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Interventional Radiology

Interventional Radiology Abstract Interventional radiology now makes possible new diagnostic and therapeutic approaches to many disease processes. Technological advances in catheter design coupled with newer imaging modalities, eg, ultrasound and computed tomography, make it feasible for the interventional radiologist to gain access to virtually any structure within the body via a percutaneous approach. Disease states can be modified and in some cases definitively corrected by the transcatheter delivery of various pharmacologic or inert agents. Precise localization of abdominal and retroperitoneal masses allows for the safe and accurate percutaneous aspiration biopsy of deep-seated lesions. The use of the skills of the interventional radiologist can speed the diagnostic evaluation of many cases, may eliminate the need for exploratory laparotomy, and may offer new therapeutic approaches where previously there was little or no hope for therapeutic success. (Arch Intern Med 1982;142:456-461) References 1. Margulis AR: Interventional diagnostic radiology: A new subspecialty. AJR 1967;3:761. 2. Dotter CT, Judkins MP: Transluminal treatment of arteriosclerotic obstruction: Description of a technique and a preliminary report of its application. Circulation 1964;30:654-670.Crossref 3. Gruntzig A, Hopp H: Perkutane reckanalisation chronischer arterieller verschlusse mit einen neuen dilatationskatheter: Modification der Dotter Technik. Dtsch Med Wochenschr 1974;99:2502-2505.Crossref 4. Motargeme A, Keifer JW, Zuska AJ: Percutaneous transluminal angioplasty of peripheral vascular disease: A two year experience. Cardiovasc Intervent Radiol 1980;3:213-218.Crossref 5. Zeitler E: Percutaneous dilatation and recanalizatioh of iliac and femoral arteries. Cardiovasc Intervent Radiol 1980;3:207-213.Crossref 6. Novelline RA: Percutaneous transluminal angioplasty: Newer applications. AJR 1980;135:983-988.Crossref 7. Katzen BT, Chang J, Wkowsky GH, et al: Percutaneous transluminal angioplasty for treatment of renovascular hypertension. Radiology 1978;131:53-58.Crossref 8. Schwarten DE: Transluminal angioplasty of renal artery stenosis: Seventy experiences. AJR 1980;135:969-974.Crossref 9. Sundt TM Jr, Smith HC, Campbell JK, et al: Transluminal angioplasty for basilar artery stenosis. Mayo Clin Proc 1980;55:673-680. 10. Greenfield AJ: Transcatheter vessel occlusion: Selection of methods and materials. Cardiovasc Intervent Radiol 1980;3:222-228.Crossref 11. White RI Jr, Kaufman SL, Barth RH, et al: Embolotherapy with detachable silicone balloons: Technique and clinical results. Radiology 1979;131:619-627.Crossref 12. Athanasoulis CA, Waltman AC, Barnes AB, et al: Angiographic control of pelvic bleeding from treated carcinoma of the cervix. Gynecol Oncol 1976;4:144-150.Crossref 13. Higgins CB, Bookstein JJ, Davis GB, et al: Therapeutic embolization for intractable chronic bleeding. Radiology 1977;122:473-478.Crossref 14. Chuang VP, Wallace S: Current status of transcatheter management of neoplasms. Cardiovasc Intervent Radiol 1980;3:256-267.Crossref 15. Burhenne HJ: Nonoperative retained biliary stone extraction: A new roentgenologic technique. AJR 1973;177:388-399.Crossref 16. Molnar W, Stockman AE: Relief of obstructive jaundice through percutaneous transhepatic catheter: A new therapeutic method. AJR 1974;122:356-367.Crossref 17. Ring EJ, Oleaga JA, Freiman DB, et al: Therapeutic applications of catheter cholangiography. Radiology 1978;128:333-338.Crossref 18. Feduska NJ, Dent TLL, Lindenauer SM: Results of palliative operations for carcinoma of the pancreas. Arch Surg 1971;103:330-333.Crossref 19. Sato T, Saitoh Y, Koyama K, et al: Preoperative determination of operability in carcinomas of the pancreas and the periampullary region. Ann Surg 1968;168:876-886.Crossref 20. Herskovic A, Heaston D, Engler MJ, et al: Irradiation of biliary carcinoma. Radiology 1981;139:219-222.Crossref 21. Molnar W, Stockum AE: Transhepatic dilatation of choledochoenterostomy strictures. Radiology 1978;129:59-64.Crossref 22. Lang EK: Diagnosis and management of ureteral fistulas by percutaneous ephrostomy and antegrade stent catheter. Radiology 1981;138:311-317.Crossref 23. Evander A, Ihse I, Lunderquist A, et al: Percutaneous cytodiagnosis of carcinoma of the pancreas and bile duct. Ann Surg 1978;188:90-92.Crossref 24. Haaga JR, Alfidi RJ: Precise biopsy localization by computerized tomography. Radiology 1976;118:603-607.Crossref 25. Ferrucci JT, Wittenberg J, Mueller P, et al: Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy. AJR 1980;134:323-330.Crossref 26. Hagga JR, Weinstein AJ: CT-guided percutaneous aspiration and drainage of abscesses. AJR 1980;135:1187-1194.Crossref 27. Gerzof S, Robbins AH, Birkett DH: Computed tomography in the diagnosis and management of abdominal abscesses. Gastrointest Radiol 1978;3:287-294.Crossref 28. Gerzof SG: Application of imaging techniques and drainage for the inflamed pancreas. Read before the Annual Washington Imaging Conference, Washington, DC, May 3-8, 1981. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Interventional Radiology

