65 research outputs found
Glenohumeral joint injection: a comparative study of ultrasound and fluoroscopically guided techniques before MR arthrography
To assess the variability in accuracy of contrast media introduction, leakage, required time and patient discomfort in four different centres, each using a different image-guided glenohumeral injection technique. Each centre included 25 consecutive patients. The ultrasound-guided anterior (USa) and posterior approach (USp), fluoroscopic-guided anterior (FLa) and posterior (FLp) approach were used. Number of injection attempts, effect of contrast leakage on diagnostic quality, and total room, radiologist and procedure times were measured. Pain was documented with a visual analogue scale (VAS) pain score. Access to the joint was achieved in all patients. A successful first attempt significantly occurred more often with US (94%) than with fluoroscopic guidance (72%). Leakage of contrast medium did not cause interpretative difficulties. With US guidance mean room, procedure and radiologist times were significantly shorter (p < 0.001). The USa approach was rated with the lowest pre- and post-injection VAS scores. The four image-guided injection techniques are successful in injection of contrast material into the glenohumeral joint. US-guided injections and especially the anterior approach are significantly less time consuming, more successful on the first attempt, cause less patient discomfort and obviate the need for radiation and iodine contrast
Endoscopic stenting versus surgical colostomy for the management of malignant colonic obstruction: comparison of hospital costs and clinical outcomes
Complications related to deep venous thrombosis prophylaxis in trauma: a systematic review of the literature
Deep venous thrombosis prophylaxis is essential to the appropriate management of multisystem trauma patients. Without thromboprophylaxis, the rate of venous thrombosis and subsequent pulmonary embolism is substantial. Three prophylactic modalities are common: pharmacologic anticoagulation, mechanical compression devices, and inferior vena cava filtration. A systematic review was completed using PRISMA guidelines to evaluate the potential complications of DVT prophylactic options. Level one evidence currently supports the use of low molecular weight heparins for thromboprophylaxis in the trauma patient. Unfortunately, multiple techniques are not infrequently required for complex multisystem trauma patients. Each modality has potential complications. The risks of heparin include bleeding and heparin induced thrombocytopenia. Mechanical compression devices can result in local soft tissue injury, bleeding and patient non-compliance. Inferior vena cava filters migrate, cause inferior vena cava occlusion, and penetrate the vessel wall. While the use of these techniques can be life saving, they must be appropriately utilized
Utility of 3D SPACE T2-weighted volumetric sequence in the localization of spinal dural arteriovenous fistula
Percutaneous radiological management of high-output chylothorax with CT-guided needle disruption
Combination endo-radiological colorectal stenting: a prospective 5-year clinical evaluation
Interventional Radiology and Stroke Thrombectomy in Europe: An Online Survey by the Cardiovascular and Interventional Radiological Society in Europe.
International audienc
A case of spinal epidural venous malformation with mediastinal extension: management with combined surgery and percutaneous sclerotherapy
Articular Cartilage Lesions of the Glenohumeral Joint: Diagnostic Effectiveness of MR Arthrography and Prevalence in Patients with Subacromial Impingement Syndrome
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