Vascular intervention

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5oth year anniversary of Congressus Radiologicus Cechoslovacus 1963-2013 Planting the seeds of Interventional Radiology by Charles T Dotter
INTERVENTION RADIOLOGY The procedure should be undertaken only if there is a clear clinical indication Any procedure should d be in the best interest of the patient The potential benefits of the procedure should d outweigh the risk
Page 1 and 2: Historic Highlights of Intervention
Page 3 and 4: Father of IR PTA
Page 5 and 6: “A A cardiac catheter can be more
Page 7: June 1963
Page 13: Interventional Suit Design
Page 16 and 17: 1953 I Seldiger: : Percutaneous cat
Page 18: January 16, 1964
Page 22 and 23: Balloon Angioplasty 1975 A. Grüntz
Page 24 and 25: PTA Indications (extremity PTA) 1.
Page 26 and 27: Team cooperation angiologist vascul
Page 28 and 29: Stent Design Stents (a form of scaf
Page 30 and 31: Balloon Expandable Stent 1985 J. Pa
Page 32 and 33: Self-Expanding Medinvent Stent 1985
Page 34 and 35: Categories of catheter- based tools
Page 36 and 37: Levels of clinical evidence and Lev
Page 38 and 39: Categories of chronic limb ischemia
Page 40: 11,3 mm 10,7 mm
Page 43: ILIAC ARTERIES PTA vs Surgery ↓lo
Page 50: FEMOROPOPLITEAL ARTERIES Indicatio
Page 56 and 57: FEMOROPOPLITEAL ARTERIES PTA vs Sur
Page 58 and 59:
INFRAPOPLITEAL ARTERIES PTA vs Surg
Page 60:
COMBINATION OF FEMOROPOPLITEAL BYPA
Page 67 and 68:
IKEM clinical c follow ow up No.of
Page 70 and 71:
Case - SIR AFS + a. fibularis, ipsi
Page 74 and 75:
CTA za 12 měsíců
Page 76 and 77:
CTA after 1 y
Page 78 and 79:
PTRA Aim: to open stenotic/ occlude
Page 80:
STENT IMPLANTATION ● PTRA complic
Page 85:
Stentgraft A/V shunt pseudoaneurysm
Page 89 and 90:
Type B aortic dissection
Page 91 and 92:
Stentgraft
Page 93 and 94:
Stentgraft
Page 95 and 96:
Catheter-directed thrombolysis
Page 97 and 98:
Acute critical ischemia percutaneo
Page 99 and 100:
Pulse-spray pharmacomechanical thro
Page 101 and 102:
Pulse-spray pharmacomechanical thro
Page 104 and 105:
Acute critical ischemia thrombolys
Page 107 and 108:
veckebauer4bo veckebauer4co
Page 111 and 112:
48 mg rt-PA
Page 113 and 114:
Deep vein thrombosis = DVT DVT is s
Page 115 and 116:
DVT Risk factors: 8. Oral contracep
Page 117 and 118:
Diagnosis of suspected (symptomatic
Page 119 and 120:
Therapy of DVT • Standard heparin
Page 121 and 122:
Thrombolytic therapy The resulting
Page 123 and 124:
Catheter-directed thrombolysis for
Page 125 and 126:
Catheter-directed thrombolysis A ca
Page 127:
Inferior vena cava filters 1. Free
Page 130:
Case • 25 y.o. female • 11 days
Page 133 and 134:
Pulsed - spray technique (rt-PA)
Page 135 and 136:
MRV follow-up 12 months
Page 137 and 138:
Percutaneous mechanical thrombectom
Page 139 and 140:
Rotarex - fragmentation
Page 141 and 142:
Cavography Left iliofemoral thrombo
Page 143 and 144:
Procedure pics
Page 145 and 146:
Residual clots in filter
Page 147 and 148:
Result after stents placement Smart
Page 149 and 150:
Dialysis graft occlusion
Page 151 and 152:
3,8 mg rt-PA
Page 153 and 154:
Chronic occlusion
Page 155:
Basic CEAP classification of chroni
Page 160 and 161:
Wallstent 14 x 60 mm Wallstent 12 x
Page 162:
CTF
Page 165 and 166:
12 mm x 4 cm
Page 167 and 168:
Wallstent 14 mm x 6 cm 18 mm x 9 cm
Page 169 and 170:
ILIAC VEIN COMPRESSION SYNDROME = M
Page 171:
ILIAC VEIN COMPRESSION SYNDROME = M
Page 174 and 175:
Case Aplasia VCI lTL 1 mg rt-PA/h
Page 176 and 177:
CTF after 3 days
Page 178 and 179:
Case Balloon 12 x 40 mm
Page 183 and 184:
CONCLUSION Catheter-directed throm
Page 185 and 186:
CONCLUSION Any hemodynamically sig
Page 187 and 188:
Endovascular treatment of massive p
Page 189 and 190:
Endovascular mechanical INDICATION
Page 191 and 192:
PTD (Roček M, et al. Eur Radiol 19
Page 193 and 194:
TIPS - Transjugular intrahepatic po
Page 195 and 196:
Clinical TIPS 1988 G. Richter
Page 197 and 198:
TIPS
Page 199 and 200:
TIPS + embolization
Page 201 and 202:
TIPS
Page 203 and 204:
Coils = many types and sizes are av
Page 205 and 206:
non-detachable coils detachable co
Page 207 and 208:
Indications peripheral arterial an
Page 209 and 210:
Catheters Diagnostic catheters (4,
Page 211:
Peripheral Hydrocoil It is offering
Page 216 and 217:
OCCLUDERS Amplatzer septal occlude
Page 218 and 219:
Amplatzer vascular plugs A single d
Page 220 and 221:
efore after cause: hemodialysis cat
Page 222:
A-V V pulmonary malformation after
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Vascular intervention

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