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Current interventional options for palliative care for patients with advanced-stage cholangiocarcinoma

World Journal of Clinical Oncology 2024年第3期15卷 381-390页

作者： Maryam Makki Malak Bentaleb Mohammed Abdulrahman Amal Abdulla Suhool Salem Al Harthi Marcelo AF Ribeiro Jr Department of Surgery Division of TraumaCritical Care and Acute Care SurgerySheikh Shakhbout Medical CityAbu Dhabi 11001United Arab Emirates Department of Surgery College of Medicine and Health SciencesKhalifa UniversityAbu Dhabi 11001United Arab Emirates Department of Surgery Division of Hepato-Pancreato-Biliary(HPB)SurgerySheikh Shakhbout Medical CityAbu Dhabi 91888United Arab Emirates

Primary biliary tract tumors are malignancies that originate in the liver,bile ducts,or gallbladder.These tumors often present with jaundice of unknown etiology,leading to delayed diagnosis and advanced disease.Currently,several palliative treatment options are available for primary biliary tract tumors.They include percutaneous transhepatic biliary drainage(PTBD),biliary stenting,and surgical interventions such as biliary diversion.Systemic therapy is also commonly used for the palliative treatment of primary biliary tract tumors.It involves the administration of chemotherapy drugs,such as gemcitabine and cisplatin,which have shown promising results in improving overall survival in patients with advanced biliary tract tumors.PTBD is another palliative treatment option for patients with unresectable or inoperable malignant biliary obstruction.Biliary stenting can also be used as a palliative treatment option to alleviate symptoms in patients with unresectable or inoperable malignant biliary obstruction.Surgical interventions,such as biliary diversion,have traditionally been used as palliative options for primary biliary tract tumors.However,biliary diversion only provides temporary relief and does not remove the tumor.Primary biliary tract tumors often present in advanced stages,making palliative treatment the primary option for improving the quality of life of patients.

关键词： Cholangiocarcinoma Palliative care Endoscopic treatment Surgery Complications interventional radiology

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interventional radiology in China： Current Status and Future Prospects

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Chinese Medical Journal 2017年第11期130卷 1371-1375页

作者： He Zhao Jiay-Wei Tsauo Xiao-Wu Zhang Xiao Li Department of interventional Therapy National Cancer Center/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100021 China

INTRODUCTION interventional radiology （IR） is a clinical specialty providing minimally invasive image-guided diagnosis and treatment of diseases in various organ systems, Since Charles Dotter performed the first balloon angioplasty on patients with stenosis of the superficial femoral artery in 1964, IR has been applied in numerous aspects of modern medicine However, the development of IR also presents many problems such as the relationship with other disciplines and turf wars. These problems puzzle many interventionists, and no solution has been proven to be applicable to every country.

关键词： China Clinical Practice Disciplinary Development Education interventional radiology Scientific Research

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Safety and efficacy of transcatheter arterial embolization in autosomal dominant polycystic kidney patients with gross hematuria: Six case reports

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World Journal of Clinical Cases 2024年第11期12卷 1954-1959页

作者： Wei-Fan Sui Yun-Xin Duan Jian-Yun Li Wei-Bin Shao Jian-Hua Fu Department of interventional radiology Zhenjiang First People's HospitalZhenjiang 212000Jiangsu ProvinceChina Department of Nephrology Zhenjiang First People’s HospitalZhenjiang 212000Jiangsu ProvinceChina

BACKGROUND To retrospectively report the safety and efficacy of renal transcatheter arterial embolization for treating autosomal dominant polycystic kidney disease(ADPKD)patients with gross hematuria.CASE SUMMARY The purpose of this study is to retrospectively report the safety and efficacy of renal transcatheter arterial embolization for treating ADPKD patients with gross hematuria.Materials and methods:During the period from January 2018 to December 2019,renal transcatheter arterial embolization was carried out on 6 patients with polycystic kidneys and gross hematuria.Renal arteriography was performed first,and then we determined the location of the hemorrhage and performed embolization under digital subtraction angiography monitoring.Improvements in routine blood test results,routine urine test results,urine color and postoperative reactions were observed and analyzed.Results:Renal transcatheter arterial embolization was successfully conducted in 6 patients.The indices of 5 patients and the color of gross hematuria improved after surgery compared with before surgery.No severe complication reactions occurred.CONCLUSION For autosomal dominant polycystic kidney syndrome patients with gross hematuria,transcatheter arterial embolization was safe and effective.

