Kandarpa Handbook of Interventional Radiology

Kandarpa Handbook of Interventional Radiology

380 Lei (TVA inclus)
Livrare gratis la comenzi peste 500 RON. Pentru celelalte comenzi livrarea este 20 RON.

Cod produs/ISBN: 9781975146269

Disponibilitate: La comanda in aproximativ 4 saptamani

Editura: LWW

Limba: Engleza

Nr. pagini: 832

Coperta: Paperback

Dimensiuni: 127 x 203 mm

An aparitie: 25/06/2023

 

Description:

Focusing on time-tested protocols, tailored imaging and current procedural equipment, this popular, practical handbook by Drs. Krishna Kandarpa, Lindsay Machan, Robert Lewandowski, and Parag J. Patel features extensive updates to keep you current with rapid growth in the field. Now in brilliant full color throughout, Kandarpa Handbook of Interventional Radiologic Procedures, 6th Edition, is a convenient, easy-access guide to all current radiologic procedures. It’s an ideal resource not only for practicing interventional and general radiologists, but also for fellows and residents in training, IR nurses, and special procedure technologists. 

 

Table of Contents:

 

SECTION I: VASCULAR ACCESS

1 Gaining Vascular Access

Retrograde Common Femoral Artery Access and Initial Catheterization

Preparation and Puncture

Catheterization

Antegrade Common Femoral Artery Puncture

Postprocedure Management (1)

Prevention and Management of Complications

Injection Rates and Image-Acquisition Programs

Catheter Angiography

Cone-Beam CT

Considerations for Preprocedure Preparation Prior to Gaining Arterial or Venous Access

2 Vascular Closure Devices

Introduction

Indications

Off-Label Uses for Vascular Closure Device

Contraindications

Procedure

Types of Devices

Selected Device Profiles

Advanced Techniques

Complications (Table 2.7)

Results

Key Take-Home Points

3 Management of Vascular Complications

Introduction

Pseudoaneurysms

Indication

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results (2,3)

Complications (1–3)

Management of Complications (1,3)

Other Access Site Complications (1–5)

Considerations Specific to Radial Access

SECTION II: TRANSARTERIAL PROCEDURES

4 Endovascular Management of Acute Ischemic Stroke

Introduction

Background for EVT

Indications

Contraindications

Absolute

Relative

Preprocedural Preparation

1. Triage, History and Physical Examination

2. Preprocedural Evaluation

3. Imaging Evaluation

Procedure

Postprocedural Management

EVT Procedural Steps for M1 MCA LVO with Primary Combined Approach

Postprocedural Complications

Access Site Complications (2% to 11%)

Neurologic

Cardiac

Respiratory

5 Carotid Artery Stenosis

Introduction

Indications

Contraindications

Preprocedure Workup

Imaging

Procedure Preparation

Intraprocedural Medications

Blood Thinners

Management of Intraprocedural Bradycardia

Intra-Arterial Antihypertensive Medications and Vasospasm Treatment

Management of Hypotension

Equipment

Procedure in Detail

Postprocedure Management

Follow-Up

Complications and Management

Data from Randomized Controlled Trials

6 Vascular Emergencies of the Head and Neck

Introduction

Neurologic and Neurosurgical Disorders

Intracranial Subarachnoid Hemorrhage (SAH) (3)

Clinical Presentation

Noninvasive Imaging

Treatment for Ruptured Intracranial Saccular Aneurysm (4,5)

Treatment of Cerebral Vasospasm (6)

Nontraumatic Cerebral Parenchymal Hemorrhage (IPH) (7)

Otorhinolaryngologic (ENT) Emergencies

Epistaxis (8)

Traumatic Vascular Injuries (9)

Malignant Disease of the Head and Neck (10)

7 Renovascular Hypertension: Endovascular Management

Introduction (1)

Renovascular Hypertension

Indications for Revascularization (4)

Ischemic Nephropathy

Indications for Revascularization (3,4)

Renovascular Hypertension, Ischemic Nephropathy, or Both, with Any of the Following Conditions

Indications (3–6)

Contraindications to Renal Revascularization (3–6)

Renal Artery Balloon Angioplasty

Equipment Suggestions

Preprocedure Preparation

Procedure (Figs. 7.1 and 7.2)

Renal Artery Stenting

Indications (3)

Contraindications (3)

Equipment Suggestions

Preprocedure Preparation

Procedure

Postprocedure Management

Results—Percutaneous Revascularization (3–5,11)

Complications

Renal Artery Denervation (2)

Acknowledgment

8 Acute Mesenteric Ischemia

Introduction

Indications

Contraindications

Preprocedure Preparation and Evaluation

Procedure

Postprocedure Management

Results

Complications

9 Acute Gastrointestinal Hemorrhage

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

10 Aortoiliac Interventions

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Diagnostic Arteriogram

Techniques General to All Interventions

Angioplasty Technique

Stent Placement Technique (Fig. 10.1)

