:00
