Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Nov 2016
ReviewBleeding Risk and Management in Interventional Procedures in Chronic Liver Disease.
The coagulopathy of liver disease is distinctly different from therapeutic anticoagulation in a patient. Despite stable elevated standard clot-based coagulation assays, nearly all patients with stable chronic liver disease (CLD) have normal or increased clotting. Common unfamiliarity with the limitations of these assays in CLD may lead to inappropriate and sometimes harmful interventions, including blood product transfusions before a procedure. Knowledge of the distinct hemostatic alterations in CLD can allow identification of the small subset of patients with clinically significant coagulopathy who can benefit from hematologic optimization before invasive procedures.
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Rapid prototyping, also known as three-dimensional (3D) printing, is a recent technologic advancement with tremendous potential for advancing medical device design. A wide range of raw materials can be incorporated into complex 3D structures, including plastics, metals, biocompatible polymers, and even living cells. With its promise of highly customized, adaptable, and personalized device design at the point of care, 3D printing stands to revolutionize medical care. The present review summarizes the methods for 3D printing and their current and potential roles in medical device design, with an emphasis on their potential relevance to interventional radiology.
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J Vasc Interv Radiol · Jun 2015
Letter Review Case ReportsDelayed Cardiac Tamponade following Injury during Retrieval of a Superior Vena Caval Filter.
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A manned mission to Mars requires advanced on-board medical capabilities to address medical incidents that may arise during long-duration interplanetary spaceflight. As this role does not exactly match that of any single specialty, the ideal choice of physician is not immediately obvious. In this work, we review the considerable challenges of providing medical care in the austere conditions of interplanetary space travel and explain why an interventional radiologist may be well-equipped to deliver diagnostic and therapeutic care within these severely constrained conditions.