Available Stents

Stent Selection

Special Situations

Postprocedure Management

Results

Intervention, Medical Therapy, and Exercise

Stenting versus Angioplasty

Covered Stent Grafts versus Bare-Metal Stents

Complications and Management

11 Superficial Femoral Artery Interventions

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

12 Infrapopliteal Arterial Interventions

Introduction

Definition of Critical Limb Ischemia

Differential Diagnosis

Pain

Foot Ulceration

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

13 Acute Limb Ischemia: Pharmacomechanical and Thrombolytic Therapy

Intraarterial Catheter-Directed Thrombolytic Therapy

Indications

Contraindications (1–4)

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications During Lytic Agent Infusion

Mechanical Thrombectomy in Acute Limb Ischemia

14 Trauma Management

Introduction

Trauma Care in the Interventional Radiology Space

Hemorrhagic Shock

Contraindications

Assessment of the Trauma Patient

Procedure

Longitudinal Management

Indications

Procedure

Results

Complications

Indications

Procedure

Results

Indications (27,28)

Contraindications

Procedure

15 Thoracic Aortic Aneurysms and Dissections

Introduction

Thoracic Aortic Aneurysm (1–4)

Aortic Dissection (2–4)

Stent-Grafts

Goals of Thoracic Endovascular Aortic Repair

Indications (1–4)

Contraindications (1–4)

Absolute

Relative

Preprocedure Imaging

Measurement Techniques and Imaging Assessment

Selection Criteria for Endograft Repair

Anatomic Criteria

Preprocedure Preparation (1–4)

Device Selection for Descending Thoracic Aortic Aneurysms

Device Selection for Complicated Acute Type B Aortic Dissections

Special Considerations

Procedure

Vascular Access

Descending Thoracic Aortic Aneurysms

Complicated Acute Type B Aortic Dissections

Postprocedure Management

Immediate

Follow-up Imaging Surveillance (1–4)

Results

Descending Thoracic Aortic Aneurysms

Complicated Acute Type B Aortic Dissections (2)

Uncomplicated Type B Aortic Dissections

Complications (1–4,10)

Early

Late

16 Pulmonary Vascular Malformations

Introduction

Indications

Contraindications

Association of PAVM with Hereditary Hemorrhagic Telangiectasia (3,6)

Pathology of PAVM (4)

Clinical Manifestations of PAVM and Fistula (2,3)

Embolotherapy for Pulmonary Arteriovenous Malformation and Fistula

Preprocedure Evaluation: Diagnostic Evaluation for PAVM

Periprocedural Considerations

Procedure (2)

Posttreatment Care

Results (2–4)

Complications and Side Effects

Alternative Treatments for Pulmonary Arteriovenous Malformation

17 Stent-Grafts for Abdominal Aortic Aneurysms

Introduction

Goals of Stent-Graft Therapy

Indications

Contraindications

Preprocedure Imaging

Selection Criteria for Endograft Repair

Anatomic Criteria

Procedure

Postprocedure Management

Results

Complications

Management of Complications

18 Management of Stent-Graft Endoleaks

Endovascular Aortic Aneurysm Repair and Endoleaks

Endoleak Classification (see Table 18.1)

Post-EVAR Imaging Modalities

Surveillance and Management Strategies

Endoleak Treatment

Special Considerations

19 Visceral Aneurysms

Introduction

Etiology (3)

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Embolization Strategies

Organ-Specific Comments

Postprocedure Management

Results

Complications and Their Management

20 The Management of Extracranial Vascular Malformations

Introduction

High-Flow Malformation: AVM

Indications

Contraindications

Absolute

Relative

Preprocedure Imaging and Preparation

Preprocedural Imaging

Preprocedural Preparation

Procedure

General Principles of AVM Embolization

Arterial Endovascular Approach

Nidus Direct Puncture

Retrograde Venous Approach

How to Choose and Manipulate the Embolic Agent

Combining Ethanol with Glue or Onyx

Anatomic Consideration

Renal AVM

Postprocedure Management

Results

Patient Follow-Up

Complications

Management of Complications

Low-Flow Malformations: Venous (VMs) and Lymphatic Malformations (LMs)

