Table Of ContentTHIRD EDITION
Wible
Buckley | Walker | Quencer | Davis
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THIRD EDITION
Brandt C. Wible, MD
Associate Professor
Section Head, Vascular & Interventional Radiology
University of Missouri-Kansas City
Saint Luke’s Hospital
Kansas City, Missouri
Jennifer R. Buckley, MD, MBA T. Gregory Walker, MD, FSIR
Assistant Professor Interventional Radiology Residency Program Director
Vascular & Interventional Radiology Massachusetts General Hospital
University of Missouri-Kansas City Division of Interventional Radiology
Saint Luke’s Hospital Assistant Professor of Radiology
Kansas City, Missouri Harvard Medical School
Boston, Massachusetts
Keith B. Quencer, MD Chad Davis, MD
Associate Professor Clinical Assistant Professor of Radiology
Dotter Interventional Institute Director of Interventional Oncology
Oregon Health and Sciences University Division of Interventional Radiology
Portland, Oregon University of Iowa Hospitals and Clinics
Iowa City, Iowa
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Elsevier
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Philadelphia, PA 19103-2899
DIAGNOSTIC IMAGING: INTERVENTIONAL RADIOLOGY, THIRD EDITION ISBN: 978-0-323-87757-2
Inkling: 978-0-323-87759-6
Copyright © 2023 by Elsevier. All rights reserved.
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may be noted herein).
Notices
Practitioners and researchers must always rely on their own experience and knowledge in
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Because of rapid advances in the medical sciences, in particular, independent verification of
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Previous edition copyrighted 2018.
Library of Congress Control Number: 2022939124
Printed in Canada by Friesens, Altona, Manitoba, Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
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Dedication
To Helen, Brighton, Brayden,
and family not-so-extended,
for your continued faith, support,
and encouragement.
BCW
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Contributing Authors
Joseph A. Ronsivalle, DO, FSIR Clifford R. Weiss, MD, FSIR, FCIRSE
Chairman, Medical Imaging Professor of Radiology
The Guthrie Clinic Radiological Science and Biomedical Engineering
Sayre, Pennsylvania Medical Director of the Center for
Bioengineering, Innovation and Design
The Johns Hopkins University School of Medicine
Joshua Kuban, MD
Baltimore, Maryland
Associate Professor
Department of Interventional Radiology
Lee S. Cummings, MD
The University of Texas MD Anderson Cancer Center
Houston, Texas Surgical Director of Kidney Transplantation
Liver Transplant Surgeon
Surgical Director of HPB Surgery
Anatoly Loskutov, MD
Saint Luke’s Hospital
Assistant Professor Clinical Assistant Professor of Surgery
Vascular & Interventional Radiology University of Missouri-Kansas City
University of Missouri-Kansas City Kansas City, Missouri
Saint Luke’s Hospital
Kansas City, Missouri
Matthew B. Wilkinson, MD, PhD
Abdominal Transplant and
Christos Georgiades,
Hepatobiliary and Pancreatic Surgery
MD, PhD, FSIR, FCIRSE
Saint Luke’s Hospital
Professor of Radiology, Oncology & Surgery Assistant Professor of Surgery
Director, Interventional Oncology University of Missouri-Kansas City
Vascular & Interventional Radiology Kansas City, Missouri
The Johns Hopkins University
Baltimore, Maryland
Andrew Kolarich, MD
Diagnostic and Interventional Radiology Resident
Kenneth H. Cho, MD, MBA
The Johns Hopkins Hospital
Chief, Interventional Radiology Baltimore, Maryland
Einstein Medical Center Montgomery
East Norriton, Pennsylvania
Yvonne Tsitsiou, MBBS BSc (Hons)
Clinical Assistant Professor
Sidney Kimmel College of Medicine Medical Student
at Jefferson University The Johns Hopkins University School of Medicine
Philadelphia, Pennsylvania Baltimore, Maryland
Conrad Pun, MD Amanda L. Scott, DO
Clinical Associate Professor Radiology Resident
Vascular and Interventional Radiology Einstein Medical Center Montgomery
University of Wisconsin School of Medicine East Norriton, Pennsylvania
