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   Table of Contents - Current issue
July-December 2019
Volume 3 | Issue 2
Page Nos. 39-73

Online since Friday, July 19, 2019

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Interventional radiology evolution: Our past guides us to our future p. 39
James F Benenati
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The pan Arab interventional radiology society: Renaissance and research p. 41
Mohammad Arabi
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The status of vascular and interventional radiology training: The Saudi experience p. 42
Yousof AbdulRahman Al Zahrani, Mohammad Arabi, Mohammad Almoaiqel
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Adrenal vein sampling: How i do it p. 44
Karim Valji
Adrenal vein sampling (AVS) is an uncommonly performed interventional procedure. However, it is essential in the management of patients with primary aldosteronism and several other rare hormonal disorders. AVS can be technically challenging, largely from difficulty with right adrenal vein catheterization. Recently described technical modifications have improved the likelihood of successful sampling in every case. This paper highlights the author's approach to patient selection and step-by-step details of his technique.
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How we do it: Adrenal biopsy and ablation p. 50
Ashraf Thabet, Rita Lahoud, Khalid Shaqdan, Ronald S Arellano, Raul N Uppot
Adrenal lesions represent a heterogeneous group of neoplasms that may be benign or malignant. If imaging fails to exclude a lesion as definitely benign or if molecular profiling is required, percutaneous image-guided biopsy may be indicated. When an adrenal lesion requires surgical resection, some patients are found to be too high at surgical risk or some patients may refuse adrenalectomy. Image-guided percutaneous thermal ablation can be an effective alternative – radiofrequency, microwave, and cryoablation have all been described in literature for the successful treatment of adrenal tumors. In this article, technical and clinical factors that reduce the risk of complications, some unique to the adrenal gland, are discussed.
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Awareness of interventional radiology among clinical years' medical students and medical interns at University of Hail p. 58
Rahaf Albaqawi, Meshael Alreshidi, Dalal Alshubrami, Halah Alrasheedi, Fayez Alreshidi, Ibrahim Alrashidi
Context: One of the most important challenges facing the evolution of modern interventional radiology is its lack of awareness among medical students. Aims: This study aimed to determine the knowledge, perception, and views of the University of Hail clinical year medical students and medical interns regarding various interventional radiology topics. Settings and Design: A cross-sectional study on 244 clinical years' medical students and 87 medical interns from the University of Hail. Materials and Methods: A validated anonymous electronic questionnaire regarding awareness of various interventional radiology topics was sent to all clinical years' students and medical interns, and the results were analyzed. Statistical Analysis Used: The sample size was calculated through the Raosoft sample size calculator website. Data analysis was performed using SPSS statistics. Results: We received 200 responses. Majority of the participants (45%) agreed that their knowledge and information regarding interventional radiology was poor. Few participants (17%) were interested in considering a career in diagnostic radiology or interventional radiology. The most common reported reason for not considering radiology as a career option was lack of adequate knowledge about the subject (27.5%). Majority of participants (72.5%) had not been exposed to interventional radiology. Only 36.5% of participants were interested in doing a 2-week interventional radiology elective during their internship year. Conclusions: This study demonstrated that the majority of undergraduates and interns lack basic knowledge of interventional radiology. About one-third of the respondents were interested in doing their elective term in interventional radiology, and more than half of the participants were not interested or were unsure.
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Extrinsic compression of transplant hepatic artery by a hemostatic agent: “Surgiceloma” p. 65
Umar Tariq, Dimitra Landis, Anil Kotru, Ashok Bhanushali
A 38-year-old man who underwent liver transplantation was found to have absent vascular flow in the common hepatic artery (CHA) on Doppler ultrasound and angiogram 1 day after surgery. Surgical reexploration revealed a mass of expanded Surgicel compressing the CHA. Surgicel is an absorbable hemostatic agent used to control intraoperative bleeding. Blood flow was restored once the mass was removed, and the patient recovered uneventfully. Interventional radiologists need to recognize this finding of extrinsic vascular compression on hepatic angiogram to avoid unnecessary interventions. Furthermore, increased awareness of the clinical and imaging findings associated with compression of an artery by a “Surgiceloma” may increase the consideration of this phenomenon as a differential in the setting of postoperative impaired perfusion.
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Transcatheter unilateral renal artery embolization for managing refractory hypertension prior to renal transplant p. 68
Nasser Dafer AlHendi, Aeed S AlAklabi, Abdulrahman Altheaby, Yousof Al Zahrani, Mohammad Arabi
We report a case of unilateral renal artery embolization as a management of refractory hypertension that precluded renal transplantation in a patient with end-stage renal disease and not a candidate for nephrectomy. Over the subsequent few months, the targeted blood pressure was achieved followed by noncomplicated renal transplantation.
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Gastropleural fistula post sleeve gastrectomy treated by gastric stent under fluoroscopy guidance p. 71
Latefa Ahmed Alareek, Mohammed T Alshammari, Saud M Al-Ghamdi
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Embolization of aortic pseudoaneurysm complicated by abscess formation: Salmonella mycotic aneurysm? p. 72
Aeed Saad AlAklabi, Sulaiman Mohammad AlSharfan, Nasser Dafer AlHendi
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