Introduction

Indications

Preprocedure Preparation and Imaging

Preprocedural Imaging

Preoperative Preparation

Procedure

Venous Malformation

Lymphatic Malformation

Sclerosant Agents

Detergents

Ethanol

Bleomycin

Doxycycline

Complications

Management of Complications

21 Hepatic Metastases: Chemoembolization

Indications

Contraindications

Preprocedure Preparation

Pretreatment Assessment

Patient Education

Patient Preparation

Procedure

Postprocedure Management

Results

Complications

22 Hepatocellular Carcinoma: Chemoembolization

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Follow-Up

Results

Complications

Management of Complications

Summary

23 Hepatic Malignancies: Radioembolization

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Adverse Events

Management of Complications

24 Uterine Fibroid Embolization

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Uterine Artery Catheterization

Embolization Technique

Postprocedure Management

Results

Complications

Management of Complications

25 Splenic and Renal Embolization

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

26 BPH: Prostatic Artery Embolization

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure (3,4)

Postprocedure Management

Results (2,4,8,10)

Complications and Management (9)

SECTION III: TRANSVENOUS PROCEDURES

27 Temporary Central Venous Access: Peripherally Inserted Central Catheters and Nontunneled Central Venous Catheters

Introduction

Indications (2)

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

General Considerations

PICC Line Placement

Central Venous Catheter Placement

Device Removal

Postprocedure Management

Results

Complications

Management of Complications

Malposition

Pneumothorax

Air Embolus

Great Vessel or Cardiac Perforation

28 Long-Term Central Venous Access: Tunneled Catheters and Subcutaneous Ports

Introduction

Indications (2)

Contraindications

Absolute (1)

Relative (1)

Preprocedure Preparation

Procedure

General Considerations

Tunneled Central Venous Catheters

Chest Port

Device Removal

Exchanging a Nonfunctioning Tunneled Catheter

Postprocedure Management

Results

Complications

Management of Complications

29 Central Venous Access Management

Introduction

Site Care

Catheter Evaluation

Catheter Malfunction

30 Dialysis Fistulae

Introduction

Indications (for Diagnostic Imaging and Intervention)

Contraindications

Absolute

Relative

Preprocedural Preparation

Procedure

Fistulography and Percutaneous Transluminal (Balloon) Angioplasty for Nonmaturing Fistulae

Fistulography and PTA for Failing AVFs

Clearing of Thrombus from Occluded AVFs (“Declotting Procedure”)

Postprocedural Management

Results

Complications

Major

Minor

Management of Complications

31 Dialysis Grafts

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedural Preparation

Procedure

Fistulography and Angioplasty for Failing AVGs

Clearing of Thrombus from Occluded AVGs (Declotting Procedures)

Postprocedural Management

Results

Complications and Management of Complications

32 Dialysis Catheter Management

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Basic Considerations

Selection of Catheter Insertion Site

Evaluation of Catheter Insertion Site

Selection of a Hemodialysis Catheter

Procedure

Insertion of Tunneled Hemodialysis Catheter

Removal of a Tunneled Hemodialysis Catheter

Exchange of a Tunneled Hemodialysis Catheter

Postprocedure Management

Results

Complications/Management

33 Venography

Introduction

Indications

Lower Extremity Venography

Upper Extremity Venography

Contraindications

Relative

Preprocedure Preparation

Procedure

Lower Extremity Ascending Venography (4,5)

Upper Extremity Venography (7)

CO2 Venography (7,8)

Postprocedure Management

Results

Complications

34 Pulmonary Embolism: Endovascular Interventions

Introduction

Diagnosis of Pulmonary Embolism

Treatment of Pulmonary Embolism

Pulmonary Thrombolysis and Thrombectomy

Indications

Contraindications

Preprocedure Preparation

Procedure

Venous Access

Selective Catheters

Measure Right Heart Pressures

Arteriographic Technique

Catheter-Directed Thrombolysis

Catheter Thrombectomy, Aspiration, and Maceration

Postprocedure Management

Catheter-Directed Thrombolysis

Catheter Thrombectomy, Aspiration, and Maceration

Data and Complications

Catheter-Directed Thrombolysis

Catheter Thrombectomy, Aspiration, and Maceration

Chronic Pulmonary Thromboembolic Disease

Conclusions

35 Vena Caval Filters

Introduction

Filter Placement

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

Optional Filter Retrieval or Mechanical Conversion

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results (11)

Complications (11,12)

Management of Complications (11,12)

36 Acute Extremity DVT: Thrombectomy and Thrombolysis

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

37 Endovascular Management of Chronic Deep Venous Obstructive Disease

Introduction

Chronic Lower Extremity Deep Venous Disease

Chronic Upper Extremity Deep Venous Disease/Thoracic Central Venous Obstruction

Indications

Postthrombotic Lower Extremity Deep Venous Obstruction

Nonthrombotic Lower Extremity Deep Venous Obstruction

Thoracic Central Venous Obstruction

Contraindications

Preprocedure Preparation

Postthrombotic Lower Extremity Deep Venous Obstruction

Nonthrombotic Lower Extremity Deep Venous Obstruction

Thoracic Central Venous Obstruction

Procedure

Postthrombotic Lower Extremity Deep Venous Obstruction

Variations to the Procedure for Nonthrombotic Lower Extremity Deep Venous Obstruction

