Articles

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More than 200 results
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. ...
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Pelvic abscess

A pelvic abscess refers to a walled-off collection of pus in the pelvis. Pathology  Etiology Some of the causes include: pelvic inflammatory disease (tubo-ovarian abscess) iatrogenic e.g. post-surgical inflammatory bowel disease pelvic actinomycosis infection diverticulitis Clinical pre...
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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 ...
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Flush catheters

Flush catheters are a type of vascular catheter designed to allow high-flow injection rates (15 to 20 ml/s)1 into large vessels, for optimal aortograms and/or phlebograms. The most common flush catheters are: pigtail catheter straight flush catheter Tennis Racquet catheter Properties have ...
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Carotid arterial stenting

Carotid arterial stenting (CAS) is a minimally invasive endovascular interventional procedure that can potentially offer the same advantage as surgery (carotid endarterectomy). Indications Indications for carotid stenting are evolving with endarterectomy trials that evaluate the carotid stenos...
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Cephalic arch stenosis

Cephalic arch stenosis is considered one of the commonest cause of dysfunction in a brachiocephalic fistula which involves the cephalic vein in the region of the cephalic arch prior to junction with the axillary vein. Epidemiology Has an average reported prevalance of around 15% in all autogen...
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Rapid ultrasound in shock

The rapid ultrasound in shock (RUSH) protocol is a structured point-of-care ultrasound (POCUS) examination performed at the time of presentation of a shocked patient. It is a more detailed and longer exam than the FAST scan, with the aim to differentiate between hypovolemic, cardiogenic, obstruc...
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CT guided biopsy

CT guided biopsy is a type of image-guided biopsy. It is generally less commonly used than ultrasound-guided biopsy, however, in some anatomical areas, it has greater precedence, such as lung and bone biopsies. CT guided biopsy requires good teamwork with radiographic staff as it is not truly d...
Article

Seroma

Seromas are collections of serous fluid that usually occur as a complication of surgery, but can also be seen post-trauma. They are commonly seen as an early complication of breast surgery, where a potential space is left. Terminology Seromas are distinct from hematoma as they contain almost n...
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Paravalvular leak

A paravalvular leak, paravalvular leakage or paravalvular regurgitation are an abnormal flow between the valvular annulus and the prosthetic heart valve and is a common complication after valvular replacement surgery due to inadequate sealing. Epidemiology Paravaluvar leaks are common, with an...
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No-touch ablation technique

No-touch ablation techniques, using either microwave or radiofrequency to generate heating, refer to approaches whereby the probes are placed at multiple oblique sites tangential and adjacent to the targeted tumor (cf. probe placement centrally within the tumor). Indications  For general indic...
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Mercedes-Benz sign (aorta)

The Mercedes-Benz sign can be seen in aortic dissection on CT 1.  It is seen as three distinct intimal flaps that have a triradiate configuration similar to the Mercedes-Benz logo (Figure 1). Two of the three lumens outlined by these intimal flaps belong to the false lumen of aortic dissection....
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Intra-aortic balloon pump

Intra-aortic balloon pumps (IABP) are used in the intensive care setting to provide hemodynamic assistance to patients in cardiogenic shock. Function and physiology The device is comprised of a catheter introduced via a femoral artery sheath, which extends retrogradely to the proximal descendi...
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Esophageal intubation

Esophageal intubation refers to the incorrect placement of an endotracheal tube in the esophagus. Within minutes its consequences can be catastrophic with the seriousness of its outcome depending largely on the timeliness of its diagnosis. Epidemiology Accidental esophageal intubation can happ...
Article

Spinal arteriovenous malformations

Spinal arteriovenous malformations (AVMs) are characterized by arteriovenous shunting with a true nidus. They represent ~25% of spinal vascular malformations.  Epidemiology Different types of spinal AVM have different ages of presentation, but overall 80% present between the age of 20 and 60 y...
Article

Percutaneous mitral commissurotomy

Percutaneous mitral commissurotomy (PMC) also known as percutaneous mitral balloon commissurotomy (PMBC), percutaneous mitral valvotomy (PMV) or percutaneous mitral balloon valvuloplasty (PMBV) is a transcatheter procedure for the management of mitral stenosis. History and etymology Percutaneo...
Article

Anomalous systemic arterial supply to normal lung

Anomalous systemic arterial supply to normal lung is an anatomical variant in which a portion of the lung (usually a basal segment) is supplied by a systemic vessel without a distinct pulmonary sequestration. Terminology It was traditionally (perhaps inappropriately since not a true sequestrat...
Article

Transitional aneurysm

Transitional aneurysms, also referred to as transitional paraclinoid aneurysms, are saccular cerebral aneurysms arising from the clinoid-ophthalmic segment of the internal carotid artery (ICA) and near the distal dural ring with potential risk for subarachnoid hemorrhage. After an anterior turn...
Article

Tumor ablation

Tumor ablation, or image-guided tumor ablation, is the direct application of chemical or energy-based (i.e. thermal and non-thermal) treatments to cause local tumor destruction. Techniques include: energy-based techniques thermal ablation radiofrequency ablation (RFA) microwave ablation (MWA...
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Surgical positions

There are various classic surgical positions for patients to be placed in for procedures, which have been adopted/repurposed for interventional radiology and some diagnostic procedures: lithotomy position Trendelenburg position and reverse Trendelenburg position lateral decubitus position

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