RESUMEN
PURPOSE: To demonstrate rates of successful filter conversion and 6-month major device-related adverse events in subjects with converted caval filters. MATERIALS AND METHODS: An investigational device exemption multicenter, prospective, single-arm study was performed at 11 sites enrolling 149 patients. The VenaTech Convertible Vena Cava Filter (B. Braun Interventional Systems, Inc, Bethlehem, Pennsylvania) was implanted in 149 patients with venous thromboembolism and contraindication to or failure of anticoagulation (n = 119), with high-risk trauma (n = 14), and for surgical prophylaxis (n = 16). When the patient was no longer at risk for pulmonary embolism as determined by clinical assessment, an attempt at filter conversion was made. Follow-up of converted patients (n = 93) was conducted at 30 days, 3 months, and 6 months after conversion. Patients who did not undergo a conversion attempt (n = 53) had follow-up at 6 months after implant. RESULTS: All implants were successful. One 7-day migration to the right atrium required surgical removal. Technical success rate for filter conversion was 92.7% (89/96). Mean time from placement to conversion was 130.7 days (range, 15-391 d). No major conversion-related events were reported. The mean conversion procedure time was 30.7 minutes (range, 7-135 min). There were 89 converted and 32 unconverted patients who completed 6-month follow-up with no delayed complications. CONCLUSIONS: The VenaTech Convertible filter has a high conversion rate and low 6-month device-related adverse event rate. Further studies are necessary to determine long-term safety and efficacy in both converted and unconverted patients.
Asunto(s)
Embolia Pulmonar/etiología , Embolia Pulmonar/prevención & control , Filtros de Vena Cava , Tromboembolia Venosa/complicaciones , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Diseño de Prótesis , Resultado del TratamientoRESUMEN
OBJECTIVE: To describe a technique for image-guided percutaneous insertion of peritoneal ports in patients without ascites who have undergone surgical debulking for stage III ovarian cancer. MATERIALS AND METHODS: Between 2006 and 2010, 29 intraperitoneal ports were placed percutaneously in 29 patients who presented after debulking surgery for stage III ovarian cancer. Ultrasound and fluoroscopy guidance were used to assist in the port placement. RESULTS: We demonstrated a technical success rate of 100% in 29 patients. The ports remained in place for an average of 186 days; and during that time, only 2 complications (6.9%) arose. One patient presented with kinking and looping of the catheter/port reservoir connection, and the redundant loop was removed. The other patient presented with a suspected wound infection over the port pocket, and the port was removed. CONCLUSIONS: Placement of percutaneous intraperitoneal ports is feasible with an acceptably low complication rate of 6.9% in patients without abdominal ascites.
Asunto(s)
Ascitis/cirugía , Catéteres de Permanencia , Neoplasias Ováricas/cirugía , Anciano , Anciano de 80 o más Años , Bases de Datos Factuales , Femenino , Fluoroscopía , Humanos , Persona de Mediana Edad , Estadificación de Neoplasias , New York , Neoplasias Ováricas/patología , Peritoneo , Estudios Retrospectivos , Resultado del Tratamiento , UltrasonografíaRESUMEN
Uterine artery embolization (UAE) is a safe and effective therapy for women suffering from symptomatic fibroid tumors of the uterus. In order to complete the procedure, the interventionalist must be able to catheterize both uterine arteries from a single femoral puncture site. The uterine arteries are subsequently embolized, or occluded, to stasis by injecting small particles mixed with radio opaque contrast under fluoroscopic guidance. Historically, it has been necessary to use several different catheters of varying shapes, lengths and materials to accomplish the catheterization of both uterine arteries when performing UAE. Every catheter exchange increases the length and difficulty of the procedure. The risk and radiation dose of any interventional radiological procedure is directly proportional to its overall duration. Thus if a single catheter could achieve the objective of catheterizing the bilateral uterine arteries for UAE throughout the procedure, its use would decrease the length of the procedure and consequently decrease the overall risk to the patient, thus representing an improvement over the technology currently available. The purpose of this paper is to outline the anatomical and technical considerations that governed the development of an ideal catheter to perform UAE, the Gandras catheter.
