Interventional and Endovascular Tips and Tricks of the Trade

Interventional and Endovascular Tips and Tricks of the Trade

Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani

Abstract

Through 105 highly-illustrated chapters, Interventional and Endovascular Tips and Tricks of the Trade equips interventional radiologists, surgeons, and cardiologists with unique techniques for solving complex clinical problems that may arise during both vascular and non-vascular procedures. The techniques are presented as succinct steps with particular attention paid to applications, challenges, potential pitfalls, and steps of the procedure. The accessible outline format and illustrative case examples optimize learning, patient selection, and outcomes. Suggested further readings and references are included with each technique. The “outside-the-box” strategies presented in this volume are useful solutions to clinical challenges in the ever-evolving field of interventional medicine.

Bibliographic Information

Publisher:: Oxford University Press

Print Publication Date:: Jul 2018

Print ISBN-13:: 9780199986071

Published online:: Aug 2018

DOI:: 10.1093/med/9780199986071.001.0001

Authors

S. Lowell Kahn, editor Tufts University School of Medicine

Bulent Arslan, editor Director, Division of Vascular and Interventional Radiology, Department of Radiology, Rush University Medical Center

Abdulrahman Masrani, editor Research Fellow, Department of Interventional Radiology, Rush University Medical Center

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Front Matter
Section I Aortic Interventions
- Chapter 1 Deployment Finesse of the Cook Zenith Stent Graft John Fritz Angle
- Chapter 2 Deployment Finesse of the Gore Excluder Stent GraftS. Lowell Kahn andSergio Rojas
- Chapter 3 The Turret Technique for Contralateral Gate AccessS. Lowell Kahn
- Chapter 4 Up-and-Over Snare Technique for the Difficult Contralateral Gate AccessS. Lowell Kahn
- Chapter 5 Use of a Buddy Wire to Facilitate Contralateral Gate Catheterization During Endovascular Aortic Aneurysm RepairS. Lowell Kahn
- Chapter 6 Tips for Accurate Palmaz Stent DeploymentS. Lowell Kahn
- Chapter 7 Managing Unilateral or Bilateral Common Iliac Artery Aneurysms with Preservation of the Hypogastric ArteryS. Lowell Kahn
- Chapter 8 In Vivo Fenestration During Endovascular Aneurysm RepairAbdulrahman Masrani and Bulent Arslan
- Chapter 9 Reverse Deployment of the Gore Excluder Contralateral Iliac Limbs for Aortoiliac InterventionsS. Lowell Kahn
- Chapter 10 Use of Two Bifurcated Stent Grafts for Creation of an Aorto-Uni-Iliac EndograftS. Lowell Kahn
- Chapter 11 Creation of a Flow-Modulating Stent Using Multilayered Wallstents for Aneurysm ExclusionS. Lowell Kahn
- Chapter 12 Obtaining True Lumen Access in Aortic Dissections with Iliac ExtensionRoshni A. Parikh and David M. Williams
- Chapter 13 The Endoconduit for Small Iliac AccessRipal T. Gandhi, Jonathan J. Iglesias, Constantino S. Peña, and James F. Benenati
- Chapter 14 Transcaval Aortic Catheterization for Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Device DeliveryMichael D. Dake
Section II Peripheral Vascular Interventions
- Chapter 15 Subintimal Arterial Recanalization Using the Bull’s-Eye TechniqueS. Lowell Kahn
- Chapter 16 Alternative Subintimal Entry and True Lumen Re-entry TechniquesS. Lowell Kahn
- Chapter 17 Balloon Occlusion of Subintimal Tract to Assist Distal Luminal Re-entry During Subintimal Recanalization of Chronic Total OcclusionsAbdel Aziz A. Jaffan
- Chapter 18 Extravascular Recanalization of Chronic Total OcclusionsS. Lowell Kahn