Variations to the Procedure for TCVO

Postprocedure Management

Results

Complications

38 Transvenous Biopsy

Introduction

Indications

Contraindications

Relative

Preprocedure Preparation

Procedure

Transvenous Biopsy of Perivascular/Retroperitoneal Tumors (6)

Postprocedure Management

Results

Complications

Management of Complications

39 Preoperative Hepatic Augmentation

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Variations

Postprocedure Management

Results

Complications

40 Transjugular Intrahepatic Portosystemic Shunts

Introduction

Indications (1–5)

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

41 Retrograde Transvenous Obliteration of Varices

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Balloon-Occluded Retrograde Transvenous Obliteration (Fig. 41.2)

Plug/Coil-Assisted Retrograde Transvenous Obliteration (PARTO/CARTO) (Fig. 41.3)

Postprocedure Management

Results (8–10)

Complications

42 Varicocele Embolization

Introduction (1,2)

Indications (5,6)

Contraindications

Preprocedure Preparation

Procedure (2,5)

Postprocedure Management

Results (2,7)

Complications

43 Ovarian and Pelvic Vein Embolization

Introduction (1–3)

Indications

Contraindications

Preprocedure Preparation

Pretreatment Assessment (4,5)

Patient Preparation

Procedure (6–8)

Postprocedure Management

Complications

Results (9,10)

44 Thermal and Nonthermal Saphenous Vein Ablation

Introduction

Thermal versus Nonthermal Ablation

Anatomy of Superficial Veins of the Leg

Indications

Contraindications

Absolute

Relative

Preprocedural Evaluation

Preprocedure Preparation

Procedure

Thermal Ablation

VenaSeal Cyanoacrylate Closure

Mechanicochemical Ablation

Polidocanol Endovenous Microfoam (Varithena)

Postprocedure Management

Results

Complications

45 Varicose, Perforator, and Spider Veins: Liquid Ablation and Microphlebectomy

Introduction (1,2)

Sclerotherapy

Indications (1,3)

Contraindications

Preprocedure Preparation

Procedure (2,4)

Postprocedure Management

Results

Complications (7)

Management of Complications (8)

Microphlebectomy

Indications

Contraindications (9)

Preprocedure Preparation

Procedure (9)

Postprocedure Management

Results

Complications (8,10)

Management of Complications

SECTION IV: NONVASCULAR PROCEDURES

46 Biopsy Procedures of the Lung, Mediastinum, and Chest Wall

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Common

Infrequent

Rare

47 Catheter Drainage of Intrathoracic Collections

Introduction

Indications

Contraindications

Choice of Drainage Catheter (1–3,5–8)

Preprocedure Preparation

Technique

Malignant Pleural Effusion (1–3,5,8)

Parapneumonic Effusions and Empyema (2,5–7,9,10)

Lung Abscess (2,5,6,7,10)

48 Lymphatic Interventions

Introduction

Indications for TDE

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

49 Percutaneous Abdominal Biopsy

Introduction

Indications

Contraindications (1)

Preprocedure Assessment and Patient Preparation

Procedure

Intraprocedure Preparation

Procedure (1)

Postprocedure Management

Pathology Results

Adverse Events

Genomics (10)

50 Drainage of Abdominal Abscesses and Fluid Collections

Introduction

Indications

Contraindications

Absolute (1,2)

Relative (1,2)

Preprocedure Preparation

Imaging Guidance

Procedure

Complications

Major (1)

Minor (1)

Catheter Care

Catheter Removal

Results

51 Percutaneous Gastrostomy, Percutaneous Gastrojejunostomy, Jejunostomy, and Cecostomy

Percutaneous Enteral Tubes

Types of Tubes

Percutaneous Gastrostomy

Indications (1–5)

Contraindications (1–5)

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Percutaneous Gastrojejunostomy

Conversion of a Mature PG Tube to PGJ Tube

Primary Placement of a PGJ Tube

Percutaneous Jejunostomy

Percutaneous Cecostomy

52 Percutaneous Biliary Interventions

Introduction

Preprocedural Preparation

Percutaneous Transhepatic Cholangiography (PTC)

Indications

Contraindications

Procedure

Postprocedure Management

Success Rate

Complications and Their Management

Percutaneous Transhepatic Biliary Drainage (PTBD)

