Diagnostic Imaging: Interventional Radiology

Brandt C. Wible, MD is Associate Professor and Section Head for Vascular & Interventional Radiology at the University of Missouri-Kansas City, Saint Luke's Hospital, Kansas City, Missouri. Dr. Wible completed his Interventional and Vascular Fellowship at Johns Hopkins Hospital in Baltimore. He received the Wylie J. Dodds Award for Outstanding Research during his residency at the Medical College of Wisconsin. Dr. Wible is an investigator for clinical trials related to his primary interests in Interventional Oncology and venous disease. Dr. Wible is the returning lead editor for Diagnostic Imaging: Interventional Radiology. Prior to his medical career, Dr. Wible volunteered with the United States Peace Corps in Zimbabwe, Africa. Later, while attending Rush Medical School in Chicago he continued to volunteer at medical clinics in both Chicago and Africa ultimately leading to the co-founding of a free clinic counseling inner-city youth at Cook County Hospital, Chicago, IL.

SECTION 1: GENERAL PRINCIPLES

PROCEDURAL CONSIDERATIONS

4 Pharmacologics

Chad Davis, MD and Brandt C. Wible, MD

10 Procedural Patient Management

Amanda L. Scott, DO, Kenneth H. Cho, MD, MBA, and Keith B. Quencer, MD

18 Radiation Safety

Chad Davis, MD and Brandt C. Wible, MD

PROCEDURAL TECHNIQUES

22 Angioplasty

Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR

30 Thrombolysis and Thrombectomy

Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR

42 Embolization

Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR

54 Stents: Vascular

Brandt C. Wible, MD

66 Stents: Nonvascular

Brandt C. Wible, MD

70 Embolic Protection

T.Gregory Walker, MD, FSIR

78 Atherectomy

T.Gregory Walker, MD, FSIR and Brandt C. Wible, MD

SECTION 2: VENOUS, PORTAL, ANDLYMPHATIC PROCEDURES

VENOUS ACCESS

86 Venous Access

Anatoly Loskutov, MD and Brandt C. Wible, MD

100 Peripherally Inserted Central Catheters

Anatoly Loskutov, MD and Brandt C. Wible, MD

106 Catheters, Nontunneled and Tunneled

Anatoly Loskutov, MD and Brandt C. Wible, MD

120 Ports

Anatoly Loskutov, MD and Brandt C. Wible, MD

VENOUS INTERVENTIONS

130 Thoracic Central Venous Intervention

Brandt C. Wible, MD, Scott M. Brannan, MD, and Stephan Wicky, MD

144 Lower Extremity and Iliocaval Intervention

Brandt C. Wible, MD

158 Vena Cava Filter Placement and Retrieval

Brandt C. Wible, MD and Nathan Saucier, MD

170 Foreign Body Retrieval

Chad Davis, MD and Brandt C. Wible, MD

174 Pelvic Venous Disorders (PeVD)

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

188 Renal and Adrenal Veins: Sampling and Intervention

Keith B. Quencer, MD

198 Venous Sampling and Venography: Endocrine, Nonadrenal

Keith B. Quencer, MD, T. Gregory Walker, MD, FSIR, and Brandt C. Wible, MD

202 Ambulatory Phlebectomy and Sclerotherapy

Joseph A. Ronsivalle, DO, FSIR

206 Saphenous Vein Ablation

Joseph A. Ronsivalle, DO, FSIR

214 Vascular Malformations

Scott R. Shuldiner, MD, Christopher Bailey, MD, and Clifford R. Weiss, MD, FSIR

HEMODIALYSIS ACCESS MAINTENANCE

224 Hemodialysis Access Surveillance and Intervention

Keith B. Quencer, MD

238 Hemodialysis Access Declotting Procedures

Keith B. Quencer, MD and Steven Wu, MD

246 Peritoneal Dialysis Catheter Placement

Keith B. Quencer, MD

PORTAL VENOUS INTERVENTIONS

258 Transjugular Biopsy

Jennifer R. Buckley, MD, MBA and Nathan Saucier, MD

262 TIPS

Brandt C. Wible, MD, Nathan Saucier, MD, and Suvranu Ganguli, MD

276 Balloon Occlusion Variceal Ablation

Brandt C. Wible, MD

286 Portal Vein Embolization

Wylie T. Foss, MD, Joshua Kuban, MD, and Nathan Saucier, MD

294 Portal and Hepatic Venous Intervention

Ethan Yiyang Lin, MD, Joshua Kuban, MD, and Jennifer R. Buckley, MD, MBA

LYMPHATIC INTERVENTIONS

306 Lymphography

Nikhil Bhagat, MD and Suvranu Ganguli, MD

310 Thoracic Duct Embolization

Nikhil Bhagat, MD and Suvranu Ganguli, MD

SECTION 3: ARTERIAL PROCEDURES

GENERAL CONSIDERATIONS

316 Arterial Access

Chad Davis, MD and Brandt C. Wible, MD

326 Closure Devices

Brandt C. Wible, MD, Derek S. Vien, MD, and T. Gregory Walker, MD, FSIR

332 Access Site Complications Management

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

AORTA

338 Thoracic Aorta and Great Vessels

Brandt C. Wible, MD and Zubin Irani, MD

348 Abdominal Aorta

T.Gregory Walker, MD, FSIR

358 Thoracic Aortic Endografts

T.Gregory Walker, MD, FSIR, Brandt C. Wible, MD, and Zubin Irani, MD

368 Abdominal Aortic Endografts

T.Gregory Walker, MD, FSIR

380 Endoleak Repair

T.Gregory Walker, MD, FSIR

PULMONARY VASCULATURE

392 Pulmonary Embolism

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

402 Pulmonary Arteriovenous Malformations

Jennifer R. Buckley, MD, MBA, Christopher Bailey, MD, and Clifford R. Weiss, MD, FSIR