关键词： Renal artery Autosomal dominant polycystic kidney disease Gross hematuria interventional radiology Embolization Case report

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Progress in interventional radiology treatment of pulmonary embolism:A brief review

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World Journal of radiology 2022年第8期14卷 286-292页

作者： Alessandro Posa Pierluigi Barbieri Giulia Mazza Alessandro Tanzilli Roberto Iezzi Riccardo Manfredi Cesare Colosimo Department of Diagnostic Imaging Oncologic Radiotherapy and HematologyFondazione Policlinico Universitario A.Gemelli IRCCSRome 00168Italy

Pulmonary embolism represents a common life-threatening condition.Prompt identification and treatment of this pathological condition are mandatory.In cases of massive pulmonary embolism and hemodynamic instability or right heart failure,interventional radiology treatment for pulmonary embolism is emerging as an alternative to medical treatment(systemic thrombolysis)and surgical treatment.interventional radiology techniques include percutaneous endovascular catheter directed therapies as selective thrombolysis and thrombus aspiration,which can prove useful in cases of failure or infeasibility of medical and surgical approaches.

关键词： Pulmonary embolism interventional radiology Thrombolysis Thrombectomy Catheter directed therapy Endovascular

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interventional radiology treatment for pulmonary embolism

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World Journal of radiology 2017年第7期9卷 295-303页

作者： Miguel A De Gregorio Jose A Guirola Celia Lahuerta Carolina Serrano Ana L Figueredo William T Kuo C/Monforte de Lemos 3-5 28029 MadridSpain Minimally Invasive Techniques Research Group(GITMI) Facultad de Medicina50009 ZaragozaSpain Department of Respiratory Hospital Miguel Servet50009 ZaragozaSpain Division of Vascular and interventional radiology Department of RadiologyStanford University Medical CenterStanfordCA 94305United States

Venous thromboembolism(VTE) is an illness that has a potentially life-threatening condition that affects a large percentage of the global population. VTE with pulmonary embolism(PE) is the third leading cause of death after myocardial infarction and stroke. In the first three months after an acute PE, there is an estimated 15% mortality among submassive PE, and 68% mortality in massive PE. Current guidelines suggest fibrinolytic therapy regarding the clinical severity, however some studies suggest a more aggressive treatment approach. This review will summarize the available endovascular treatments and the different techniques with its indications and outcomes.

关键词： Pulmonary embolism Massive pulmonary embolism Venous thromboembolism Pulmonary em-bolism treatment Submassive pulmonary embolism Catheter directed therapy interventional radiology

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The Role of interventional radiology in Splenic Trauma

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International Journal of Clinical Medicine 2022年第11期13卷 548-559页

作者： Arun Somanathan Medical Sciences Division University of Oxford Oxford UK

The purpose of this case report is to discuss the different treatment options available in splenic trauma patients by following the story of Mr. H. I will focus particularly on the role of splenic arterial embolisation (SAE)—an interventional radiological procedure—and how it weighs up against its surgical counterparts. In order to give a balanced view this case report includes a literature review around splenic artery embolisation. This report concludes that when managing splenic trauma, interventional radiology (IR) is a useful tool particularly when used in conjunction with surgery. The future of this field needs to allow SAE to become a stand-alone therapy. Furthermore, research needs to investigate which cohorts of patients are best suited to which intervention such that we can capitalise on the advantages of each intervention for the benefit of all.