- Chapter 19 Retrograde Femoral Access for Difficult Superficial Femoral Artery OcclusionsLuke E. Sewall
- Chapter 20 The “Poor Man’s” Scoring BalloonS. Lowell Kahn
- Chapter 21 Balloon-Assisted Thrombin Injection for Pseudoaneurysms with Wide or Short Neck MorphologyS. Lowell Kahn
- Chapter 22 Distal Occlusion Thrombectomy TechniqueS. Lowell Kahn
- Chapter 23 Techniques for Traversing Difficult Aortic Bifurcations and Aortobifemoral GraftsS. Lowell Kahn
- Chapter 24 Flip Techniques: Obtaining Antegrade and Retrograde Femoral Access Through a Single Access SiteS. Lowell Kahn
- Chapter 25 Technical Pearls for Managing the Scarred GroinS. Lowell Kahn
Section III Visceral and Pelvic Vascular Interventions
- Chapter 26 Use of a Fogarty Occlusion Balloon During Splenic Artery Embolization to Prevent Distal Coil MigrationS. Lowell Kahn
- Chapter 27 Combined Endovascular and Surgical Retrograde Superior Mesenteric Artery RecanalizationSyed M. Peeran
- Chapter 28 Techniques for Treating Visceral Aneurysms and High-Flow Arteriovenous Malformations of the Renal and Visceral VasculatureNikhil Mehta and Bulent Arslan
- Chapter 29 Proximal Arterial Occlusion During Treatment of Pelvic High-Flow Arteriovenous MalformationsRoshni A. Parikh and David M. Williams
Section IV Venous and Pulmonary Arterial Interventions
- Chapter 30 Reverse Deployment of the Gore Excluder Contralateral Iliac Limbs for Central Venous Occlusive DiseaseS. Lowell Kahn
- Chapter 31 Branched Stent Graft Placement in the Vena Cava Using the Endologix AFXS. Lowell Kahn
- Chapter 32 Needle Recanalization of Chronic Venous Total OcclusionsAdam N. Plotnik and Stephen Kee
- Chapter 33 Recanalization of Chronic Central Venous Occlusions: Techniques to Cross Difficult Venous OcclusionsSreekumar Madassery and Bulent Arslan
- Chapter 34 Managing Chronic Iliac Venous Occlusions That Extend Below the Inguinal LigamentRoshni A. Parikh and David M. Williams
- Chapter 35 Management of Acute Iliocaval ThrombosisJordan C. Tasse and Bulent Arslan
- Chapter 36 Management of Chronic Iliocaval ThrombosisOsmanuddin Ahmed
- Chapter 37 Directional AngioJet Thrombectomy with Guide Catheter Helical Spin TechniqueS. Lowell Kahn
- Chapter 38 Dual and Balloon-Assisted AngioJet Thrombectomy for Iliofemoral Deep Venous ThrombosisZubin Irani and Sara Zhao
- Chapter 39 Tips and Tricks of the AngioVac DeviceDavid C. Stevens and Sabah Butty
- Chapter 40 Optimal Technique for Catheterizing the Pulmonary Arteries Without Dedicated Pulmonary CathetersGeorge Carberry and Michael Brunner
Section V Venous Access and Dialysis Interventions
- Chapter 41 Minimally Invasive Repair of Azygos Catheter MigrationMikin V. Patel and Steven Zangan
- Chapter 42 Endovascular Snaring Technique for Shortening of Central Venous Port Catheters in ChildrenMahmoud Zahra and Ganesh Krishnamurthy
- Chapter 43 Placing a Jugular Port Without Direct Percutaneous Jugular Vein AccessMichael Rush, Cynthia Toot Ferguson, and S. Lowell Kahn
- Chapter 44 Transhepatic Snare Placement for Translumbar Inferior Vena Cava AccessMikin V. Patel and Steven Zangan
- Chapter 45 Fibrin Sheath Removal TechniquesS. Lowell Kahn
- Chapter 46 Obtaining Hemostasis at Puncture SitesSreekumar Madassery
- Chapter 47 Elimination of Post-Procedural Bleeding After Placement of Tunneled Dialysis CathetersAlmas Syed, Robert Evans Heithaus, and Chet R. Rees
- Chapter 48 Balloon-Assisted Removal of the Trapped CatheterS. Lowell Kahn
- Chapter 49 The Rapid Fistula DeclotDean C. Preddie and Gregg A. Miller
