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This book presents 101 unique and extraordinary cases in interventional radiology (IR) and endovascular therapy. Extreme IR is an internationally recognized event that Dr. Ziv Haskal created and held in early 2000's at mountaintop venues, then at successive Society of Interventional Radiology annual conference meetings, and later, published monthly within the Journal of Vascular and Interventional Radiology (JVIR) for which he was editor-in-chief for 10 years. The ever-popular Extreme IR sessions at conferences have drawn more than 5,000 attendees. Cases are presented in a rapid-fire format designed to maximize relevancy, excitement, and unique knowledge. This book aims to replicate that experience for a wider audience.
The book is divided into twelve sections, including venous, portal hypertension, and biliary, arterial, oncology, etc. cases. Most cases span two pages and include large, illustrative images with bullet-pointed text to present essential information in a concise and focused fashion. The global list of authors exemplifies the extraordinary breadth of the cases for interventional radiologists, endovascular specialists. It is ideal for interventional radiologists and endovascular specialists at all levels of seniority and training.
Pages i-xxiv
Front Matter
Pages 1-1
Percutaneous Trans-Atrial Embolization of an Ascending Aortic Pseudoaneurysm
Pages 2-3
Complete Endovascular Arch Repair for Type A Aortic Dissection
Pages 4-6
Pages 8-10
Transcaval Endoleak Repair Complicated by Onyx Leak into the IVC and Heart
Pages 12-14
Failed Endovascular Repair of Mycotic Aortic Arch Aneurysm Using the Atrial Septal Defect Occluder
Pages 16-18
Salvaging a Prematurely Unsheathed Fenestrated Aortic Arch Stent Graft
Pages 20-21
“Mind the Gap”: Bridging the Branched Graft Disconnect
Pages 22-24
Percutaneous Iliac Artery Type II Endoleak Embolization Complicated by Active Extravasation
Pages 26-27
“One Way In”: Percutaneous Transarterial Embolization of a Persistent Iliac Aneurysm
Pages 28-30
Percutaneous Ilio-Femoral Arterial Bypass
Pages 32-34
Pages 36-39
Managing Complex Iatrogenic Guidewire Dissection and a Damaged Stent
Pages 40-42
Front Matter
Pages 43-43
Retrograde Puncture of the Profunda Femoris Artery to Facilitate Treatment of Critical Limb Ischemia
Pages 44-47
Pages 48-50
Deep Venous Arterialization with Ellipsys Side-to-Side Anastomosis
Pages 52-55
Shooting Your Way Out: Endovascular Arterial Bypass Via Gunsight
Pages 56-59
Unconventional Endovascular Salvage of an Iatrogenic Dissecting Fusiform Long Segment SFA Aneurysm
Pages 60-62
“Musashi” Snuffbox Access for Simultaneous Arterial and Venous Access
Pages 64-65
Pages 66-69
Carotid Retrograde Rescue through the Anterior Communicating Artery
Pages 70-72
Pages 74-75
Common Carotid Artery Pseudoaneurysm
Pages 76-78
Front Matter
Pages 79-79
Pages 80-82
Pages 84-85
Balloon Targeted Sharp Recanalization and Neo-SVC Reconstruction Via Transhepatic Access
Pages 86-88
Extra-Anatomical Venous Bypass Through a Malignant Tumor for Palliation of Massive Arm Edema
Pages 90-92
Retrieval of Permanent VenaTech Filter with Retained Migrated Fragments in the Heart and Lung
Pages 94-96
Think Fast and Act Quick: Complex IVC Filter Removal
Pages 98-100
Stent-Excluded IVC Filter Causing Severe Abdominal Pain: The Porthole Retrieval Technique
Pages 102-105
Pages 106-109
Single-Session Total IVC and Iliofemoral Endovascular Construction for Caval Agenesis
Pages 110-113
Neocaval Reconstruction Complicated by Endosac Collateral Bleeding
Pages 114-117
Front Matter
Pages 119-119
TIPS Surprise and Massive Extravasation: Never Underestimate a “Small” Splenic Aneurysm
Pages 120-122
Pages 124-126
Direct Transhepatic Varico-Caval Shunt for the Treatment of Portal Varices
Pages 128-130
Emergent Stent Graft for Traumatic Laceration of the Right Portal Vein
Pages 132-134
Pages 136-139
Pages 140-141
Embolization of a Large Inadvertent Iatrogenic Arterioportal Shunt
Pages 142-143
Pancreatitis-Related Portal Vein Aneurysm Treated with Stent-Assisted Coil Embolization
Pages 144-145
Percutaneous Porto-Mesenteric Venous Endoconduit Creation to Restore Portal Venous Flow
Pages 146-148
Mesocaval Shunt in Patient with Portocaval Transposition
Pages 150-152
Percutaneous Trans-Colonic Transhepatic Mesocaval Shunt Creation
Pages 154-155
Pages 156-157