关键词： interventional radiology Spleen Trauma Surgery Laparoscopy Embolisation

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Awareness of Radiologists and Radiographers toward Patient Care in the interventional radiology Department

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Open Journal of radiology 2022年第3期12卷 142-154页

作者： Mazin A. Hassib Taif T. Hejji Maryh Y. Qaisi Rozan M. Alharbi Lujain A. Fati Ghadi S. Alahmadi Mjdoleen M. Alshabihi Medical Imaging Technology Department Al-Gahd International College for Medical Applied Sciences Jeddah Kingdom of Saudi Arabia

Background: The hospitals and health care centres are organized around the patient, a model in which healthcare providers partner with patients and families to identify and satisfy patients’ needs and preferences. Providers respect patients’ values and preferences, address their emotional and social needs, and involve them and their families in decision making. According to the best of our knowledge, there is no evidence to prove, radiologists and radiographers are aware enough about the patient safety, care, and code of conduct with their patients in the interventional radiology department. Objective: This article aims to measure the awareness of radiologists and radiographers toward care and safety in an interventional radiology department. Material and Method: This study was carried in period from 15 February to 20 April 2022. One hundred sixty-four radiographers and radiologists participating in this study completed the questionnaire, which equals a response rate of approximately 82%. The questionnaire was fully completed by almost all responders;only a few of them gave partial answers. Results: The first question for radiographers and radiologists was “the sufficient awareness about the patient safety and care during the interventional radiology procedure. Also, the majority of the radiographers and radiologists are providing the patients with sufficient information when he/she ask for help or queries. A large number of radiographers and radiologists were participating in this study explaining the procedures to patients before starting the examinations in a structured way. Finally, the result shows both radiographers and radiologists respect the patient’s rights, privacy, and dignity and also kept the radiation protection during the interventional radiology procedures. Conclusion: This article summarizes the key categories of awareness of patient care issues in the provision of interventional radiology services, from the joint perspectives of radiographers and radiologists, and provides references for furthe

关键词： interventional radiology Patients Care Awareness in interventional radiology

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interventional radiology in Côte d’Ivoire: Analysis and Assessment of the Radiological Risk of the Surgical Team

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Open Journal of Applied Sciences 2021年第2期11卷 216-229页

作者： Kouakou Omer Koudou Djakouri Djoman Djama Alfred Agbo Gogon B. D. L. Huberson Monnehan Georges Alain Aka Antonin Koua Laboratoire de physique nucléaire et radioprotection Unité de Formation et Recherche Sciences des Structures de la Matière et Technologie université Félix Houphou&#235 t Boigny 22 BP 582 Abidjan C&#244 te d’Ivoire Higher Normal School Abidjan C&#244 te d’Ivoire Autorité de régulation de sureté et de sécurité nucléaires 08 BP 4028 Abidjan 08 Abidjan Cocody—Riviera Bonoumin Rond-Point Alassane Ouattara Abidjan C&#244 te d’Ivoire

Ionizing radiation is widely used in medical practice for both diagnostic and therapeutic purposes. However, they are not devoid of adverse health effects on exposed operators. Therefore, we propose to assess the radiological risk of the interventional radiology team of the International Polyclinic of Indénié of Abidjan during the procedures of Embolization of uterine fibromyomas. The effective and equivalent doses to the extremities and crystals were estimated by TLD dosimeters positioned at different body areas selected on the basis of a radiological analysis of the exposure of personnel during five procedures. The analysis of fluoroscopic and record times showed variability in or an average fluoroscopy time of 32.37 min with extremes of 25.14 to 56.32 min;average record time of 0.52 min with extremes of 0.12 min to 1 min. The annual effective doses were respectively, 4.04 mSv, 3.42 mSv, 2.84 mSv;2.28 mSv, in the Radiologist (R), Operator Assistant (O2);Anesthesiologist (A2), Manipulator (M2). The annual equivalent doses to the radiologist’s predominant extremities and lenses were left index and left lens with values of 37.07 mSv and 9.46 mSv. The estimated doses in our study are reassuring from a regulatory point of view of dose limits. The results of our work have shown no significant short-term danger to the health of personnel.