Archives of Internal Medicine , Volume 142 (3) – Mar 1, 1982

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340160040010
Publisher site
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Abstract

Abstract Interventional radiology now makes possible new diagnostic and therapeutic approaches to many disease processes. Technological advances in catheter design coupled with newer imaging modalities, eg, ultrasound and computed tomography, make it feasible for the interventional radiologist to gain access to virtually any structure within the body via a percutaneous approach. Disease states can be modified and in some cases definitively corrected by the transcatheter delivery of various pharmacologic or inert agents. Precise localization of abdominal and retroperitoneal masses allows for the safe and accurate percutaneous aspiration biopsy of deep-seated lesions. The use of the skills of the interventional radiologist can speed the diagnostic evaluation of many cases, may eliminate the need for exploratory laparotomy, and may offer new therapeutic approaches where previously there was little or no hope for therapeutic success. (Arch Intern Med 1982;142:456-461) References 1. Margulis AR: Interventional diagnostic radiology: A new subspecialty. AJR 1967;3:761. 2. Dotter CT, Judkins MP: Transluminal treatment of arteriosclerotic obstruction: Description of a technique and a preliminary report of its application. Circulation 1964;30:654-670.Crossref 3. Gruntzig A, Hopp H: Perkutane reckanalisation chronischer arterieller verschlusse mit einen neuen dilatationskatheter: Modification der Dotter Technik. Dtsch Med Wochenschr 1974;99:2502-2505.Crossref 4. Motargeme A, Keifer JW, Zuska AJ: Percutaneous transluminal angioplasty of peripheral vascular disease: A two year experience. Cardiovasc Intervent Radiol 1980;3:213-218.Crossref 5. Zeitler E: Percutaneous dilatation and recanalizatioh of iliac and femoral arteries. Cardiovasc Intervent Radiol 1980;3:207-213.Crossref 6. Novelline RA: Percutaneous transluminal angioplasty: Newer applications. AJR 1980;135:983-988.Crossref 7. Katzen BT, Chang J, Wkowsky GH, et al: Percutaneous transluminal angioplasty for treatment of renovascular hypertension. Radiology 1978;131:53-58.Crossref 8. Schwarten DE: Transluminal angioplasty of renal artery stenosis: Seventy experiences. AJR 1980;135:969-974.Crossref 9. Sundt TM Jr, Smith HC, Campbell JK, et al: Transluminal angioplasty for basilar artery stenosis. Mayo Clin Proc 1980;55:673-680. 10. Greenfield AJ: Transcatheter vessel occlusion: Selection of methods and materials. Cardiovasc Intervent Radiol 1980;3:222-228.Crossref 11. White RI Jr, Kaufman SL, Barth RH, et al: Embolotherapy with detachable silicone balloons: Technique and clinical results. Radiology 1979;131:619-627.Crossref 12. Athanasoulis CA, Waltman AC, Barnes AB, et al: Angiographic control of pelvic bleeding from treated carcinoma of the cervix. Gynecol Oncol 1976;4:144-150.Crossref 13. Higgins CB, Bookstein JJ, Davis GB, et al: Therapeutic embolization for intractable chronic bleeding. Radiology 1977;122:473-478.Crossref 14. Chuang VP, Wallace S: Current status of transcatheter management of neoplasms. Cardiovasc Intervent Radiol 1980;3:256-267.Crossref 15. Burhenne HJ: Nonoperative retained biliary stone extraction: A new roentgenologic technique. AJR 1973;177:388-399.Crossref 16. Molnar W, Stockman AE: Relief of obstructive jaundice through percutaneous transhepatic catheter: A new therapeutic method. AJR 1974;122:356-367.Crossref 17. Ring EJ, Oleaga JA, Freiman DB, et al: Therapeutic applications of catheter cholangiography. Radiology 1978;128:333-338.Crossref 18. Feduska NJ, Dent TLL, Lindenauer SM: Results of palliative operations for carcinoma of the pancreas. Arch Surg 1971;103:330-333.Crossref 19. Sato T, Saitoh Y, Koyama K, et al: Preoperative determination of operability in carcinomas of the pancreas and the periampullary region. Ann Surg 1968;168:876-886.Crossref 20. Herskovic A, Heaston D, Engler MJ, et al: Irradiation of biliary carcinoma. Radiology 1981;139:219-222.Crossref 21. Molnar W, Stockum AE: Transhepatic dilatation of choledochoenterostomy strictures. Radiology 1978;129:59-64.Crossref 22. Lang EK: Diagnosis and management of ureteral fistulas by percutaneous ephrostomy and antegrade stent catheter. Radiology 1981;138:311-317.Crossref 23. Evander A, Ihse I, Lunderquist A, et al: Percutaneous cytodiagnosis of carcinoma of the pancreas and bile duct. Ann Surg 1978;188:90-92.Crossref 24. Haaga JR, Alfidi RJ: Precise biopsy localization by computerized tomography. Radiology 1976;118:603-607.Crossref 25. Ferrucci JT, Wittenberg J, Mueller P, et al: Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy. AJR 1980;134:323-330.Crossref 26. Hagga JR, Weinstein AJ: CT-guided percutaneous aspiration and drainage of abscesses. AJR 1980;135:1187-1194.Crossref 27. Gerzof S, Robbins AH, Birkett DH: Computed tomography in the diagnosis and management of abdominal abscesses. Gastrointest Radiol 1978;3:287-294.Crossref 28. Gerzof SG: Application of imaging techniques and drainage for the inflamed pancreas. Read before the Annual Washington Imaging Conference, Washington, DC, May 3-8, 1981.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Mar 1, 1982

References