Covering the entire spectrum of this rapidly evolving field, the third edition of Diagnostic Imaging: Interventional Radiology is an invaluable resource for interventional and diagnostic radiologists, trainees, and all proceduralists who desire an easily accessible, highly visual reference for this complex specialty. Dr. Brandt C. Wible and his team of highly regarded experts provide up-to-date information on more than 100 interventional radiologic procedures to help you make informed decisions at the point of care. Chapters are well organized, referenced, and lavishly illustrated, comprising a useful learning tool for readers at all levels of experience as well as a handy reference for daily practice.
. Provides a comprehensive, expert reference for review and preparation of common and infrequently performed procedures, with detailed "step-by-step" instructions for conducting image-guided interventions in various clinical scenarios
. Covers vascular venous, arterial, and lymphatic procedures, with specific attention to thromboembolic, posttransplant, and oncologic therapies
. Addresses emerging nonvascular image-guided treatments in pain management, neurologic and musculoskeletal procedures, and others
. Contains new procedures chapters on endovascular treatments for pulmonary embolisms and deep vein thrombosis, prostate artery embolization, pelvic venous disorders, and percutaneous/endovascular arteriovenous fistula (AVF) creation
. Features sweeping updates throughout, including updated guidelines and recommendations from the Society of Interventional Radiology
. Offers more than 3,200 images (in print and online), including radiologic
images, full-color medical illustrations, instructional photo essays, and clinical
and histologic photographs
. Clearly demonstrates procedural steps, complications, treatment alternatives, variant anatomy, and more?all fully annotated to highlight the most important diagnostic information
. Organized by procedure type, allowing for quick comparison of different procedural techniques that may have complementary or alternative roles in managing specific disease states
. Builds on the award-winning second edition, which won first prize in the British Medical Association’s Medical Book Awards, Radiology category
. Includes the enhanced eBook version, which allows you to search all text, figures, and references on a variety of devices
Table of Contents
SECTION 1: GENERAL PRINCIPLESPROCEDURAL CONSIDERATIONS
4 Pharmacologics
Chad Davis, MD and Brandt C. Wible, MD
10 Procedural Patient Management
Amanda L. Scott, DO, Kenneth H. Cho, MD, MBA, and Keith B. Quencer, MD
18 Radiation Safety
Chad Davis, MD and Brandt C. Wible, MD
PROCEDURAL TECHNIQUES
22 Angioplasty
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
30 Thrombolysis and Thrombectomy
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
42 Embolization
Brandt C. Wible, MD and T. Gregory Walker, MD, FSIR
54 Stents: Vascular
Brandt C. Wible, MD
66 Stents: Nonvascular
Brandt C. Wible, MD
70 Embolic Protection
T.Gregory Walker, MD, FSIR
78 Atherectomy
T.Gregory Walker, MD, FSIR and Brandt C. Wible, MD
SECTION 2: VENOUS, PORTAL, ANDLYMPHATIC PROCEDURES
VENOUS ACCESS
86 Venous Access
Anatoly Loskutov, MD and Brandt C. Wible, MD
100 Peripherally Inserted Central Catheters
Anatoly Loskutov, MD and Brandt C. Wible, MD
106 Catheters, Nontunneled and Tunneled
Anatoly Loskutov, MD and Brandt C. Wible, MD
120 Ports
Anatoly Loskutov, MD and Brandt C. Wible, MD
VENOUS INTERVENTIONS
130 Thoracic Central Venous Intervention
Brandt C. Wible, MD, Scott M. Brannan, MD, and Stephan Wicky, MD
144 Lower Extremity and Iliocaval Intervention
Brandt C. Wible, MD
158 Vena Cava Filter Placement and Retrieval
Brandt C. Wible, MD and Nathan Saucier, MD
170 Foreign Body Retrieval
Chad Davis, MD and Brandt C. Wible, MD
174 Pelvic Venous Disorders (PeVD)