Asunto(s)
Cateterismo/instrumentación , Leiomioma/terapia , Embolización de la Arteria Uterina/instrumentación , Neoplasias Uterinas/terapia , Diseño de Equipo , Femenino , Humanos , Leiomioma/irrigación sanguínea , Dosis de Radiación , Factores de Tiempo , Embolización de la Arteria Uterina/efectos adversos , Embolización de la Arteria Uterina/métodos , Neoplasias Uterinas/irrigación sanguíneaAsunto(s)
Cateterismo Venoso Central , Catéteres Venosos Centrales/efectos adversos , Embolia Aérea/prevención & control , Técnicas Hemostáticas/instrumentación , Vena Cava Superior , Cateterismo Venoso Central/efectos adversos , Cateterismo Venoso Central/instrumentación , Cateterismo Venoso Central/métodos , Embolia Aérea/etiología , Diseño de Equipo , Humanos , PuncionesAsunto(s)
Aneurisma/etiología , Aneurisma/terapia , Secuestro Broncopulmonar/complicaciones , Secuestro Broncopulmonar/terapia , Embolización Terapéutica/instrumentación , Embolización Terapéutica/métodos , Anciano , Aneurisma/diagnóstico por imagen , Secuestro Broncopulmonar/diagnóstico por imagen , Humanos , Masculino , Radiografía , Resultado del TratamientoRESUMEN
BACKGROUND: Intraoperative angiography is routinely utilized for aneurysms and arteriovenous malformations (AVMs) to verify complete occlusion and resection. Surgery for spinal and posterior fossa neurovascular lesions is usually performed in prone position. Intraoperative angiography in the prone position is challenging and there is no standardized protocol for this procedure. OBJECTIVE: To describe our experience with intraoperative angiography in the prone and lateral positions, using upper extremity arterial access. METHODS: We reviewed our experience with intraoperative angiography in the prone position between 2014 and 2015, where vascular access was obtained via the upper extremity arteries. Patients were treated in a hybrid endovascular operating room. High cervical and intracranial lesions were studied via brachial or radial access. All accesses were obtained using ultrasonographic guidance and a small caliber arterial sheath (4F). RESULTS: Five patients were treated in the prone and lateral positions using brachial/radial artery access. Patients harbored cerebellar AVM, lateral medullary AVM, cervical arteriovenous fistula (AVF), tentorial dural AVF, and tentorial-incisural dural AVF. Patients were positioned prone (n = 2), semiprone (n = 2), and lateral (n = 1) for the surgery. Three patients were treated via right brachial artery access. Two patients were treated via radial arteries access. All patients tolerated the procedures without technical or clinical complications. Intraoperative angiography verified complete occlusion and resection in all cases prior to surgical closure. CONCLUSIONS: Intraoperative angiography in the prone and lateral positions using upper extremity access is an important adjunct. Brachial or radial access can be obtained safely and provides comfortable and quick approaches.
Asunto(s)
Malformaciones Arteriovenosas/diagnóstico por imagen , Malformaciones Arteriovenosas/cirugía , Angiografía Cerebral/métodos , Monitoreo Intraoperatorio/métodos , Postura , Arteria Radial/cirugía , Adulto , Anciano , Femenino , Humanos , Imagenología Tridimensional , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Médula Espinal/diagnóstico por imagen , Extremidad Superior/cirugíaRESUMEN
We report our experience with an embolization technique that allows safe, controllable exclusion of pulmonary arteriovenous malformations using detachable coils, a single venous access site, coaxial catheter guidance, and 1 or 2 microcatheters. This technique is particularly useful when treating central lesions with a short feeding artery and when high flow increases the risk of coil migration and nontarget embolization. It affords precise placement and repositioning of coils prior to detachment. The technique facilitates safe and successful endovascular closure of these challenging lesions.
Asunto(s)
Malformaciones Arteriovenosas/terapia , Embolización Terapéutica/métodos , Humanos , Arteria Pulmonar/anomalías , Venas Pulmonares/anomalíasRESUMEN
A bronchobiliary fistula is an abnormal communication between the biliary tree and the airway that can result in debilitating amounts of bilioptysis, or bile-stained sputum. The authors present an approach for the conservative management of a bronchobiliary fistula in a patient who failed traditional conservative therapy and refused surgical intervention.
Asunto(s)
Fístula Biliar/terapia , Fístula Bronquial/terapia , Embolización Terapéutica/métodos , Neoplasias Hepáticas/secundario , Fístula Biliar/diagnóstico , Fístula Bronquial/diagnóstico , Colangiopancreatografia Retrógrada Endoscópica , Neoplasias Colorrectales/patología , Cianoacrilatos , Enbucrilato , Resultado Fatal , Femenino , Humanos , Neoplasias Hepáticas/complicaciones , Persona de Mediana EdadRESUMEN
Massive gastrointestinal hemorrhage secondary to metastatic renal cell carcinoma involving the jejunum is rare but has been previously described in the medical literature. Treatment options for metastatic renal cell carcinoma are limited, but transcatheter arterial embolization can be performed to control gastrointestinal hemorrhage either alone or prior to surgical resection. We describe a case of successful transcatheter arterial embolization for control of massive gastrointestinal hemorrhage secondary to locally recurrent renal cell carcinoma invading the jejunum and review the literature. Arteriography provided both the diagnosis of recurrent disease and the means of therapy.
Asunto(s)
Carcinoma de Células Renales/secundario , Embolización Terapéutica , Hemorragia Gastrointestinal/terapia , Neoplasias del Yeyuno/complicaciones , Neoplasias Renales/patología , Recurrencia Local de Neoplasia/complicaciones , Anciano , Angiografía , Catéteres de Permanencia , Embolización Terapéutica/instrumentación , Hemorragia Gastrointestinal/etiología , Humanos , Neoplasias del Yeyuno/secundario , Masculino , Invasividad Neoplásica , Nefrectomía , Alcohol Polivinílico/uso terapéutico , Tomografía Computarizada por Rayos XRESUMEN
Without scientific evidence, practice has been to avoid placing chest wall ports ipsilateral to axillary lymph node dissection. Because the lymphatic system in the chest wall drains via both the internal mammary and axillary nodes, it seems that this practice might unduly restrict venous access options. Our study was designed to evaluate outcome after placement of chest wall ports ipsilateral to axillary lymph node dissection in patients with breast cancer. Twenty-eight patients were studied in this retrospective two-institution review. The incidence of lymphedema after port placement (3.6%) was no higher than that reported after axillary lymph node dissection alone.