Indications

Contraindications

Procedure

Postprocedure Management

Success Rate

Complications and Management of Complications

Percutaneous Transjejunal Cholangiography and Endoscopy

Indications

Contraindications

Procedure

Postprocedure Management

Success Rate

Complications and Management of Complications

Biopsy

Brush Biopsy

Endoscopic

Percutaneous Fluoroscopic/Ultrasound-Guided Biopsy

Percutaneous Cholangioplasty

Indications

Contraindications

Procedure

Postprocedure Management

Success Rate

Complications and Management of Complications

Percutaneous Stent Placement

Indications

Contraindications

Procedure

Postprocedure Management

Success Rate

Complications and Management of Complications

Pediatric Biliary Interventions

Combined Procedures

Percutaneous Cholecystostomy (PC)

Indications

Contraindications

Procedure

Postprocedure Management

Success Rate

Complications and Management of Complications

53 Percutaneous Nephrostomy and Antegrade Ureteral Stenting

Introduction

Indications (1–4)

Contraindications

Absolute

Relative

Specific to Antegrade Ureteral Stents

Preprocedure Preparation

Procedure

Percutaneous Nephrostomy

Nephroureterostomy (Nephroureteral Stent) Placement

Antegrade Ureteral Stent Placement

Retrograde Nephrostomy

Removal or Exchange of PCN or Nephroureterostomy

Exchange of Ureteral Stents

Postprocedure Management

Results

Complications and Management (1–4)

Major: 4.0%

Minor: 15%, Usually Without Sequelae

Complications Specific to Antegrade Ureteral Stent Placement

54 Lymphocele and Cyst Drainage and Sclerosis

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Diagnosis

Aspiration and Drainage

Sclerotherapy

Postprocedure Management

Results

Complications

Major

Minor

55 Pulmonary Tumor Ablation

Introduction

Lung Cancer

Indications

Biopsy-Proven Malignancy

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications and Management

56 Hepatic Tumor Ablation

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

57 Renal Tumor Ablation

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

58 Musculoskeletal Biopsies, Aspirations, and Injections

Biopsies

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

Joint Injections and Aspirations

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

Soft Tissue Aspiration and Sclerosis

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

59 Musculoskeletal (MSK) Ablation

Introduction

Radiofrequency Ablation (RFA)

Microwave Ablation (MWA)

Cryoablation (CA)

Combination Procedures

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

60 Osteorestorative Techniques

Overview

61 Musculoskeletal Pain and Palliative Procedures

Spinal Injections

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results (1)

Complications

Management of Complications

Palliative Nerve Blocks, Neurolysis, and Ablations

Ganglion Blocks/Neurolysis

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

Sympathetic Neurolysis (9)

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Management of Complications

Peripheral Nerve Blocks (PNB) and Neurolysis

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure (Figs. 61.9 to 61.11)

Postprocedure Management

Results

Management of Complications

SECTION V: INTRAPROCEDURAL PATIENT MANAGEMENT

62 Safety in IR

Introduction

Universal Protocol

Indications

Exemptions to Universal Protocol

Preprocedure Verification

Site Marking

Time-Out

Documentation

63 Sedation, Analgesia, and Anesthesia

Introduction

Analgesia and Anesthesia: Options and Indications

Patient Evaluation

Recommended Monitoring (Table 63.1)

Required Resuscitation Equipment

Medication Prior to Procedure

Techniques of Sedation, Analgesia, and Anesthesia During the Procedure

Local Anesthesia

Local Anesthesia with Sedation/Analgesia

Neuraxial Anesthesia

General Anesthesia

Other Procedural Considerations

Postprocedure Management

64 Drug Administration

Preprocedural Considerations

Procedural Considerations

Recovery and Postprocedure Care

Dosage Calculations

Units (Table 64.1)

Calculating Infusion Doses

65 Contrast Media Reactions: Treatment and Risk Reduction

General Principles (1,2)

Know the Patient

Recognize That There Is a Problem

Be Prepared to Deliver Treatment Quickly and Call for Help Early

Treatment of Adverse Reactions (Table 65.1)

Prophylaxis for Contrast Media Reactions (8)

66 Contrast-Induced Nephropathy: Prevention and Management

Introduction

Pathophysiology

Diagnosis

Incidence

Natural History

Risk Factors

Patient Preparation

Prophylaxis

The Role of Specific Contrast Agents

Other Considerations

SECTION VI: NONINVASIVE EVALUATION AND DIAGNOSTIC IMAGING

67 Noninvasive Physiologic Evaluation: Lower Extremity Arteries

Segmental Pressure Measurements of the Lower Extremity: Ankle–Brachial Index and Stress Testing

Indications (1,2)

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Limitations and Artifacts

Pulse Volume Recordings

Indications

Contraindications

Preprocedure Preparation

Procedure

Results (6,7)

Complications

68 Duplex Ultrasound Imaging of Carotid and Peripheral Arteries

Carotid Artery Disease

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Peripheral Arterial Disease

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Lower Extremity Bypass Grafts

