Teaching atlas of interventional radiology: Non-vascular interventional procedures

340 Pages·2006·3.09 MB·English

by  Saadoon Kadir

Kadir_IntRad_107972 08.11.2005 15:40 Uhr Page 1
K Teaching Atlas of
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Interventional Radiology
Non-Vascular Interventional Procedures
Solutions for the daily practice!
This companion title to the best-selling Teaching Atlas N T Saadoon Kadir
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of Interventional Radiology: Diagnostic and Therapeutic n a
Angiographycovers the latest interventional radiology techniques used to treat non- -V ch
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The authors' discussion of the critical aspects of the disease process and differential la A
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diagnoses will teach you how to quickly recognize the presentation of diseases and t
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disorders as well as how to determine the best method of treatment. This atlas guides t a
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you through the stages of management, from initial diagnosis to treatment, with tho- r
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rough descriptions of procedures including percutaneous biopsy, biliary intervention, e f
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abscess drainage, nephrostomy and genitourinary tract intervention. t n
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• Full coverage of procedures for the neck and thorax; the abdomen, including gastro- P e
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intestinal system, liver, biliary system, and pancreas; the reproductive and urinary o
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• “Pearls’’and “pitfalls’’help you understand key points and avoid errors u n
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• A step-by-step approach to diagnosis and easy-to-follow descriptions of procedures e l
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• Selected readings at the end of each chapter for additional study R
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• More than 300 illustrations demonstrating key concepts
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Here is the essential guide for interventional radiologists, residents and other specia- l
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lists seeking to improve their techniques in managing non-vascular disorders and pro- g
blems that arise in the everyday practice. y
Saadoon Kadir, M.D., is Clinical Professor of Radiology, St. Louis University, St. Louis,
Missouri.
Also available from Thieme Medical Publishers:
Teaching Atlas of Interventional Radiology: Diagnostic and Therapeutic Angiography
Saadoon Kadir, editor
The Americas Rest of World
ISBN 1-58890-056-8 ISBN 1-58890-056-8 (TNY) ISBN 3-13-107972-X
ISBN 3-13-107972-X (GTV)
www.thieme.com
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Teaching Atlas of Interventional Radiology
Non-Vascular Interventional Procedures
THIEME
New York •Stuttgart
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Teaching Atlas of Interventional Radiology
Non-Vascular Interventional Procedures
Saadoon Kadir, M.D.
Interventional Radiologist
North County Radiology
Interventional Radiologist
Cardinal Glennon Children’s Hospital
St. Louis, Missouri
Clinical Professor of Radiology
Saint Louis University
School of Medicine
St. Louis, Missouri
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Library of Congress Cataloging-in-Publication Data
Teaching atlas of interventional radiology : non-vascular interventional procedures /
[edited by] Saadoon Kadir.
p. ; cm.
Includes bibliographical references and index.
ISBN 1-58890-056-8 (US)—ISBN 3-13-107972-X (GTV)
1. Interventional radiology—Atlases. I. Kadir, Saadoon.
[DNLM: 1. Radiology, Interventional—Atlases. WN 17 T2527 2005]
RD33.55.T43 2005
617(cid:2)05—dc22
2005050645
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CONTENTS
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix
SECTION I: Moulay A. Meziane, Editor
Neck and Thorax
CHAPTER 1 Nasolacrimal Duct Strictures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
CHAPTER 2 Percutaneous Parathyroid Ablation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
CHAPTER3 Thyroid Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
CHAPTER 4 Mediastinal Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
CHAPTER 5 Mediastinal Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
CHAPTER6 Pleural Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
CHAPTER 7 Pleurodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
CHAPTER8 Management of Central Airway Obstruction with Stents . . . . . . . . . . . . . . . . . . . . . . . . . .32
CHAPTER9 Esophageal Stricture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
SECTION II
Abdomen
GASTROINTESTINAL SYSTEM: John D. Bennett, Editor
CHAPTER10 Percutaneous Gastrostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
CHAPTER11 Strictured Enteric Anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
CHAPTER12 Malignant Colonic Obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
CHAPTER13 Intussuception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
CHAPTER14 Abdominal Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
LIVER: Saadoon Kadir, Editor
CHAPTER 15 Ultrasound-Guided Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
CHAPTER16 Hepatic Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
CHAPTER17 Cyst Ablation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
CHAPTER18 Hydatid Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
CHAPTER19 Laser Ablation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95
CHAPTER20 Radio-Frequency Ablation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98
CHAPTER21 Cryoablation of Hepatic Masses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102
BILIARY SYSTEM: Saadoon Kadir,Editor
CHAPTER22 Obstructive Jaundice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108
CHAPTER 23 Malignant Hilar Obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118
CHAPTER24 Sclerosing Cholangitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130
CHAPTER25 AIDS-Related Cholangiopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138