- Chapter 50 Endovascular Options for Nonmaturing Fistulas due to Collateral FlowJayesh M. Soni
- Chapter 51 Percutaneous Creation of Jump Bypass in a Native Arteriovenous Hemodialysis FistulaPeter Miller, Sabah Butty, and Thomas Casciani
- Chapter 52 Using a Glidewire Cheater and Flow Switch to Temporarily Secure Purse-String SuturesAdam N. Plotnik and Stephen Kee
Section VI Filter Placement and Retrieval
- Chapter 53 Deploying a Straight Conical FilterS. Lowell Kahn
- Chapter 54 Removing the Angled Inferior Vena Cava Filter with an Embedded Hook: The “Hangman” TechniqueAdam N. Plotnik and Stephen Kee
- Chapter 55 Femoral Flip Technique for Removal of the G2 FilterAdam N. Plotnik and Stephen Kee
- Chapter 56 Femoral Retrieval of Conical FiltersMikin V. Patel and Steven Zangan
- Chapter 57 Laser Sheath Assisted Filter RemovalMohammad Arabi
Section VII Miscellaneous Catheterization, Wire, and Embolization Techniques
- Chapter 58 Transradial Access TechniqueKyle Sanders, Craig Miller, Ricardo Yamada, Marcelo Guimaraes
- Chapter 59 Slow and Steady Method for Advancing Devices Through Tight or Tortuous AnatomyRobert Evans Heithaus, Almas Syed, and Chet R. Rees
- Chapter 60 End of the Road: Bailout Techniques for the Short WireS. Lowell Kahn
- Chapter 61 Balloon Anchor Techniques for Sheath, Guide Catheter, and Stent Advancement and to Facilitate Chronic Total Occlusion TraversalS. Lowell Kahn
- Chapter 62 Catheter Modification Techniques for Venous SamplingS. Lowell Kahn
- Chapter 63 Techniques for Forming Large Reverse Curve CathetersS. Lowell Kahn
- Chapter 64 Clearing the Clogged Microcatheter During Particulate EmbolizationRoshni A. Parikh and David M. Williams
- Chapter 65 The Anchor and Scaffold Techniques for Precise Coil EmbolizationS. Lowell Kahn
- Chapter 66 Selective Retrograde Thoracic Duct EmbolizationAbdulrahman Masrani and Bulent Arslan
Section VIII Interventional Oncology and Biopsies
- Chapter 67 Water Seal Technique for Lung BiopsyKazim Narsinh and Thomas Kinney
- Chapter 68 Extreme Thoracic BiopsiesWilliam Derry and Scott Genshaft
- Chapter 69 Balloon Occlusion Technique During Y90 RadioembolizationArmeen Mahvash and Ravi Murthy
- Chapter 70 Suprahepatic Catheter Placement for HydrodissectionAlessandro Gasparetto and John Fritz Angle
- Chapter 71 Percutaneous Thermal Ablation: Hydrodissection and Balloon Displacement to Protect Adjacent Non-Target Critical StructuresFarrah J. Wolf and Jason Iannuccilli
- Chapter 72 Taming Cryoablation for Lung TumorsAnshuman Bansal and Fereidoun Abtin
- Chapter 73 Bland Lipiodol-Assisted Thermal Ablation of Renal Cell CarcinomaS. Lowell Kahn
Section IX Hepatobiliary Interventions
- Chapter 74 Optimal Imaging Techniques of the Portal Vasculature During TIPS Creation: Use of the CO₂ PortogramHector Ferral
- Chapter 75 Use of Prolapsing Guidewire to Secure Portal Venous Access During the TIPS ProcedureThomas Kinney and Kazim Narsinh
- Chapter 76 Advancing the TIPS Sheath Through a Difficult Cirrhotic Liver: Pay It Forward Off the BalloonAdam N. Plotnik and Stephen Kee
- Chapter 77 The Gun-Site and Percutaneous Portocaval Techniques for the Challenging TIPSS. Lowell Kahn
- Chapter 78 Deployment of Direct Intrahepatic Portocaval Shunt (DIPS) from a Femoral AccessAbdulrahman Masrani and Bulent Arslan
- Chapter 79 Transmesenteric Method of TIPS Placement Using Portal Access via Mini-LaparotomySam McCabe, Christopher Harnain, and Grigory Rozenblit
- Chapter 80 Recanalization of Occluded TIPS Using a Transhepatic Percutaneous TechniqueSaher S. Sabri
- Chapter 81 Adjustable Small-Diameter TIPSZubin Irani and Sara Zhao
