Diagnostic Imaging: Interventional Radiology

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