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vi CONTENTS
CHAPTER26 Removal of Bile Duct Calculi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146
CHAPTER27 Intrahepatic Calculi and Monolobar Caroli’s Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155
CHAPTER28 Giant Common Duct Calculi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163
CHAPTER29 Transjejunal Biliary Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171
CHAPTER 30 Acute Cholecystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176
CHAPTER 31 Cholecystolithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184
PANCREAS: Saadoon Kadir, Editor
CHAPTER 32 Pancreatic Abscess Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192
CHAPTER 33 Debridement of Infected Pancreatic Necrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196
CHAPTER 34 Pancreatic Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200
SECTION III
Pelvis
ABSCESS DRAINAGE: John D. Bennett, Editor
CHAPTER 35 Transgluteal Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205
CHAPTER 36 Transrectal Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209
CHAPTER 37 Transvaginal Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215
REPRODUCTIVE SYSTEM: Saadoon Kadir, Editor
CHAPTER 38 Female Infertility: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219
CHAPTER 39 Fallopian Tube Recanalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238
CHAPTER 40 Transcervical Lysis of Intrauterine Adhesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244
CHAPTER 41 Uterine Cervix Dilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248
SECTION IV
Retroperitoneum
URINARY SYSTEM: Carl F. Beckmann, Editor
CHAPTER 42 Nephrostomy and Ureteral Stenting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255
CHAPTER 43 Ureteral Occlusion for Urinary Leaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .261
CHAPTER 44 Symptomatic Renal Cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .265
CHAPTER 45 Staghorn Calculus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270
CHAPTER 46 Accidentally Ligated Ureter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .274
CHAPTER 47 Caliceal Diverticulum Calculi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .278
CHAPTER 48 Retrorenal Colon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .282
ADRENAL GLANDS: Saadoon Kadir, Editor
CHAPTER 49 Percutaneous Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286
CHAPTER 50 Adrenal Pseudotumor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290
Section V: Saadoon Kadir, Editor
Miscellaneous
CHAPTER 51 Conscious Sedation for the Interventional Radiologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295
CHAPTER 52 Infection and Sepsis: An Overview for the Interventional Radiologist . . . . . . . . . . . . . . . . .305
CHAPTER 53 Vertebroplasty for Painful Hemangioma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319
CHAPTER 54 Treatment of Osteoid Osteoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .322
CHAPTER 55 Postoperative Pelvic Lymphocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .326
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329
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PREFACE
“For every disease there is a cure. . . .”
—Hadith
This second volume of the Teaching Atlas of Interventional Radiology discusses non-vascular diseases.
The format of the previous volume, Diagnostic and Therapeutic Angiography, has been retained to
provide practical information and solutions to problems arising in everyday practice. This format is
being adapted increasingly because of its usefulness for teaching purposes. The cases selected for
this volume represent situations that can be expected in a busy interventional practice. There is
emphasis on the clinical aspects of the diseases and treatment options as well as technical aspects of
the therapeutic procedures. It is increasingly necessary, that the interventional radiologists also
assume the role of a clinician.
This volume of the Teaching Atlas of Interventional Radiology is intended for physicians in training
and those in clinical practice. As with the previous book, it is not intended to provide comprehensive
coverage of the field but covers a range of diseases seen in a busy clinical practice.
I wish to express my sincere appreciation to the section editors and the authors for sharing their
experiences, for their patience and help in bringing this project to completion. The completion of
this book would have been difficult without the support from my family, in particular, from my best
friend and wife, Salma.
Saadoon Kadir, M.D.
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CONTRIBUTORS
Editor Contributors
Saadoon Kadir, M.D. Okan Akhan, M.D.
Interventional Radiologist Professor of Radiology
North County Radiology Department of Radiology
Interventional Radiologist Hacettepe University
Cardinal Glennon Children’s Hospital School of Medicine
St. Louis, Missouri Ankara, Turkey
Clinical Professor of Radiology
Sulaiman Al-Basam, M.D., F.R.C.P.C.
Saint Louis University
Department of Diagnostic Radiology
School of Medicine
St. Joseph’s Hospital
St. Louis, Missouri
London, Ontario, Canada
Section Editors
Kamran Ali, M.D.
Saadoon Kadir, M.D.
Clinical Assistant Professor
Interventional Radiologist
Department of Diagnostic Radiology
North County Radiology
University of Kansas
Interventional Radiologist
School of Medicine
Cardinal Glennon Children’s Hospital
Wichita, Kansas
St. Louis, Missouri
Clinical Professor of Radiology
Murray Asch, M.D., F.R.C.P.C.
Saint Louis University
Department of Medical Imaging
School of Medicine
Division of Vascular and Interventional
St. Louis, Missouri
Radiology
University of Toronto
Carl F. Beckmann, M.D.
Toronto, Ontario, Canada
Department of Diagnostic Radiology
Lahey Clinic Medical Center
Hilary M. Babcock, M.D.
Burlington, Massachusetts
Instructor
John D. Bennett, M.D., C.M., F.R.C.P.C. Department of Medicine
Department of Diagnostic Radiology Division of Infectious Diseases
St. Joseph’s Hospital Washington University
University of Western Ontario School of Medicine
London, Ontario, Canada St. Louis, Missouri
Moulay A. Meziane, M.D. Carl F. Beckmann, M.D.
Department of Radiology Department of Diagnostic Radiology
The Cleveland Clinic Foundation Lahey Clinic Medical Center
Cleveland, Ohio Burlington, Massachusetts
ix