Mirror Mirror: TIPS in Situs Inversus with Transfemoral Transcaval Guidance
Pages 158-160
Pages 162-164
Explant of a VIATORR TIPS Endoprosthesis Misplaced into the Common Bile Duct
Pages 166-168
Antegrade Transmesenteric Stenting of a Kinked Portal Vein After Acute Liver Transplant
Pages 170-172
Pages 174-176
Front Matter
Pages 177-177
Rendezvous Recanalization of an Occluded Hepatic Artery Stent Via Percutaneous Transhepatic Access
Pages 178-180
Percutaneous Trans-Needle Glue Embolization of an Isolated Visceral Aneurysm
Pages 182-184
Vascular Ehlers-Danlos Syndrome Complicated by Ruptured Hepatic Artery Pseudoaneurysm
Pages 186-188
Endovascular Recanalization of Hepatic Artery Thrombosis After Liver Transplantation
Pages 190-192
Celiac Trunk Avulsion Treated with Endograft and Embolization During Open Cardiac Massage
Pages 194-195
Pancreas Transplant Anastomotic Breakdown Treated with Stents and Thrombin
Pages 196-198
A Challenging High Flow Renal AVF with Giant Venous Aneurysm
Pages 200-202
Renal Artery Graft Anastomosis Gone Wrong: Bowel Ischemia
Pages 204-206
Pages 208-211
Endovascular Treatment of a Wide-Necked Proximal Celiac Artery Aneurysm
Pages 212-215
Coil Embolization of Large Uterine Artery Aneurysm During Pregnancy
Pages 216-217
Front Matter
Pages 219-219
Reconnecting the Bile Duct: Percutaneous Hepatico-Cholecysto-Enterostomy
Pages 220-223
Intrahepatic Neobiliary Duct Formation for Benign Biliary Obstructive Jaundice
Pages 224-225
Pages 226-228
Hilar Biliary Obstruction Treated with Extraordinary Extra-Anatomical Endoprostheses
Pages 230-231
Leave Only Liquid: Prophylactic Liquid Embolization of a Chronic Transpleural Biliary Drain Tract
Pages 232-235
Glue Embolization of a High Output Biliary Fistula After RFA
Pages 236-237
EVOH Embolization of a Subtle Arterio-Biliary Fistula: From Artery into the Bile Duct
Pages 238-239
Use of a Ventricular Septal Defect Device to Seal a Post-Ablation Gallbladder Wall Injury
Pages 240-242
Front Matter
Pages 243-243
Pages 244-246
Yttrium-90 Radiation Segmentectomy from the Internal Mammary Arteries
Pages 248-250
Neoadjuvant TACE for IVC Leiomyosarcoma with Non-target Embolization
Pages 252-254
Pages 256-257
Pages 258-261
Iterative Cryoablation of a Head and Neck Adenocarcinoma Recurrence
Pages 262-263
MRI-Guided Cryoablation of a Frontal Glioblastoma Recurrence After Surgery and Chemo-Radiotherapy
Pages 264-265
Percutaneous Cryoablation of a Precarious Pulmonary Nodule
Pages 266-268
Treatment of Renal Parenchymal Blowout After Cryoablation Using Balloon-Assisted Coil Embolization
Pages 270-272
Art of Ablation: Technologic Synergy of Fused Images and Guidance
Pages 274-275
Pelvic Metastasis Treated with Irreversible Electroporation (IRE)
Pages 276-278
Iatrogenic Pneumothorax for Creation of a Safe Percutaneous Window for Liver Ablation
Pages 280-281
Front Matter
Pages 283-283
Stop and Listen to the Birds Sing and Then Go With the Flow
Pages 284-286
Bleomycin Orbital Sclerotherapy of a Retro-Orbital Low Flow Lymphovenous Malformation
Pages 288-290
Percutaneous Sclerotherapy of a Bleeding Nasal Arteriovenous Malformation
Pages 292-293
Venous Outflow Embolization for Obliteration of a Massive Lower Extremity AVM
Pages 294-297
Primum Non Nocere, or the Wrong and the Right AVM Treatment
Pages 298-301
Pages 302-304
Endovascular Stenting of Pulmonary Stenosis from Takayasu Arteritis
Pages 306-307
Front Matter
Pages 309-309
Pages 310-311
Pages 312-313
Pages 314-315
Pages 316-317
Brachial Plexopathy After Creation of Alternate Venous Outflow in a Dialysis Patient
Pages 318-319
Front Matter
Pages 321-321
Pages 322-324
Percutaneous Debridement of Hepatic Echinococcal Cyst
Pages 326-328
Antegrade Removal of Covered Metallic Ureteral Stent Placed for 4 Years
Pages 330-331
Front Matter
Pages 333-333
Reconstruction of the Posterior Pelvic Angle with an Interlocking Screw-Cement Construct
Pages 334-335
Pages 336-338
Subcutaneous Embedded Kyphoplasty Cannula Extraction: The Excalibur
Pages 340-341
Front Matter
Pages 343-343
Transhepatic Lymphangiogram with Complex Central Lymphatic Leak Embolization
Pages 344-347
Retrograde Glue Embolization of Retroperitoneal Lymphatic Leak After Mycotic Aortic Aneurysm Repair
Pages 348-350
Retrieval of Pulmonary Glue Embolus During Transabdominal Lymphatic Embolization
Pages 352-354
Pages 355-358
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