Indications

Contraindications

Pre-Procedure Preparation

Procedure

Postprocedure Management

Results

Complications

69 Duplex Ultrasound of the Abdominal Vasculature

Introduction

Abdominal Aortic Aneurysm

Transjugular Intrahepatic Portosystemic Shunt

Liver Transplant Evaluation

Renal Transplant Evaluation

Renal Artery Evaluation

Visceral Artery Evaluation

70 Color Doppler and Ultrasound Imaging of Peripheral Veins

Veins of the Lower Extremity

Indications

Contraindications

Preprocedure Preparation

Detection of Deep Vein Thrombosis

Saphenous Vein Mapping Prior to Infrainguinal Bypass Procedures (5–7)

Detection and Segmental Evaluation of Venous Reflux

Veins of the Upper Extremity

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results (10)

Complications

71 Magnetic Resonance Angiography

Introduction

Preprocedure Preparation

Procedure

Standard MRA Examinations (see also Appendix D for Common Protocols)

72 Computed Tomographic Angiography

Choice of Appropriate Modality

Preprocedure Preparation

Procedure (see Appendix E for Common CTA Protocols)

APPENDICES

Appendix A: Vascular Anatomy

Pulmonary Artery Segmental Branches

Abdominal Aorta

Common Locations of Abdominal Aortic Branches

Arteries of the Pelvis

Collateral Pathways in Aortoiliofemoral Occlusive Disease

Common Collateral Pathways

Arteries of the Upper Extremity

Intracranial Arteries

Appendix B: Nursing Checklist

Preprocedure Nursing Evaluation Checklist

Appendix C: Hemodynamic Monitoring and Cardiovascular Pressures

Right Heart Catheterization

Technique

Complications

Right Heart and Pulmonary Artery Pressure Waveforms

Left Heart Catheterization

Technique

Complications

Left Heart and Aortic Pressure Waveforms

Clinical Significance of Waveforms

Right Atrial Pressure

Right Ventricular Pressure

Pulmonary Arterial Pressure

Pulmonary Capillary Wedge Pressure/Left Atrial Pressure

Left Ventricular Pressure

Aortic Pressure/Systemic Arterial Pressure

Respiratory Effects

Appendix D: Common Magnetic Resonance Angiography Protocols

Appendix E: Computed Tomographic Angiography

Commonly Used Protocols for Standard Computed Tomographic Angiography Examinations

Appendix F: Contrast Media Table

Appendix G: Carotid Stenting Data Tables

INDEX

e-73 Radionuclide Evaluation for Interventional Radiologists

Ventilation–Perfusion Pulmonary Scintigraphy

Indications

Precautions

Preprocedure Preparation

Procedure

Postprocedure Management

Results (1)

Complications

Gastrointestinal Bleeding Studies

Indications

Precautions/Limitations

Preprocedure Preparation

Procedure (2)

Results (2)

Captopril-Enhanced Renal Scintigraphy for Diagnosis of Renovascular Hypertension

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Diuretic Renal Scintigraphy

Indications (9)

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Limitations

e-74 PET/CT for Oncologic Interventions

Introduction

PET/CT Imaging with 18F-FDG

Indications

Contraindications

Patient Preparation

Procedure

PET/CT Tumor Treatment Assessment

Hepatocellular Cancer, Intrahepatic Cholangiocarcinoma, and Hepatic Metastases

Lung Cancer

Bone Tumors

Renal Cell Cancer

Conclusion

e-75 Clinical Evaluation of the Cancer Patient

Patient Assessment

Patient Triage

Patient Follow-Up

e-76 Cancer Imaging for Interventional Radiologists

Introduction

Lung Cancer

Hepatocellular Carcinoma

Hepatic Metastasis

Renal Cell Carcinoma

Adrenal Metastasis

Pancreatic Cancer

SECTION VII: SPECIAL INTERVENTIONS

e-77 Pediatric Angiography

Preprocedure Preparation (1)

Procedure (1)

Postprocedure Management

Complications

Prevention and Management of Complications (4)

e-78 Bronchial Artery Embolization

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

e-79 Tracheobronchial Stents

Introduction

Indications

Contraindications

Preprocedure Preparation

Anatomy

Stent Properties

Procedure

Postprocedure Management

Results

Complications

Management of Complications

Appendix

Nature of the Problem

Recommendations

Reporting Adverse Events to FDA

e-80 Esophageal Stents

Introduction

Indications

Contraindications

Relative

Preprocedure Preparation

Procedure

Stent Placement (Fig. e-80.1A–F)

Stent Removal (Fig. e-80.2A–F)