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
188 Renal and Adrenal Veins: Sampling and Intervention
Keith B. Quencer, MD
198 Venous Sampling and Venography: Endocrine, Nonadrenal
Keith B. Quencer, MD, T. Gregory Walker, MD, FSIR, and Brandt C. Wible, MD
202 Ambulatory Phlebectomy and Sclerotherapy
Joseph A. Ronsivalle, DO, FSIR
206 Saphenous Vein Ablation
Joseph A. Ronsivalle, DO, FSIR
214 Vascular Malformations
Scott R. Shuldiner, MD, Christopher Bailey, MD, and Clifford R. Weiss, MD, FSIR
HEMODIALYSIS ACCESS MAINTENANCE
224 Hemodialysis Access Surveillance and Intervention
Keith B. Quencer, MD
238 Hemodialysis Access Declotting Procedures
Keith B. Quencer, MD and Steven Wu, MD
246 Peritoneal Dialysis Catheter Placement
Keith B. Quencer, MD
PORTAL VENOUS INTERVENTIONS
258 Transjugular Biopsy
Jennifer R. Buckley, MD, MBA and Nathan Saucier, MD
262 TIPS
Brandt C. Wible, MD, Nathan Saucier, MD, and Suvranu Ganguli, MD
276 Balloon Occlusion Variceal Ablation
Brandt C. Wible, MD
286 Portal Vein Embolization
Wylie T. Foss, MD, Joshua Kuban, MD, and Nathan Saucier, MD
294 Portal and Hepatic Venous Intervention
Ethan Yiyang Lin, MD, Joshua Kuban, MD, and Jennifer R. Buckley, MD, MBA
LYMPHATIC INTERVENTIONS
306 Lymphography
Nikhil Bhagat, MD and Suvranu Ganguli, MD
310 Thoracic Duct Embolization
Nikhil Bhagat, MD and Suvranu Ganguli, MD
SECTION 3: ARTERIAL PROCEDURES
GENERAL CONSIDERATIONS
316 Arterial Access
Chad Davis, MD and Brandt C. Wible, MD
326 Closure Devices
Brandt C. Wible, MD, Derek S. Vien, MD, and T. Gregory Walker, MD, FSIR
332 Access Site Complications Management
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
AORTA
338 Thoracic Aorta and Great Vessels
Brandt C. Wible, MD and Zubin Irani, MD
348 Abdominal Aorta
T.Gregory Walker, MD, FSIR
358 Thoracic Aortic Endografts
T.Gregory Walker, MD, FSIR, Brandt C. Wible, MD, and Zubin Irani, MD
368 Abdominal Aortic Endografts
T.Gregory Walker, MD, FSIR
380 Endoleak Repair
T.Gregory Walker, MD, FSIR
PULMONARY VASCULATURE
392 Pulmonary Embolism
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
402 Pulmonary Arteriovenous Malformations
Jennifer R. Buckley, MD, MBA, Christopher Bailey, MD, and Clifford R. Weiss, MD, FSIR
412 Bronchial Arteries
Brandt C. Wible, MD, Mandeep S. Dagli, MD, and T. Gregory Walker, MD, FSIR
ABDOMEN AND PELVIS
420 Upper Gastrointestinal Hemorrhage
Andrew Kolarich, Yvonne Tsitsiou, and Christos Georgiades, MD, PhD
434 Lower Gastrointestinal Hemorrhage
Andrew Kolarich, Yvonne Tsitsiou, and Christos Georgiades, MD, PhD
448 Mesenteric Ischemia
Brandt C. Wible, MD and Raymond W. Liu, MD
462 Visceral Arteries
T.Gregory Walker, MD, FSIR, Franklin Nwoke, MD, and Raymond W. Liu, MD
472 Renal Arteries: Revascularization and Exclusion
Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR
496 Pelvic Arteries: Revascularization
T.Gregory Walker, MD, FSIR
508 Pelvic Arteries: Exclusion
T.Gregory Walker, MD, FSIR
520 Uterine Artery Embolization
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
EXTREMITIES
530 Upper Extremity: Vasculitis and Revascularization
T.Gregory Walker, MD, FSIR, Brandt C. Wible, MD, and Zubin Irani, MD
540 Upper Extremity Arteries: Exclusion
T.Gregory Walker, MD, FSIR and Zubin Irani, MD
546 Infrainguinal Arteries: Revascularization
Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR
556 Infrainguinal Arteries: Exclusion
Keith B. Quencer, MD and T. Gregory Walker, MD, FSIR
564 Chronic Total Occlusion Revascularization
T.Gregory Walker, MD, FSIR
CRANIAL REVASCULARIZATION
576 Stroke Therapy
Jared Halpin, MD and Coleman O. Martin, MD
584 Carotid and Vertebral Arteries
Jared Halpin, MD, Coleman O. Martin, MD, and T. Gregory Walker, MD, FSIR
SECTION 4: NONVASCULARPROCEDURES
GENERAL CONSIDERATIONS
594 Biopsy Procedures
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
608 Drainage Procedures
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