- Chapter 82 Use of a Coda Balloon to Assist Left Renal Vein Sheath Delivery During Balloon-Occluded Retrograde Transvenous ObliterationS. Lowell Kahn
- Chapter 83 Use of Contrast-Fortified Surgilube for Biliary Drainage in the Setting of Active LeakageS. Lowell Kahn
- Chapter 84 Percutaneous Placement of a Temporary Large-Bore Biliary EndoprosthesisSam McCabe, Christopher Harnain, and Grigory Rozenblit
- Chapter 85 Method of Increasing Luminal Scaffolding for Biliary StricturesS. Lowell Kahn
- Chapter 86 Use of a Fogarty Balloon Catheter to Create Backwall Support and Facilitate Intrahepatic Bile Duct Access During Antegrade Stone ExtractionGeorge Carberry and Orhan Ozkan
- Chapter 87 Portal Vein Tract Embolization After Percutaneous Transhepatic Biliary InterventionsKazim Narsinh, Steven C. Rose, and Thomas Kinney
- Chapter 88 Use of an Elongated Radiopaque Gelatin Sponge Plug for Tract Occlusion After Hepatic InterventionsSam McCabe, Christopher Harnain, and Grigory Rozenblit
Section X Gastroenterology and Genitourinary Interventions
- Chapter 89 The Air Technique to Determine Appropriate Posterior Calyx for PunctureKazim Narsinh and Thomas Kinney
- Chapter 90 Permanent Ureteral OcclusionAlmamoon I. Justaniah
- Chapter 91 Exchange of Retrograde Occluded Nephroureteral Catheter Through Ileal Conduits Without Losing AccessJayesh M. Soni
- Chapter 92 Use of a Mushroom-Retained Gastrostomy Tube for Stenting Benign Esophageal StrictureSam McCabe, Christopher Harnain, and Grigory Rozenblit
- Chapter 93 Balloon-Assisted, Fluoroscopically Guided Percutaneous Gastrostomy Tube PlacementJoseph Farnam, Jason Iannuccilli, and Gregory Soares
Section XI Drainage Procedures
- Chapter 94 Maximizing Visualization of the Needle During Ultrasound ProceduresKi Jinn Chin
- Chapter 95 Method for Optimal Tract Anesthesia During Biopsies, Drainage Catheter Placement, Nephrostomies, and Percutaneous Transhepatic CholangiographyRobert Evans Heithaus, Almas Syed, and Chet R. Rees
- Chapter 96 Tract-o-gram to Reduce the Risk of Non-Target Catheterization During Placement of a Drainage TubeAlmas Syed, Robert Evans Heithaus, and Chet R. Rees
- Chapter 97 Advancing the Difficult Drainage CatheterRobert Evans Heithaus, Almas Syed, and Chet R. Rees
- Chapter 98 Creation of a Steerable Coaxial Needle System for Indirect Line-of-Site Computed Tomography-Guided ProceduresS. Lowell Kahn
- Chapter 99 Drainage of the Multiloculated CollectionMikin V. Patel and Steven Zangan
- Chapter 100 Transurethral Retrograde Approach to Pelvic Abscess Drainage in Post-cystectomy PatientsGeorge Carberry and Orhan Ozkan
- Chapter 101 Creation of an Additional Side Hole as a Method to Exchange Obstructed Percutaneous Drainage CathetersJessica M. Ho and Michael D. Katz
- Chapter 102 Use of a Peel-Away Sheath as a Method to Exchange a Clogged Drainage TubeHarsha R. Jonna and Michael D. Katz
Section XII Imaging and Pharmacology Techniques
- Chapter 103 Optimizing Carbon Dioxide Peripheral ArteriographyMikin V. Patel and Steven Zangan
- Chapter 104 Local Administration of Fresh Frozen Plasma and Platelets in the Critically Ill PatientSalim E. Abboud, Dean A. Nakamoto, and John R. Haaga
- Chapter 105 Reducing Operator Exposure Using Suspended Radiation Protection SystemAlmas Syed, Robert Evans Heithaus, and Chet R. Rees
End Matter
- Index

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Interventional and Endovascular Tips and Tricks of the Trade

Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani

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