Portal Hypertension: Its always difficult to find an extensive and good talk on portal Hypertension. Following is an excellent presentation by: Dr Naganathan Mani, M.D. FSIR Associate Professor of Radiology and Surgery Mallinckrodt Institute of Radiology
- Patient Information
A male patient in mid 30’s presents with GI tumor, started on chemotherapy. Now present with progression of disease. Features of biliary obstruction.
This section depicts the basic techniques involved in the performing a TIPS procedure by Interventional Radiologists in a schematic way for a better explaination by the operator and at the same time better visualization for the others.
Male patient in early 50’s presented with increased confusion over last few months. No significant past medical or surgical history. All the blood works were unremarkable. A CT was requested for further evaluation.
In patients who have underlying liver diseases histological examination of the liver tissue is needed which could play an important role in the diagnosis, prognosis, staging, and management. This tissue is obtained by performing a biopsy of the liver. There are various reasons to obtain a sample of liver tissue. Few of the common indications […]
This section depicts the basic techniques involved in the performing a Transjugular liver biopsy procedure by Interventional Radiologists in a schematic way for a better explaination by the operator and at the same time better visualization for the others.
This section depicts the basic techniques involved in the performing a percutaneous transhepatic access into the biliary system and drain placement by Interventional Radiologists in a schematic way for a better explaination by the operator and at the same time better visualization for the others.
Patient with H/O NASH Cirrhosis, had TIPS-Placed 6 months ago. Now presents with a large variceal bleed, uncontrollable by endoscopy No technical issues while placement No follow up studies until this presentation
A middle aged male with a solitary mets to the liver from CR cancer. The mets is at the dome of the liver, tricky position along wit challenging to perform definitive therapy. based on the options, it was decided to perform microwave ablation.
An excellent presentation by Nathan Bayless, RRA/RPA, Vascular Interventional Radiology at the DDI meeting, 2019 held at Newyork. This presentation gives an insight to the causes of benign biliary strictures, imaging and their management by the Interventional radiology.
Middle aged male with a periportal mass, and prior admissions for GI bleeding (esophageal varices); ERCP: Biliary ductal dilation, hepatic duct mass, 2 stents, biopsies proved inconclusive of a diagnosis. Presently admitted with ascites and was found to have portal vein thrombosis extending from the SMV to the intrahepatic portal branches
An old male whos a poor surgical candidate presents with biliary colic. Past history includes gastric bypass. No surgical or endoscopic options available.
Patient with pancreatic cancer, underwent Whipple’s procedure, Now presenting with large volume of abdominal ascites requiring frequent tapping (3-4 litres every 3 days). CT Abdomen and pelvis demonstrate focal narrowing of the portal vein confluence, Gastric varices, Gastro-colic varices. Reasons for ascites?
Can SIRT be performed without TcMAA injections in most patients is a biggest question to answer? This study demonstrates using pre-known target liver volume, single-session planning angiogram followed by SIRT without TcMAA injection might be feasible using a patient specific dose that is pre-ordered (TheraSphere) or drawn on that day (SIR-Spheres).
Middle aged female presents 1 week after whipples procedure, with increasing abdominal pain. CT demonstrate peri-anastomotic collection. Within next few hours, patient becomes HD unstable and on pressors. Transferred to university hospital for further management. Decision was made to drain the peri-anastomotic collection. Based on the findings, PTHC and drain placement was considered.
Young male with colorectal mets. Presents with hepatic lesions involving both lobes. Tumor board discussion. Request for RT PVE , segment 4 Embo and RT HV embo.
This is a case based discussion presented at the Digestive diseases Imaging, USA. OPTN classification is used for classifying the HCC and RECIST criteria is used for response assessment. This presentation concentrates on the varied imaging appearances and the RECIST criteria.
ISVIR 2019 presentation on the new imaging tools for navigation during TIPS.
y90 Radioembolization is a palliative management option in liver tumor treatments, where in the y90 is injected via the hepatic arteries. Post y90 infusion, Imaging is performed to assess the distribution and quantification of dose received. This presentation talks about the various options available along with the pros and cons. This was presented at RSNA […]
Left medial lobe isolated HCC, Not a Tx candidate.
Benign hepatic cyst present for many years, now with excruciating abdominal pain.
Post Whipples bile leak.