Postprocedure Management

Postplacement

Postretrieval

Results

Malignant Esophageal Strictures

Benign Esophageal Strictures

Management of Complications

e-81 Gastroduodenal Stent Placement

Introduction

Indications

Contraindications

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Technical Success

Clinical Success

Complications and Management

e-82 Colorectal Stent Placement

Introduction

Indications (2)

Contraindications (2,10)

Preprocedure Preparation

Procedure (2,10)

Postprocedure Management (2,10)

Results

Technical Success

Clinical Success

Complications and Management

e-83 Retrieval of Intravascular Foreign Bodies

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Management of Complications

e-84 Liver Transplant Management

Introduction

Indications (1,2,4–6)

Contraindications

Relative

Preprocedure Preparation

Procedure

Hepatic Artery Interventions

Venous Outflow Interventions

Portal Venous Interventions

Portal Hypertension (3,10)

Postprocedure Management

Results (1,3,5–8)

Complications/Management (1,5–8)

e-85 Selective Salpingography and Fallopian Tube Recanalization

Indications

Diagnostic Selective Salpingography (1,2)

Therapeutic Fallopian Tube Recanalization (3)

Contraindications

Absolute

Relative

Preprocedure Preparation

Pretreatment Assessment

Patient Education

Patient Preparation

Procedure (2,5)

Postprocedure Management

Complications

Results (6,7)

Technical Success

Pregnancy

e-86 Endovascular Management of Obstetric Hemorrhage

Introduction

Indications

Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results

Complications

Prevention and Management of Complications

e-87 Peritoneal Dialysis

Introduction

Indications

Contraindications (1,3)

Absolute

Relative

Preprocedure Preparation

Procedure (5)

Postprocedure Management

Results

Complications (9,10)

Procedural Complications

Late Complications

e-88 Management of Recurrent Ascites

Indications

Paracentesis

Tunneled Peritoneal Catheters

Contraindications

Absolute

Relative for Tunneled Peritoneal Catheters Specifically

Preprocedure Preparation

Tunneled Peritoneal Catheter Placement

Postprocedure Management

Results

Complications and Management

Paracentesis (8)

Peritoneal Catheter

e-89 Adrenal Vein Sampling

Introduction (1–7)

Indications

Absolute Contraindications

Preprocedure Preparation

Procedure

Postprocedure Management

Results (2,8)

Complications

Management of Complications

e-90 Genicular Artery Embolization

Introduction

Indications

Contraindications

Absolute

Relative

Preprocedure Preparation

Procedure

Room and Patient Preparation

Femoral Artery Access

Catheterization

Postprocedure Management

Results

Complications and Management

SECTION VIII: MATERIALS AND METHODS

e-91 Intravascular Contrast Media

Patient Evaluation Prior to Contrast Administration: Areas Requiring Specific Attention (1–4)

Principles for Intravascular Contrast Agent Administration (1–6)

Reactions to Intravascular Contrast Agents

Steps to Prevent Contrast Reactions

Alternatives to Iodinated Contrast Agents

e-92 Angiographic Equipment Selection and Configuration

Imaging Equipment for Angiography

Generators

X-Ray Tubes

Patient Tables

Gantry Stands

Displays

Contrast Injector

Image Chain

Image Data Processing

Acceptance Testing and Quality Control

e-93 Standard Angiography/Interventional Procedure Tray Contents

Introduction

Procedure Tray Content

Sterile Table Equipment (see Fig. e-93.1)

Solutions (for Flush/Irrigation)

Personal Protective Equipment

e-94 Needles, Guidewires, Catheters, and Stents

Introduction

Needles

Guidewires

Guidewire Handling

Vascular Catheters

Determination of Flow Rate and Bursting Pressure

Catheters: Technical Facts and Precautions

Nonvascular Catheters

Drainage Catheters

Enteral Drainage Catheters

Gastrostomy, Gastrojejunostomy, and Jejunostomy Catheters

Dilatation Balloons

Stents

Stent Grafts

e-95 Embolization: Materials

Introduction

Indications for Embolization (1)

Mechanical Occlusive Devices

Particulate Embolic Agents

Liquid Embolic Agents

e-96 Commonly Used Medications

Analgesics

Lidocaine Hydrochloride (Xylocaine)

Antibiotics

Background

Organisms and Suggested Antibiotics

Common Procedures

Preprocedural Antibiotics

Anticoagulants (Tables e-96.2 and e-96.3)

Low–Molecular-Weight Heparin (LMWH)

Fondaparinux (Arixtra)

Heparin

Warfarin Sodium (Coumadin)

Direct Thrombin Inhibitor (DTI)

Direct Oral Anticoagulants (DOACs)

Reversal Agents

Antiplatelets

Abciximab (ReoPro)

Acetylsalicylic Acid (Aspirin)