关键词： interventional radiology Embolization of Uterine Fibromyomas Radiological Risk Radiation Protection

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Current trends and perspectives in interventional radiology for gastrointestinal cancers

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World Journal of radiology 2021年第10期13卷 314-326页

作者： Elisa Reitano Nicola de'Angelis Giorgio Bianchi Letizia Laera Stavros Spiliopoulos Roberto Calbi Riccardo Memeo Riccardo Inchingolo Division of General Surgery Department of Translational MedicineUniversity of Eastern PiedmontNovara 28100Italy Unit of Minimally Invasive and Robotic Digestive Surgery "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy Department of Oncology "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy 2^(nd) Department of radiology School of MedicineNational and Kapodistrian University of AthensAthens 12461Greece Department of radiology "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70124Italy Unit of Hepato-Pancreatic-Biliary Surgery "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy interventional radiology Unit "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy

Gastrointestinal(GI)cancers often require a multidisciplinary approach involving surgeons,endoscopists,oncologists,and interventional radiologists to diagnose and treat primitive cancers,metastases,and related complications.In this context,interventional radiology(IR)represents a useful minimally-invasive tool allowing to reach lesions that are not easily approachable with other techniques.In the last years,through the development of new devices,IR has become increasingly relevant in the context of a more comprehensive management of the oncologic patient.Arterial embolization,ablative techniques,and gene therapy represent useful and innovative IR tools in GI cancer treatment.Moreover,IR can be useful for the management of GI cancer-related complications,such as bleeding,abscesses,GI obstructions,and neurological pain.The aim of this study is to show the principal IR techniques for the diagnosis and treatment of GI cancers and related complications,as well as to describe the future perspectives of IR in this oncologic field.

关键词： interventional radiology radiology Colorectal cancer Gastric cancer Malignancy Embolization

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interventional urethral balloon dilatation before endoscopic visual internal urethrotomy for post-traumatic bulbous urethral stricture:A case report

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World Journal of Clinical Cases 2022年第34期10卷 12787-12792页

作者： Ji Yong Ha Mu Sook Lee Department of Urology Keimyung University Dongsan HospitalKeimyung University School of MedicineDaegu 42601South Korea Department of radiology Keimyung University Dongsan HospitalKeimyung University School of MedicineDaegu 42601South Korea

BACKGROUND While several treatment options are available for pediatric urethral strictures,the appropriate treatment must be based on several factors.Although endoscopic visual internal urethrotomy(EVIU)could be a first-line treatment option for short pediatric urethral strictures,it is not feasible if the urethroscope cannot pass through the stricture point.Herein,we present a pediatric case of severe posttraumatic bulbous urethral stricture that was successfully treated by EVIU after securing the urethral route via interventional balloon dilatation.CASE SUMMARY A 12-year-old boy presented at our outpatient clinic with the inability to urinate.He had sustained a straddle injury three months prior.The post-void residual urine volume was 644 mL,and retrograde urethrography confirmed severe stricture of the bulbous urethra.EVIU was planned;however,the first attempt to treat the stricture failed because the urethroscope could not pass through the stricture point.The urethral route was subsequently secured via balloon dilatation of the stricture,which was performed in collaboration with specialists from the department of interventional radiology.The urethroscope was then able to pass,and the repeat EVIU was successful.CONCLUSION interventional urethral balloon dilatation before EVIU may help secure the urethral route in the treatment of pediatric urethral strictures.

关键词： Urethral stricture Endoscopic visual internal urethrotomy Urethroplasty Urethral balloon dilatation interventional radiology Case report

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