and Public Health
Madison, Wisconsin
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Jessica L. Burris, BS
Medical Student
Touro University California
College of Osteopathic Medicine
Vallejo, California
Nicolas Cardenas, MD
Diagnostic and Interventional Radiology Resident
The University of Texas at Houston Medical School
Houston, Texas
Wylie T. Foss, MD
Interventional Radiology Resident
The University of Texas MD Anderson Cancer Center
Houston, Texas
Ethan Yiyang Lin, MD
Interventional Radiology Fellow
The University of Texas MD Anderson Cancer Center
Houston, Texas
Additional Contributors
Christopher Bailey, MD Zubin Irani, MD A. Keith Rastogi, MD
Nikhil Bhagat, MD Ross Holwerda, MD Jessica Sanchez, MD
Scott M. Brannan, MD Donald V. La Barge, III, MD, MBA Nathan Saucier, MD
Julia R. Crim, MD Raymond W. Liu, MD Ashraf Thabet, MD
Mandeep S. Dagli, MD Coleman O. Martin, MD Scott R. Shuldiner, MD
Suvranu Ganguli, MD Lara Mrak, MD, PhD Derek S. Vien, MD
Jared Halpin, MD Franklin Nwoke, MD Stephan Wicky, MD
Brian Holly, MD Steven Wu, MD
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Preface
Welcome to Diagnostic Imaging: Interventional Radiology, third edition. Designed as a “how-
to” guide and searchable reference, this third edition is instrumental to both trainees
and seasoned proceduralists. The text encompasses the extensive scope of vascular and
nonvascular procedures expected of a busy interventional radiology practice, covering topics
in a comprehensive yet straightforward fashion. Succinct text, bullet points, and subdivided
chapters allow rapid search of pre- and postprocedural concepts. Formerly titled Diagnostic
Imaging: Interventional Procedures, this retitled text highlights the breadth of procedures
and comprehensive abilities of the specialists for which it was authored, while the format
remains true to the first edition, created by T. Greg Walker, MD, FSIR.
Updates to our third edition include step-by-step demonstrations of procedures, hundreds
of new high-quality fluoroscopic and diagnostic images, full-color clinical photographs and
graphics, and in-depth corresponding image captions. Intraprocedural cautions, alternatives,
and complications are described within the text and illustrated with specific case examples.
Interventional techniques and equipment and expected procedural outcomes and procedure-
specific references have been updated and optimized. Additionally, new chapters have been
authored to cover procedures performed in the rapidly expanding field of interventional
radiology, including thrombectomy of pulmonary embolism and insertion of peritoneal
dialysis catheters.
This edition contains valuable contributions from authors of diverse practice types, including
those in private practice and those practicing at academic institutions, such as The Johns
Hopkins Hospital, Massachusetts General Hospital, The University of Texas MD Anderson
Cancer Center, Dotter Department of Interventional Radiology, University of Iowa, University
of Wisconsin, and University of Missouri-Kansas City.
I am eternally grateful to our team of authors for their dedication, expertise, and hard work.
Additional credit and gratitude goes out to the team of editors and illustrators at Elsevier,
setting the Diagnostic Imaging series of textbooks apart from any others currently available.
Special acknowledgement and gratitude is due to my professional colleagues, including the
technologists, nurses, staff, partners, and other professionals who I have the privilege of
working alongside daily within the Saint Luke’s Health System.
The opportunity to author this textbook flush with case images and outstanding graphics
has been extremely satisfying. I hope that you will find Diagnostic Imaging: Interventional
Radiology, third edition, to be a valuable addition to your practice!
Brandt C. Wible, MD
Associate Professor
Section Head, Vascular & Interventional Radiology
University of Missouri-Kansas City
Saint Luke’s Hospital
Kansas City, Missouri
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