By Ronald S. Arellano
This e-book is designed to supply a starting place for physicians-in-training and a short advisor to additional improve the talents set of working towards interventionalists. it's a concise reference handbook masking the main points of medical eventualities, approaches, and strategies. Non-Vascular Interventional Radiology of the stomach expertly addresses the making plans and execution of ordinarily encountered tactics, together with organ particular biopsies, abscess drainage, urinary interventions, gastrostomy, gastrojejunostomy, and biliary interventions.
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Additional info for Non-Vascular Interventional Radiology of the Abdomen
Similarly, subxiphoid approaches should point away from the heart. Subcostal approaches must clearly identify gallbladder and bowel. Keep in mind that the position of the liver may change in the time interval between preliminary scanning and the actual biopsy. This is often due to changes in depth of respiration after the patient has been sedated. Smaller respiratory excursions in sedated patients often result in the liver assuming a higher position in the right upper quadrant, such that initial subcostal or subxiphoid trajectories are lost after the patient becomes sedated.
Liu YW, Chen C, Chen Y, Wang C, Wang S, Lin CC. Needle tract implantation of hepatocellular carcinoma after fine needle biopsy. Dig Dis Sci. 2007;52(1):228–31. 29. Tam A, Krishnamurthy S, Pillsbury E, Ensor J, Gupta S, Murthy R, et al. Percutaneous image-guided splenic biopsy in the oncology patient: an audit of 156 consecutive cases. J Vasc Interv Radiol. 2008;19(1):80–7. 30. Lucey B, Boland G, Maher M, Hahn P, Gervais DA, Mueller PR. Percutaneous nonvascular splenic intervention: a 10-year review.
Most of the reported literature on splenic aspiration/biopsy describes ultrasound-guided techniques, though CT-guided drainages are also feasible. Renal Abscess Drainage Renal abscess drainage is an uncommon procedure. Percutaneous drainage provides immediate decompression as well as continuous drainage. When combined with antibiotic coverage, it is an effective nonsurgical alternative for the management of renal abscesses associated with high success rates [57–59]. 4. (a) Axial contrast material enhanced CT scan of the upper abdomen that demonstrates a left renal abscess (a).
Non-Vascular Interventional Radiology of the Abdomen by Ronald S. Arellano