Behcet’s disease (BD) is a vasculitic condition that affects arteries and veins of all sizes. Arterial pseudoaneurysm is a rare but lifethreatening complication of BD. We reported a 41-year-old man with 20 years history of BD and 5 years history of bilateral blindness. The patient presented with sudden onset of pain and swelling in his left groin and was diagnosed with the ruptured pseudoaneurysm of the left common femoral artery (CFA), which extended into the origins of superficial and deep femoral arteries. The patient was in the active phase of BD; therefore, he was initially treated with corticosteroids and cyclophosphamide pulse therapies and subsequently underwent stent graft placement. Post stenting angiography and postprocedural ultrasonography confirmed the successful exclusion of pseudoaneurysm without any evident complication. Four years of follow-up was uneventful
Biliary Interventions
ArticlesBiliary interventions treat blockages, narrowing and/or injury of the passages between the liver, gallbladder and small intestine called bile ducts. Bile is produced in the liver and stored in the gallbladder where it can be released into the small intestine to aid in digestion. If the bile ducts become blocked, it may lead to inflammation or infection also known as cholecystitis. Biliary interventions may remove gallstones, drain excess bile or place a stent within a bile duct to treat your condition and restore the flow of fluids.
Interventional Radiology
Articles"Interventional Radiology" (IR) refers to a range of techniques which rely on the use radiological image guidance (X-ray fluoroscopy, ultrasound, computed tomography [CT] or magnetic resonance imaging [MRI]) to precisely target therapy. Most IR treatments are minimally invasive alternatives to open and laparoscopic (keyhole) surgery. As many IR procedures start with passing a needle through the skin to the target it is sometimes called pinhole surgery!
Prostate Biopsy
ArticlesA prostate gland biopsy is a test to remove small samples of prostatetissue to be examined under a microscope. For a prostate biopsy, a thin needle is inserted through the rectum(transrectal biopsy), through the urethra, or through the area between the anus and scrotum (perineum). A transrectal biopsy is the most common method used. The tissue samples taken during the biopsy are examined for cancer cells. A biopsy may be done when a blood test shows a high level of prostate-specific antigen (PSA) or after a digital rectal examination finds an abnormal prostate or a lump.
Radiofrequency Ablation (RFA) of Liver Tumors
ArticlesRadiofrequency ablation (RFA) is a treatment that uses imaging guidance to place a needle electrode through the skin into a liver tumor. High-frequency electrical currents are passed through the electrode, creating heat that destroys the cancer cells. RFA is an effective treatment option for patients who might have difficulty with surgery or those whose tumors are less than one and a half inches in diameter. The success rate for completely eliminating small liver tumors is greater than 85 percent.
Your doctor will instruct you on how to prepare. Inform your doctor if there’s a possibility you are pregnant and discuss any recent illnesses, medical conditions, allergies and medications you’re taking. Your doctor may advise you to stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) or blood thinners several days prior to your procedure and instruct you not to eat or drink anything for several hours beforehand. Leave jewelry at home and wear loose, comfortable clothing. You may be asked to wear a gown. Plan to have someone drive you home afterward.
CT-guided Celiac Plexus Neurolysis
ArticlesCeliac plexus neurolysis is a safe and effective tool for palliative pain management, with a relatively low rate of complications. Celiac plexus neurolysis should be offered to patients with abdominal malignancy as a key component of the multidisciplinary approach for control of intractable abdominal pain. Appropriate use of cross-sectional imaging knowledge, CT technique, and various adjunctive maneuvers are invaluable to ensure good results