Non-Vascular Interventional Radiology of the Abdomen (eBook)

Non-Vascular Interventional Radiology of the Abdomen 3
Preface 7
Acknowledgments 9
Contents 11
1 Patient Evaluation and Preparation 15
Preprocedure Care 15
Review of Imaging Studies and Medical History 16
Informed Consent 17
Laboratory Evaluation 18
Medications 20
Insulin 20
Warfarin 20
Prophylactic Antibiotics 21
Procedural Care 21
Conscious Sedation 21
Postprocedure Care 24
Conclusion 25
References 25
2 Image-Guided Percutaneous Biopsy 27
Indications 27
Contraindications 28
Equipment 28
Patient Preparation 29
Imaging Guidance 30
Ultrasound 30
Computed Tomography 31
Magnetic Resonance Imaging 31
Technique 32
Fine Needle Aspirations 32
Core Biopsy 32
Complications 33
Organ-Specific Biopsy 33
Liver Biopsy 33
Spleen Biopsy 35
Pancreas Biopsy 37
Adrenal Gland Biopsy 38
Renal Biopsy 39
Conclusion 41
References 41
3 Percutaneous Abscess Drainage 47
Introduction 47
Indications 48
Contraindictions 49
Patient Preparation 49
Equipment 50
Needles 50
Guidewires 50
Directional Catheters 50
Fascial Dilators 51
Catheters 51
Imaging Guidance 51
Drainage Technique 52
Seldinger Technique 52
Tandem Trocar Technique 55
Drainage of Deep Pelvic Abscesses 56
Solid Organ Drainage 58
Hepatic Abscess Drainage 58
Splenic Abscess Drainage 60
Renal Abscess Drainage 60
Complications 61
Postdrainage Management and Catheter Care 61
References 63
4 Percutaneous Urinary Interventions 69
Indications (Table 4.1) 69
Contraindications 70
Patient Preparation 71
Patient Positioning and Imaging Guidance 72
Anatomical Consideration and Selection of Puncture Site 73
Access 74
Ultrasound Guidance 74
Fluoroscopy 75
CT-Guidance 75
Technique 75
Percutaneous Nephrostomy for Nonobstructed Kidneys 78
Nephroureteral Stent 80
Technique 80
Complications 81
Follow-Up Care 81
Suprapubic Cystostomy 82
Technique 82
References 83
5 Percutaneous Gastrostomy and Gastrojejunostomy 85
Indications 85
Contraindications 86
Catheters 86
Preprocedural Evaluation 87
Technique 88
Gastrojejunostomy 91
Results 92
Complications 92
Follow-Up Care 93
Conclusion 93
References 93
6 Biliary Interventions 97
Percutaneous Transhepatic Cholangiography 97
Indications for Transhepatic Cholangiography 98
Indications for Percutaneous Biliary Drainage 98
Contraindications 99
Imaging Guidance 99
Technique 99
Complications 103
Percutaneous Management of Benign Biliary Strictures 103
Management of Malignant Biliary Strictures 104
Percutaneous Cholecystostomy 105
Indications 105
Technique 106
Follow-Up 108
Complications 110
References 110
Index 116