GASTROINTESTINAL INTERVENTIONS
628 Gastrostomy/Gastrojejunostomy
Brandt C. Wible, MD
640 Gastrointestinal Balloon Dilatation and Stenting
Brandt C. Wible, MD and Ashraf Thabet, MD
BILIARY INTERVENTIONS
646 Transhepatic Biliary Interventions
Amanda L. Scott, DO, Kenneth H. Cho, MD, MBA, and Brian Holly, MD
656 Cholecystostomy
Conrad Pun, MD and Lara Mrak, MD, PhD
GENITOURINARY INTERVENTIONS
662 Genitourinary Interventions
Jennifer R. Buckley, MD, MBA, Brandt C. Wible, MD, and Ashraf Thabet, MD
676 Fertility and Sterility Interventions
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
SPINAL INTERVENTIONS
682 Lumbar Puncture, Myelogram, and CSF Leaks
Brandt C. Wible, MD, Ross Holwerda, MD, and Coleman O. Martin, MD
686 Vertebral Augmentation and Sacroplasty
Brandt C. Wible, MD
SECTION 5: ONCOLOGIC PROCEDURES
700 Percutaneous Tumor Ablation
Nicolas Cardenas, MD, Jessica L. Burris, BS, and Joshua Kuban, MD
716 Hepatic Chemoembolization
Chad Davis, MD and Mandeep S. Dagli, MD
728 Hepatic Radioembolization
Chad Davis, MD
740 Renal Ablation and Embolization
Joseph A. Ronsivalle, DO, FSIR and Ashraf Thabet, MD
750 Thoracic Ablation and Embolization
Jennifer R. Buckley, MD, MBA, Brandt C. Wible, MD, and Ashraf Thabet, MD
758 Musculoskeletal Ablation and Embolization
Brandt C. Wible, MD and Ashraf Thabet, MD
SECTION 6: POSTTRANSPLANTPROCEDURES
766 Transplant Kidney Procedures
Brandt C. Wible, MD, Lee Saville Cummings, MD, and Matthew B. Wilkinson, MD, PhD
778 Transplant Liver Procedures
Brandt C. Wible, MD, Matthew B. Wilkinson, MD, PhD, and Lee Saville Cummings, MD
SECTION 7: PAIN MANAGEMENT
790 Transforaminal Nerve Blocks
Jennifer R. Buckley, MD, MBA, Conrad Pun, MD, and Donald V. La Barge, III, MD, MBA
796 Facet Blocks
Jennifer R. Buckley, MD, MBA, Conrad Pun, MD, and Donald V. La Barge, III, MD, MBA
802 Celiac Plexus Block
Jennifer R. Buckley, MD, MBA and Brandt C. Wible, MD
SECTION 8: MUSCULOSKELETALPROCEDURES
810 Shoulder Arthrography
Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD
814 Elbow Arthrography
Brandt C. Wible, MD, Jessica Sanchez, MD, and Julia R. Crim, MD
818 Wrist Arthrography
Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD
822 Sacroiliac Joint Arthrography
Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD
824 Hip Arthrography
Brandt C. Wible, MD, Jessica Sanchez, MD, and Julia R. Crim, MD
830 Knee Arthrography
Brandt C. Wible, MD, Jessica Sanchez, MD, and Julia R. Crim, MD
834 Ankle Arthrography
Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD
838 Foot Arthrography
Brandt C. Wible, MD, Julia R. Crim, MD, and Jessica Sanchez, MD
842 Therapeutic Joint Injections
Brandt C. Wible, MD, A. Keith Rastogi, MD, and Julia R. Crim, MD
Authors
Brandt C. Wible Associate Professor, Section Head, Vascular & Interventional Radiology, University of Missouri-Kansas City, Saint Luke's Hospital, Kansas City, Missouri. Brandt C. Wible, MD is Associate Professor and Section Head for Vascular & Interventional Radiology at the University of Missouri-Kansas City, Saint Luke's Hospital, Kansas City, Missouri. Dr. Wible completed his Interventional and Vascular Fellowship at Johns Hopkins Hospital in Baltimore. He received the Wylie J. Dodds Award for Outstanding Research during his residency at the Medical College of Wisconsin. Dr. Wible is an investigator for clinical trials related to his primary interests in Interventional Oncology and venous disease. Dr. Wible is the returning lead editor for Diagnostic Imaging: Interventional Radiology.Prior to his medical career, Dr. Wible volunteered with the United States Peace Corps in Zimbabwe, Africa. Later, while attending Rush Medical School in Chicago he continued to volunteer at medical clinics in both Chicago and Africa ultimately leading to the co-founding of a free clinic counseling inner-city youth at Cook County Hospital, Chicago, IL.