Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Oct 1999
Clinical TrialManagement of chylothorax by percutaneous catheterization and embolization of the thoracic duct: prospective trial.
To prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with high-output chylothoracic effusions. ⋯ Catheterization of the thoracic duct was possible in all patients who had patent major retroperitoneal lymphatic trunks. Thoracic duct embolization was curative in patients with demonstrable duct leakage. Previous abdominal surgery, aortic dissection, and lymphangioleiomyomatosis can lead to silent occlusion of retroperitoneal lymphatic trunks. Percutaneous thoracic duct catheterization and embolization is safe and can replace surgical ligation in some patients.
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J Vasc Interv Radiol · Jul 1999
Intravascular ultrasound as an alternative to positive-contrast vena cavography prior to filter placement.
In a nonconsecutive series of patients, intravascular ultrasound (IVUS) was investigated for safety and efficacy as an alternative to positive-contrast vena cavography for evaluating the inferior vena cava (IVC) prior to filter placement. ⋯ IVUS is a safe and effective alternative to conventional positive-contrast vena cavography for imaging the IVC prior to filter placement in patients with contraindications to iodinated contrast material or ionizing radiation.
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J Vasc Interv Radiol · Jul 1999
Ultrasonically guided percutaneous transhepatic hepatic vein stent placement for Budd-Chiari syndrome.
To evaluate the utility of ultrasonically guided hepatic vein stent placement in the treatment of Budd-Chiari syndrome (BCS) in patients with short hepatic vein obstruction. ⋯ Percutaneous transhepatic hepatic vein stent placement is a reasonable treatment for BCS in patients with hepatic vein obstruction, and the procedures can be performed safely and accurately with US.
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J Vasc Interv Radiol · Jun 1999
Case ReportsAortoduodenal fistula: a late complication of intraluminal exclusion of an infrarenal aortic aneurysm.
During recent years, considerable clinical experience has been gained with endoluminal stent-graft procedures. Several studies have shown promising results up to a period of 4.5 years. ⋯ We report a case in which a migrated and kinked bifurcated stent-graft caused an aortoduodenal fistula 20 months after stent-graft insertion. To our knowledge, such a complication has not been reported before.