SECTION 1: GENERAL PRINCIPLES
PROCEDURAL CONSIDERATIONS
4 Pharmacologics
Chad Davis, MD and Brandt C. Wible, MD
10 Preprocedure Imaging
Joseph A. Ronsivalle, DO, FSIR and Suhny Abbara, MD,
FACR, FSCCT
18 Procedural Patient Management
Keith B. Quencer, MD
22 Radiation Safety
Chad Davis, MD and Brandt C. Wible, MD
PROCEDURAL TECHNIQUES
26 Angioplasty
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
34 Thrombolysis
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
46 Embolization
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
58 Stents: Vascular
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
70 Stents: Nonvascular
Brandt C. Wible, MD and Ashraf Thabet, MD
74 Embolic Protection
T. Gregory Walker, MD, FSIR
82 Atherectomy
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
SECTION 2: VENOUS, PORTAL, AND
LYMPHATIC
VENOUS ACCESS
90 Venous Access
Anatoly Loskutov, MD and Brandt C. Wible, MD
104 Peripherally Inserted Central Catheters
Anatoly Loskutov, MD and Brandt C. Wible, MD
110 Catheters, Nontunneled and Tunneled
Anatoly Loskutov, MD and Brandt C. Wible, MD
124 Ports
Anatoly Loskutov, MD and Brandt C. Wible, MD
VENOUS INTERVENTIONS
134 Upper Extremity and Central Venous Intervention
Brandt C. Wible, MD, Scott M. Brannan, MD, and Stephan
Wicky, MD
148 Lower Extremity Veins and IVC Intervention
Brandt C. Wible, MD
162 Vena Cava Filter Placement and Retrieval
Nathan Saucier, MD and Gloria M. Salazar, MD
174 Intravascular Foreign Body Retrieval
Rahmi Oklu, MD, PhD, Chad Davis, MD, and Brandt C.
Wible, MD
178 Pelvic Congestion Syndrome
Brandt C. Wible, MD and Gloria M. Salazar, MD
188 Varicocele
Keith B. Quencer, MD
196 Venous Sampling and Venography: Renal and
Adrenal
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
202 Venous Sampling and Venography: Endocrine,
Nonadrenal
T. Gregory Walker, MD, FSIR and Brandt C. Wible, MD
206 Ambulatory Phlebectomy and Sclerotherapy
Joseph A. Ronsivalle, DO, FSIR
210 Saphenous Vein Ablation
Joseph A. Ronsivalle, DO, FSIR
218 Vascular Malformations
Christopher Bailey, MD, Scott R. Shuldiner, BS, and
Clifford R. Weiss, MD, FSIR
HEMODIALYSIS ACCESS MAINTENANCE
228 Hemodialysis Access Surveillance and Intervention
Keith B. Quencer, MD
244 Hemodialysis Access Declotting Procedures
Keith B. Quencer, MD and Steven Wu, MD
252 Peritoneal Dialysis Catheter Placement and
Maintenance
Keith B. Quencer, MD
PORTAL VENOUS INTERVENTIONS
254 Transjugular Biopsy
Jennifer R. Buckley, MD and Nathan Saucier, MD
258 TIPS
Nathan Saucier, MD and Suvranu Ganguli, MD
272 Balloon Occlusion Variceal Ablation
Brandt C. Wible, MD
282 Portal Vein Embolization
Nathan Saucier, MD and Jennifer R. Buckley, MD
290 Portal and Hepatic Venous Thrombosis
Jennifer R. Buckley, MD and Brandt C. Wible, MD
LYMPHATIC INTERVENTIONS
298 Lymphography
Nikhil Bhagat, MD and Suvranu Ganguli, MD
302 Thoracic Duct Embolization
Nikhil Bhagat, MD and Suvranu Ganguli, MD
SECTION 3: ARTERIAL
GENERAL CONSIDERATIONS
308 Arterial Access
Chad Davis, MD and Brandt C. Wible, MD
318 Closure Devices
Derek S. Vien, MD and T. Gregory Walker, MD, FSIR
324 Access Site Complications Management
Jennifer R. Buckley, MD and Brandt C. Wible, MD
330 Vasculitis
Brandt C. Wible, MD and Jacob Fleecs, MD
AORTA
332 Thoracic Aorta and Great Vessels
Kalie Adler, DO, Brandt C. Wible, MD, and Zubin Irani, MD
342 Upper Extremity Arteries: Revascularization
Zubin Irani, MD, T. Gregory Walker, MD, FSIR, and Brandt
C. Wible, MD
352 Upper Extremity Arteries: Exclusion
Zubin Irani, MD and T. Gregory Walker, MD, FSIR
358 Abdominal Aorta
T. Gregory Walker, MD, FSIR
368 Upper Gastrointestinal Hemorrhage
Andrew Kolarich, Yvonne Tsitsiou, and Christos
Georgiades, MD, PhD
382 Lower Gastrointestinal Hemorrhage
Andrew Kolarich, Yvonne Tsitsiou, and Christos
Georgiades, MD, PhD
396 Mesenteric Ischemia
Brandt C. Wible, MD and Raymond W. Liu, MD
410 Other Visceral Artery Interventions
Franklin Nwoke, MD and Raymond W. Liu, MD
420 Renal Arteries: Revascularization and Exclusion
Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR
448 Renal Arteries: Exclusion
Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR
