Articles

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262 results
Article

Jugular venous catheters

The internal jugular vein is a preferred site for venous access for large lumen, long-term central venous catheters for chemotherapy, hemofiltration and plasma exchange. These are commonly referred to as (internal) jugular venous (IJV) catheters. Typically, the right internal jugular is used as...
Article

Endosaccular flow disruption devices

Endosaccular flow disruption devices, also simply known as flow disruptors, are used for the treatment of either ruptured or unruptured saccular, wide-neck, usually bifurcation as well as side-wall intracranial aneurysms. Their primary function is to stop blood from flowing into the aneurysm, al...
Article

Catheter-directed thrombolysis

Catheter-directed thrombolysis (CDT) is an endovascular approach to the treatment of acute iliofemoral deep vein thrombosis. It involves the administration of a lytic agent directly into a thrombus.  Indications precise diagnosis of iliofemoral deep vein thrombosis  first episode of acute ili...
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

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...
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

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 ...
Article

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...
Article

Biffl scale for blunt cerebrovascular injury

The Biffl scale or grade illustrates the spectrum of blunt cerebrovascular injury (BCVI) seen on angiography (both CTA and DSA). Some authors refer to the grading scale as the Denver scale, which is not to be confused with the Denver criteria, a series of clinical indications to screen for blunt...
Article

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...
Article

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...
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...
Article

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...
Article

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...
Article

Coronary in-stent restenosis

Coronary in-stent restenosis (ISR) is referred to as an increasing loss of the stented arterial lumen after a percutaneous coronary intervention (PCI) and coronary stent placement which requires revascularization. Terminology However, there are different clinical and angiographic definitions: ...
Article

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....
Article

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...
Article

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...

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