Search results for “plan”

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35 results found
Article

Supraclavicular brachial plexus block (ultrasound)

A supraclavicular brachial plexus block is indicated for establishing sensory and motor blockade of the upper extremity, including the humerus, elbow, forearm, wrist and hand.  Indications necessity to provide analgesia of the upper extremity for: abscess incision and drainage elbow dislocat...
Article

Quadratus femoris injection (technique)

Quadratus femoris injections under image guidance ensure precise delivery of an injectate into the quadratus femoris muscle and ensure the sciatic nerve is avoided during the procedure.  CT and ultrasound can be used, with ultrasound becoming more challenging in those with larger body habitus. ...
Article

Transcatheter mitral valve intervention

Transcatheter mitral valve interventions (TMVI) or percutaneous mitral valve interventions are less-invasive, highly technical procedures available for the management of selected patients with mitral valve regurgitation and include several transcatheter mitral valve repair (TMVr) and transcathet...
Article

Caudal epidural injection

Caudal epidural injections, or sacral hiatus epidural injections, are one of several possible spinal epidural injections.  Indications Typically, epidural injections are performed in patients who are currently not surgical candidates. The caudal injection can be performed when patients are on ...
Article

Symphyseal cleft injection

Symphyseal cleft injections (symphysography) are performed as both diagnostic and therapeutic measures for patients with (suspected) osteitis pubis, usually under CT or fluoroscopy.  Indications suspected or confirmed osteitis pubis Contraindications factors to be considered as per any muscu...
Article

Lumbar interlaminar epidural injection

Lumbar interlaminar epidural injections are one of some possible spinal epidural injections. For an alternative approach for the same region, please refer to the article on lumbar transforaminal epidural injections.  Indications Typically, epidural injections are performed in patients with rad...
Article

Percutaneous cholecystostomy

Percutaneous cholecystostomy is the image-guided placement of a drainage catheter into the gallbladder lumen. This minimally invasive procedure can aid in patient stabilization in order to enable a more measured surgical approach with time for therapeutic planning. A 2018 study demonstrated no ...
Article

Knee joint injection (technique)

Knee joint injections under image guidance ensure precise delivery of an injectate into the knee joint. Either fluoroscopy, ultrasound or CT can be used to guide and administer injectates, which may be diagnostic (e.g. anesthetic), "therapeutic" (e.g. anesthetic/steroids, PRP), or for CT or MR a...
Article

Periprocedural anticoagulation

Periprocedural anticoagulation planning is essential when planning an interventional procedure so that the best balance between the risk of bleeding and thrombosis can be achieved. The following must be considered in assessment of periprocedural anticoagulation: bleeding risks associated with ...
Article

Subtalar joint injection (technique)

Subtalar joint injections are most often performed for osteoarthritis with injection into the posterior subtalar joint.  Ultrasound, fluoroscopy and CT guidance can be used. Indications osteoarthritis diagnostic Contraindications Absolute anaphylaxis to contrast/injectates active local/sy...
Article

Preoperative pulmonary nodule localization

Preoperative pulmonary nodule localization is a CT-guided procedure where a marker is applied to a usually small lung lesion to assist in its surgical identification and resection. The widespread use of video-assisted thoracic surgery (VATS) and the advance in robotically assisted surgical inter...
Article

Greater trochanteric bursa injection (technique)

Greater femoral trochanteric bursa injections under ultrasound guidance ensure the injectate is accurately given into the bursa. The greater trochanteric bursa is the largest of the bursae surrounding the proximal femur, with the others including the subgluteus minimus and subgluteus medius burs...
Article

Liver biopsy (percutaneous)

Percutaneous liver biopsy, utilizing either ultrasound or CT guidance, allows for an accurate and reliable method of acquiring hepatic tissue for histopathological assessment. It is divided into two types: non-focal or non-targeted liver biopsy (used in the assessment and staging of the parench...
Article

Percutaneous liver tumor ablation

Percutaneous liver tumor ablation techniques are well-established and effective therapeutic alternatives for the treatment of primary and secondary liver tumors. Hepatocellular carcinoma (HCC) and colorectal oligometastatic disease are the most common indications. There are specific indications ...
Article

Gluteus minimus/medius calcific tendinopathy barbotage (technique)

Gluteus minimus/medius calcific tendinopathy barbotage is a procedure performed under ultrasound guidance with the aim of reducing the bulk of tendon calcification, in a similar fashion to that performed for rotator cuff calcific tendinopathy.  Indications gluteus minimus/medius tendon calcifi...
Article

CT guided thoracic biopsy

CT guided thoracic biopsy is usually performed for the diagnosis of suspicious lung, pleural, or mediastinal lesions. It can be performed as an outpatient procedure where patient monitoring and complications support are available.  A small percentage of lung and pleural biopsies may be performed...
Article

Trocar technique

The trocar technique is a common technique for surgical procedures and interventional placement of tubes and drainage where instruments, tubes or drains are advanced to the target location through a fixed cannula or hollow tube namely the trocar, which acts as a portal in the process. History ...
Article

Stellate ganglion block

The stellate ganglion block describes blockade of the cervicothoracic sympathetic chain which provides post-ganglionic sympathetic efferents to the head, neck and upper extremities. Neural blockade is typically achieved by deposition of local anesthetic between the prevertebral fascia and longus...
Article

Breast ductography

Breast ductography (a.k.a. galactography) is an imaging technique which is used to evaluate lesions causing nipple discharge. It helps in precisely locating the mass within breast tissue and gives useful information for surgical approach and planning. Technique A blunt-tipped sialogram needle ...
Article

Percutaneous transhepatic cholangiography

Percutaneous transhepatic cholangiography (PTC) is a radiographic technique employed in the visualization of the biliary tree and can be used as the first step in a number of percutaneous biliary interventions (e.g. percutaneous transhepatic biliary stent placement) Indications Purely diagnost...

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