412 Bronchial Arteries

Brandt C. Wible, MD, Mandeep S. Dagli, MD, and T. Gregory Walker, MD, FSIR

ABDOMEN AND PELVIS

420 Upper Gastrointestinal Hemorrhage

Andrew Kolarich, Yvonne Tsitsiou, and Christos Georgiades, MD, PhD

434 Lower Gastrointestinal Hemorrhage

Andrew Kolarich, Yvonne Tsitsiou, and Christos Georgiades, MD, PhD

448 Mesenteric Ischemia

Brandt C. Wible, MD and Raymond W. Liu, MD

462 Visceral Arteries

T.Gregory Walker, MD, FSIR, Franklin Nwoke, MD, and Raymond W. Liu, MD

472 Renal Arteries: Revascularization and Exclusion

Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR

496 Pelvic Arteries: Revascularization

T.Gregory Walker, MD, FSIR

508 Pelvic Arteries: Exclusion

T.Gregory Walker, MD, FSIR

520 Uterine Artery Embolization

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

EXTREMITIES

530 Upper Extremity: Vasculitis and Revascularization

T.Gregory Walker, MD, FSIR, Brandt C. Wible, MD, and Zubin Irani, MD

540 Upper Extremity Arteries: Exclusion

T.Gregory Walker, MD, FSIR and Zubin Irani, MD

546 Infrainguinal Arteries: Revascularization

Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR

556 Infrainguinal Arteries: Exclusion

Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR

564 Chronic Total Occlusion Revascularization

T.Gregory Walker, MD, FSIR

CRANIAL REVASCULARIZATION

576 Stroke Therapy

Jared Halpin, MD and Coleman O. Martin, MD

584 Carotid and Vertebral Arteries

Jared Halpin, MD, Coleman O. Martin, MD, and T. Gregory Walker, MD, FSIR

SECTION 4: NONVASCULARPROCEDURES

GENERAL CONSIDERATIONS

594 Biopsy Procedures

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

608 Drainage Procedures

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

GASTROINTESTINAL INTERVENTIONS

628 Gastrostomy/Gastrojejunostomy

Brandt C. Wible, MD

640 Gastrointestinal Balloon Dilatation and Stenting

Brandt C. Wible, MD and Ashraf Thabet, MD

BILIARY INTERVENTIONS

646 Transhepatic Biliary Interventions

Amanda L. Scott, DO, Kenneth H. Cho, MD, MBA, and Brian Holly, MD

656 Cholecystostomy

Conrad Pun, MD and Lara Mrak, MD, PhD

GENITOURINARY INTERVENTIONS

662 Genitourinary Interventions

Jennifer R. Buckley, MD, MBA, Brandt C. Wible, MD, and Ashraf Thabet, MD

676 Fertility and Sterility Interventions

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

SPINAL INTERVENTIONS

682 Lumbar Puncture, Myelogram, and CSF Leaks

Brandt C. Wible, MD, Ross Holwerda, MD, and Coleman O. Martin, MD

686 Vertebral Augmentation and Sacroplasty

Brandt C. Wible, MD

SECTION 5: ONCOLOGIC PROCEDURES

700 Percutaneous Tumor Ablation

Nicolas Cardenas, MD, Jessica L. Burris, BS, and Joshua Kuban, MD

716 Hepatic Chemoembolization

Chad Davis, MD and Mandeep S. Dagli, MD

728 Hepatic Radioembolization

Chad Davis, MD

740 Renal Ablation and Embolization

Joseph A. Ronsivalle, DO, FSIR and Ashraf Thabet, MD

750 Thoracic Ablation and Embolization

Jennifer R. Buckley, MD, MBA, Brandt C. Wible, MD, and Ashraf Thabet, MD

758 Musculoskeletal Ablation and Embolization

Brandt C. Wible, MD and Ashraf Thabet, MD

SECTION 6: POSTTRANSPLANTPROCEDURES

766 Transplant Kidney Procedures

Brandt C. Wible, MD, Lee Saville Cummings, MD, and Matthew B. Wilkinson, MD, PhD

778 Transplant Liver Procedures

Brandt C. Wible, MD, Matthew B. Wilkinson, MD, PhD, and Lee Saville Cummings, MD

SECTION 7: PAIN MANAGEMENT

790 Transforaminal Nerve Blocks

Jennifer R. Buckley, MD, MBA, Conrad Pun, MD, and Donald V. La Barge, III, MD, MBA

796 Facet Blocks

Jennifer R. Buckley, MD, MBA, Conrad Pun, MD, and Donald V. La Barge, III, MD, MBA

802 Celiac Plexus Block

Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD

SECTION 8: MUSCULOSKELETALPROCEDURES

810 Shoulder Arthrography

Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD

814 Elbow Arthrography

Brandt C. Wible, MD, Jessica Sanchez, MD, and Julia R. Crim, MD

818 Wrist Arthrography

Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD

822 Sacroiliac Joint Arthrography

Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD

824 Hip Arthrography

Brandt C. Wible, MD, Jessica Sanchez, MD, and Julia R. Crim, MD

830 Knee Arthrography

Brandt C. Wible, MD, Jessica Sanchez, MD, and Julia R. Crim, MD

834 Ankle Arthrography

Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD

838 Foot Arthrography

Brandt C. Wible, MD, Julia R. Crim, MD, and Jessica Sanchez, MD

842 Therapeutic Joint Injections

Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD