[DJR-117 1.0 CE] Quality Improvement Guidelines for Transarterial Chemoembolization and Embolization of Hepatic Malignancy

Transcatheter liver-directed intraarterial therapy represents an important therapeutic approach in individuals with liver-dominant neoplasms. Transarterial chemoembolization and embolization—the archetypical transarterial embolotherapies in interventional oncology locoregional therapy (LRT)—have gained acceptance and application during the past 4 decades for treatment of various primary hepatic malignancies and secondary cancers and are widely employed in current interventional radiology (IR)…

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[DJR-115 1.0 CE] Paclitaxel-Coated Balloons for the Treatment of Symptomatic Central Venous Stenosis in Dialysis Access: Results from a Randomized Controlled Trial

To compare the clinically-assessed intervention-free period (IFP) of paclitaxel-coated balloon (PCB) vs conventional balloon angioplasty (CBA) for the treatment of symptomatic central venous stenosis (CVS) in dialysis access. Panagiotis M. Kitrou, MD, MSc, PhD, Panagiotis Papadimatos, MD, Stavros Spiliopoulos, MD, PhD, Konstantinos Katsanos, MD, MSc, PhD, Nicolaos Christeas, MD, Elias Brountzos, MD, PhD, andDimitrios Karnabatidis,…

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[DJR-113 1.0 CE] Endovascular Stroke Treatment of Acute Tandem Occlusion A Single Center Experience

To evaluate outcomes and prognostic factors in patients with acute ischemic stroke caused by tandem internal carotid artery/ middle cerebral artery occlusion undergoing endovascular treatment.Fabrizio Sallustio, MD, Caterina Motta, MD, Giacomo Koch, PhD, Silvia Pizzuto, MD, Bruce C.V. Campbell, MBBS, PhD, Marina Diomedi, MD, Barbara Rizzato, MD, Alessandro Davoli, MD, Giorgio Loreni, MD, Daniel Konda, MD,…

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[DJR-161 1.0 CE] The Role of Physician-Driven Device Preference in the Cost Variation of Common Interventional Radiology Procedures

Purpose: To analyze the impact of physician-specific equipment preference on cost variation for procedures typically performed by interventional radiologists at a tertiary care academic hospital.Materials and Methods: From October 2017 to October 2019, data on all expendable items used by 9 interventional radiologists for 11 common interventional radiology procedure categories were compiled from the hospital…

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[DJR-160 1.0 CE] Uterine Artery Embolization in the Twentieth Week of Pregnancy in Abnormally Invasive Placenta with Live Birth

An abnormally invasive placenta is an increasing and potentially life-threatening pregnancy complication. The case presented herein is a heterotopic dichorial pregnancy with implantation of 1 placenta within the isthmocervical area, which caused vaginal bleeding during the 20th week of pregnancy, requiring a blood transfusion. To stop the bleeding, a bilateral embolization of the cervical branches…

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[DJR-159 1.0 CE] Thrombotic Risk Associated with Inferior Vena Cava Filter Placement in Patients with Heparin-Induced Thrombocytopenia

Purpose: This study sought to define thromboembolic risk and mortality in patients with heparin-induced thrombocytopenia (HIT) undergoing inferior vena cava filter (IVCF) placement, in light of the American Society of Hematology’s 2018 guidelines against routine use of IVCFs in this population.Methods: A total of 26 patients with HIT who received IVCFs were retrospectively reviewed, and…

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[DJR-158 1.0 CE] Radiologically Placed Peritoneovenous Shunt is an Acceptable Treatment Alternative for Refractory Ascites Due to End-Stage Liver Disease

Purpose: To compare patients treated with large-volume paracentesis (LVP), transjugular intrahepatic portosystemic shunt (TIPS), and peritoneovenous shunt (PVS) for ascites.Materials and Methods: A retrospective study of 192 patients treated with LVP (94), TIPS (75), or PVS (23) was performed. Records were reviewed for patient characteristics and outcomes. The patients’ age differed (LVP, 59.5 years; TIPS,…

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