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   2017| January-June  | Volume 1 | Issue 1  
    Online since February 6, 2017

 
 
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CASE REPORTS
Uterine artery embolization for management of placenta accreta, a single-center experience and literature review
Abdallah Noufaily, Raja Achou, Mitri Ashram, Miziana Mokbel, Emile Dabaj, Elie Snaifer, Abbas A Chamsuddin
January-June 2017, 1(1):37-42
DOI:10.4103/2542-7075.199572  
“Morbidly adherent placenta” is a term that describes the continuum of placenta accreta, increta, and percreta. Placenta accreta is the least invasive form, whereas placenta percreta represents a complete penetration of the trophoblast through the uterus that reaches the serosal surface and potentially invades the bladder, rectal wall, and pelvic vessels. Leaving the placenta in situ in the setting of abnormally invasive placenta is now widely practiced. We herein present three cases of abnormal placental implantation diagnosed by antenatal ultrasound and magnetic resonance imaging, in which uterine artery embolization was performed to induce placental infarction and eventually rapid regression but most importantly to minimize peripartum and postpartum bleeding. As we do this, we sought to review the risks of placenta accreta, increta, and percreta and evaluate the role of endovascular therapy to improve maternal outcomes when abnormal placental implantation occurs.
  3,570 400 3
REVIEW ARTICLES
How i do it: A practical database management system to assist clinical research teams with data collection, organization, and reporting
Amr Maged Elsaadany, Fida Hasan Alaeddin, Mohamed Farouk Badran, Hamad Saleh Alsuhaibani
January-June 2017, 1(1):10-14
DOI:10.4103/2542-7075.199567  
With the growing amount of research projects in the field of interventional radiology, storing and organizing the patients' data and information effectively is becoming more difficult. Existing hospital electronic medical record and archiving systems store patient information in the form of reports which put the physicians and researchers in a situation where they have to use time-consuming manual search through reports for suitable patients for different clinical researches. Spreadsheet programs such as Microsoft Excel® (Microsoft, Washington, USA) are often used as a data storage, which has limitations in both organization and the quality of the data. Higher risk of incorrect data entry and introducing duplicates are associated with data input and analysis without a database system. Furthermore, selection, as well as calculation of data, is time-consuming. This article aims to provide interventionists with an efficient data collection tool optimized for interventional oncology clinical research. The implementation of the current database and interface allows a much faster and more detailed retrospective analysis of patient cohorts. The database management system with an interface is a very time-efficient and robust tool that provides a significant edge over the manual retrieval of patient records by filtering data and assisting statistical analysis in a study-relevant fashion.
  2,774 291 -
CASE REPORTS
Treatment of massive systemic air embolism during lung biopsy
Abbas Chamsuddin, Raja Ashou
January-June 2017, 1(1):33-36
DOI:10.4103/2542-7075.199570  
Percutaneous needle biopsy of lung lesions is commonly used and is usually regarded as a safe procedure with limited morbidity and extremely rare mortality. Most frequent complications are pneumothoax, pulmonary bleeding and hemoptysis. Other rare complications include systemic air embolus, tumor implantation and empyema. Systemic air emboli are extremely rare with a published incidence of 0.02' from a lung biopsy survey in the United Kingdom to 0.07' in the literature, but are serious and can be fatal. We present a case of massive air embolism occurring during lung biopsy and describe the technique used for immediate treatment.
  2,210 237 1
EDITORIALS
Pan Arab Interventional Radiology Society-PAIRS: A Milestone for Interventional Radiology in the Arab World - Reminiscences on the founding of the society
Aghiad Al-Kutoubi
January-June 2017, 1(1):2-4
DOI:10.4103/2542-7075.199565  
  2,109 169 -
CASE REPORTS
Percutaneous removal of gallstones under fluoroscopy guidance in high-risk patients with acute cholecystitis
Ahmed Al Nammi, Ahsan Cheema, Mohanned Al Nammi, Ikram Chaudhry
January-June 2017, 1(1):30-32
DOI:10.4103/2542-7075.199569  
We report our technique of percutaneous removal of gallstones in three elderly patients with acute calculus cholecystitis who were not surgical candidates due to multiple comorbidities. The procedure is performed under local anesthesia using fluoroscopic and choledochoscopic guidance. All patients had uneventful recovery and were discharged home in 3–4 days and fallow up at a low and high surveillance by ultrasound at 3 and 6 months interval.
  1,989 209 1
REVIEW ARTICLES
Interventional oncology: A snapshot of expanding practice
Azzam Khankan
January-June 2017, 1(1):15-19
DOI:10.4103/2542-7075.199564  
Interventional oncology (IO) was a minor part of interventional radiology. However, with the development of novel technologies and introduction of innovative therapeutics with dramatic transformations in the practice of oncology, IO is facing challenges in adopting and responding to these new changes to maintain its integral role and maximize its potentials in the efficient management of patients with cancer. In this snapshot, some of the novel therapeutic approach principles relevant to IO practice will be explained briefly.
  1,906 182 -
EDITORIALS
Interventional radiology practice in Saudi Arabia: Are we driving on soft sand?
Abdulkader Abdulmohsen Alkenawi
January-June 2017, 1(1):8-9
DOI:10.4103/2542-7075.199566  
  1,552 195 1
ORIGINAL ARTICLES
MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report
Abbas Chamsuddin, Lama Nazzal, Thomas Heffron, Osama Gaber, Raja Achou, Louis G Martin
January-June 2017, 1(1):20-26
DOI:10.4103/2542-7075.199571  
Introduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT.
  1,564 170 -
Arab's research productivity and contribution to vascular and interventional radiology literature
Yousof Al Zahrani, Mohammad Arabi
January-June 2017, 1(1):27-29
DOI:10.4103/2542-7075.199574  
Objective: Vascular and interventional radiology (VIR) is one of the most rapidly growing fields of medicine. In this report, we evaluate the contribution of Arab countries to VIR publications and literature. Materials and Methods: Using PubMed database, we reviewed the total number of VIR publications from all Arab countries. In addition, we evaluated the total number of IR articles from each individual country, number of publications in VIR specialty journals and the type of manuscripts. Results: Seventy-four articles from different Arab countries were published in different journals from 1988 to 2016. Only 11 (14.9') articles were published in interventional radiology journals. The majority of these publications were from Kingdom of Saudi Arabia 31 (41.9') articles, followed by 20 (27.02') articles from Egypt, 7 articles (9.5') from Jordan, 6 articles (8.1) from Kuwait, and 4 articles (5.4') from Morocco. There was one article (1.4') from Lebanon, United Arab Emirates, Oman, Tunis, and Qatar. Nine (12.2') articles from different Arab countries were published in the two highest impact specialty journals in VIR. Conclusion: This review demonstrated the limited number of publications and poor contribution of Arab countries to VIR literature. Collaborative efforts of researchers, governments, and funding bodies are needed to improve research output in this important field of medicine.
  1,287 176 -
EDITORIALS
A view for interventional radiology in the Arab region
Michael D Dake
January-June 2017, 1(1):5-7
DOI:10.4103/2542-7075.199568  
  1,267 173 -
The Arab Journal of Interventional Radiology: Launching into the Future
Mohammad Arabi, Saher Sabri
January-June 2017, 1(1):1-1
DOI:10.4103/2542-7075.199573  
  1,244 186 -