Subject(s)
Chyle , Embolization, Therapeutic/methods , Lymphatic Diseases/therapy , Sclerotherapy/methods , Thoracic Duct , Aged , Enbucrilate/administration & dosage , Ethiodized Oil/administration & dosage , Gelatin Sponge, Absorbable/administration & dosage , Humans , Lymphatic Diseases/diagnostic imaging , Lymphatic Diseases/urine , Male , Sclerosing Solutions/administration & dosage , Sodium Tetradecyl Sulfate/administration & dosage , Thoracic Duct/diagnostic imaging , Treatment Outcome , UrineABSTRACT
Endovascular treatment of venous disease encompasses a broad range of interventions. Both central and peripheral venous interventions can range from the simple to the complex which increases the need for proper patient selection, procedural planning and technical proficiency. The following article will discuss the importance of avoiding, recognizing and addressing complications associated with venous interventions. Our goal is to raise awareness and educate to help the reader improve performance.
Subject(s)
Endovascular Procedures/adverse effects , Radiography, Interventional , Vascular Diseases/therapy , Extremities/blood supply , Humans , Patient Care Planning , Patient Selection , Pulmonary VeinsABSTRACT
Portal venous interventions comprise a large portion of many Interventional Radiology practices today, and remain some of the more technically challenging cases in one's repertoire of procedures. The patients upon whom these procedures are performed are often critically ill, have decompensated disease, or are burdened with comorbid conditions such that they are poor surgical candidates. This leaves them with few options outside the care of Interventional Radiology. Some portal venous interventions, such as transjugular intrahepatic portosystemic shunt, have an established history of excellent clinical success with numerous technical advancements over the years helping to improve outcomes. Others, like balloon occlusion sclerotherapy or portal venous recanalization, are less well established but are nonetheless invaluable in the treatment of portal venous diseases. The goal of this article is to help dispel some of the anxiety experienced by individuals performing the three main procedures of the portal venous system, namely transjugular intrahepatic portosystemic shunt, balloon-occlusion retrograde transvenous obliteration, and portal vein embolization.
Subject(s)
Balloon Occlusion/methods , Embolization, Therapeutic/methods , Medical Errors/prevention & control , Portal Vein , Portasystemic Shunt, Transjugular Intrahepatic/methods , Postoperative Complications/diagnosis , Postoperative Complications/therapy , Radiography, Interventional , Sclerotherapy/methods , Embolization, Therapeutic/adverse effects , Humans , Iatrogenic Disease , Sclerotherapy/adverse effectsABSTRACT
Extra-corporeal membrane oxygenation (ECMO) is a well-established treatment for cardiopulmonary failure. Based on the requirement for cardiac and or respiratory support different configurations of ECMO circuits are utilized. Vascular complication of ECMO constitutes the most important determinant of treatment outcomes. The complications are primarily related to limb ischemia, vascular injury, hemorrhage, and infection. Endovascular and surgical treatment options are the cornerstone for managing vascular complications of ECMO.