462 Pelvic Arteries: Revascularization
T. Gregory Walker, MD, FSIR
474 Pelvic Arteries: Exclusion
T. Gregory Walker, MD, FSIR
486 Uterine Artery Embolization
Brandt C. Wible, MD and Gloria M. Salazar, MD
494 Prostate Artery Embolization
Chad Davis, MD
496 Infrainguinal Arteries: Revascularization
Keith B. Quencer, MD
510 Infrainguinal Arteries: Exclusion
T. Gregory Walker, MD, FSIR
522 Chronic Total Occlusion Revascularization
T. Gregory Walker, MD, FSIR
AORTIC ENDOGRAFTS
534 Abdominal Aortic Endografts
T. Gregory Walker, MD, FSIR
546 Thoracic Aortic Endografts
Brandt C. Wible, MD, Zubin Irani, MD, and T. Gregory
Walker, MD, FSIR
556 Endoleak Repair
T. Gregory Walker, MD, FSIR
PULMONARY VASCULATURE
568 Pulmonary Arteries: Revascularization (PE
Thrombolysis)
Christopher Bailey, MD and Clifford R. Weiss, MD, FSIR
574 Pulmonary Arteries: Exclusion (Pulmonary AVM)
Christopher Bailey, MD, Madhavi Duvvuri, BA, MPhil, and
Clifford R. Weiss, MD, FSIR
582 Bronchial Artery Embolization
Mandeep S. Dagli, MD and T. Gregory Walker, MD, FSIR
CRANIAL REVASCULARIZATION
590 Stroke Therapy
Jared Halpin, MD and Coleman O. Martin, MD
598 Carotid or Vertebral Angioplasty/Stenting
Jared Halpin, MD, Coleman O. Martin, MD, and T. Gregory
Walker, MD, FSIR
SECTION 4: NONVASCULAR
GENERAL CONSIDERATIONS
608 Biopsy Procedures
Jennifer R. Buckley, MD and Brandt C. Wible, MD
620 Drainage Procedures
Brandt C. Wible, MD and Ashraf Thabet, MD
GASTROINTESTINAL INTERVENTIONS
634 Gastrostomy/Gastrojejunostomy
Kalie Adler, DO and Brandt C. Wible, MD
646 Gastrointestinal Balloon Dilatation and Stenting
Ashraf Thabet, MD and Brandt C. Wible, MD
BILIARY INTERVENTIONS
652 Transhepatic Biliary Interventions
Brian Holly, MD and Ashraf Thabet, MD
664 Cholecystostomy
Conrad Pun, MD and Lara Mrak, MD, PhD
GENITOURINARY INTERVENTIONS
670 Genitourinary Interventions
Jennifer R. Buckley, MD, Brandt C. Wible, MD, and Ashraf
Thabet, MD
682 Fertility and Sterility Interventions
Kalie Adler, DO, Brandt C. Wible, MD, and Gloria M.
Salazar, MD
SPINAL INTERVENTIONS
688 Lumbar Puncture, Myelogram, and CSF Leaks
Ross Holwerda, MD and Coleman O. Martin, MD
692 Vertebral Augmentation and Sacroplasty
Ross Holwerda, MD and Brandt C. Wible, MD
THORACIC INTERVENTIONS
704 Thoracic Drainage
Brandt C. Wible, MD and Ashraf Thabet, MD
712 Thoracic Biopsy
Brandt C. Wible, MD and Ashraf Thabet, MD
SECTION 5: ONCOLOGIC
722 Percutaneous Tumor Ablation
S. Brandon Hancock, MD and Christos Georgiades, MD,
PhD
738 Hepatic Chemoembolization
Mandeep S. Dagli, MD
750 Hepatic Radioembolization
Jessica Wen, MD and Christos Georgiades, MD, PhD
762 Renal Ablation and Embolization
Joseph A. Ronsivalle, DO, FSIR and Ashraf Thabet, MD
772 Thoracic Ablation and Embolization
Brandt C. Wible, MD and Ashraf Thabet, MD
780 Musculoskeletal Ablation and Embolization
Brandt C. Wible, MD and Ashraf Thabet, MD
SECTION 6: POST TRANSPLANT
788 Transplant Kidney Procedures
Brandt C. Wible, MD and Ashraf Thabet, MD
800 Transplant Liver Procedures
Brandt C. Wible, MD and Gloria M. Salazar, MD
SECTION 7: PAIN MANAGEMENT
812 Transforaminal Nerve Blocks
Conrad Pun, MD and Donald V. La Barge, III, MD, MBA
818 Facet Blocks
Conrad Pun, MD and Donald V. La Barge, III, MD, MBA
824 Celiac Plexus Block
Jennifer R. Buckley, MD and Brandt C. Wible, MD
SECTION 8: MUSCULOSKELETAL
832 Basic Arthrographic Techniques
Jessica Sanchez, MD and Julia R. Crim, MD
836 Therapeutic Joint Injections
A. Keith Rastogi, MD and Julia R. Crim, MD
840 Ultrasound-Guided Musculoskeletal Procedures
A. Keith Rastogi, MD and Julia R. Crim, MD
844 Shoulder Arthrography
A. Keith Rastogi, MD and Julia R. Crim, MD
848 Elbow Arthrography
Jessica Sanchez, MD and Julia R. Crim, MD
852 Wrist Arthrography
A. Keith Rastogi, MD and Julia R. Crim, MD
856 Hip Arthrography
Jessica Sanchez, MD and Julia R. Crim, MD
862 Sacroiliac Joint Arthrography
A. Keith Rastogi, MD and Julia R. Crim, MD
864 Knee Arthrography
Jessica Sanchez, MD and Julia R. Crim, MD
868 Ankle Arthrography
A. Keith Rastogi, MD and Julia R. Crim, MD
872 Foot Arthrography
Julia R. Crim, MD and Jessica Sanchez, MD