Clopidogrel Bisulfate (Plavix)

NSAIDs

Eptifibatide (Integrilin)

Periprocedural Care (see Tables e-96.2 and e-96.3)

Antiemetics

5-HT3 Receptor Antagonists (Ondansetron [Zofran])

Primary H1 Receptor Antagonist (Promethazine [Phenergan], Hydroxyzine [Atarax], Diphenhydramine [Benadryl], Meclizine [Antivert])

D2-Receptor Antagonist (Prochlorperazine [Compazine], Metoclopramide [Reglan])

Primary Muscarinic Receptor Antagonist (Scopolamine Patch [Transderm Scop])

Antihistamines

Antiinflammatories

Ketorolac Tromethamine (Toradol)

Glucocorticoids (Corticosteroids)

Contrast Reaction Medications (Tables e-96.5 and e-96.6)

Antihistamines (Diphenhydramine)

Beta 2-Adrenergic Receptor (Albuterol)

Glucocorticoids (Corticosteroids)

Opioids (see Table e-96.8)

Fentanyl Citrate (Sublimaze)

Hydromorphone HCl (Dilaudid)

Meperidine Hydrochloride (Demerol)

Morphine Sulfate (MSO4)

Sedatives

Benzodiazepines (see Table e-96.9)

Thrombolytic Agents (Table e-96.10)

Recombinant Tissue Plasminogen Activator (Alteplase)

Tenecteplase (TNKase)

Reteplase (Retavase, Rapilysin)

Urokinase

Vasoconstrictors

Vasopressin (Pitressin)

Vasodilators

Nifedipine (Procardia)

Nitroglycerin (Nitro-Bid IV)

Tolazoline Hydrochloride (Priscoline)

SECTION IX: RISK MANAGEMENT

e-97 Obtaining and Documenting Informed Consent

Introduction

Foundations of the Doctrine of Informed Consent

Obtaining Informed Consent

Essential Elements of Discussion

Documenting the Informed Consent Conversation

Emergency Exception

Practical Tips

Conclusion

e-98 Quality Initiatives and Clinical Practice Guidelines: General Principles

Introduction

Quality Initiatives

History of Quality Improvement

Definition of Quality

Legislation

Clinical Practice Guidelines

History of Clinical Practice Guidelines

Current Development Standards

Quality and Guidelines in the Practice of Interventional Radiology

e-99 Radiation Safety in Interventional Radiology

Primary Safety Principles

Radiation Biology and Radiation Effects

Radiation Dose Measurement

Protecting the Patient (4,7)

Patient Radiation Management (4,7)

Protecting the Operator (1,4,10)

e-100 Infection Control and Sterile Technique in Interventional Radiology

Introduction

Definitions

Aseptic Technique and Environmental Controls

SECTION X: NURSING MANAGEMENT

e-101 Periprocedural Care of the Interventional Radiology Patient

Introduction

Preprocedure Nursing Phone Interview

Procedure Day

Preprocedure Nursing Interview

Preprocedure Preparation by Advanced Practice Provider

Preprocedure Laboratory Studies

Coagulation Testing Guidelines

Preprocedural Review of Systems and Medical History by Advanced Practice Providers

Provider Evaluation

Preprocedure Nurse-to-Nurse Hand-Off

Intraprocedural Nursing Care

Intraprocedural Nurse Monitoring/Care

Continuous Cardiac Monitoring

Maintaining Fluid Balance

Continuous Surveillance of Respiratory Status

Psychosocial Support

Communication/Hand-Off Report to Receiving Department (Inpatient and Outpatient)

Postprocedural Nursing Responsibilities

Discharge Criteria for Outpatient

e-102 Organization and Operation of the Interventional Radiology Clinic

Introduction

Clinical Considerations and Organization of IR Clinic

Service Lines

Scheduling

Clinical Assessment and Coordination of Care

Patient Education

Provider Communication

Operational Considerations

Staffing Considerations

Role of the APP

Infrastructure and Clinic Design

Documentation

Billing and Coding

Building a Referral Network and Practice Promotion

Telehealth

e-103 The Management of External Drainage Catheters

Introduction

The Components of External Drainage Catheter System

Skin Care/Wound Dressing

General Catheter Observations

Flushing the Catheter

Catheter-Related Issues and Considerations

Recording Outputs

Readying the Patient for Discharge

Follow-Up Care

Things Patient Should Bring to Next Appointment

 


An aparitie 25/06/2023
Autor Robert Lewandowski, Lindsay Machan, Parag Patel, KRISHNA KANDARPA
Dimensiuni 127 x 203 mm
Editura LWW
Format Paperback
ISBN 9781975146269
Limba Engleza
Nr pag 832
Versiune digitala DA

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