Vascular intervention

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Historic Highlights of Intervention
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Father of IR PTA
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“A A cardiac catheter can be more
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June 1963
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INTERVENTION RADIOLOGY The procedu
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Interventional Suit Design
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1953 I Seldiger: : Percutaneous cat
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January 16, 1964
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Balloon Angioplasty 1975 A. Grüntz
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PTA Indications (extremity PTA) 1.
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Team cooperation angiologist vascul
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Stent Design Stents (a form of scaf
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Balloon Expandable Stent 1985 J. Pa
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Self-Expanding Medinvent Stent 1985
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Categories of catheter- based tools
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Levels of clinical evidence and Lev
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Categories of chronic limb ischemia
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11,3 mm 10,7 mm
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ILIAC ARTERIES PTA vs Surgery ↓lo
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FEMOROPOPLITEAL ARTERIES Indicatio
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FEMOROPOPLITEAL ARTERIES PTA vs Sur
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INFRAPOPLITEAL ARTERIES PTA vs Surg
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COMBINATION OF FEMOROPOPLITEAL BYPA
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IKEM clinical c follow ow up No.of
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Case - SIR AFS + a. fibularis, ipsi
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CTA za 12 měsíců
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CTA after 1 y
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PTRA Aim: to open stenotic/ occlude
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STENT IMPLANTATION ● PTRA complic
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Stentgraft A/V shunt pseudoaneurysm
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Type B aortic dissection
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Stentgraft
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Stentgraft
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Catheter-directed thrombolysis
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Acute critical ischemia percutaneo
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Pulse-spray pharmacomechanical thro
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Pulse-spray pharmacomechanical thro
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Acute critical ischemia thrombolys
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veckebauer4bo veckebauer4co
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48 mg rt-PA
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Deep vein thrombosis = DVT DVT is s
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DVT Risk factors: 8. Oral contracep
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Diagnosis of suspected (symptomatic
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Therapy of DVT • Standard heparin
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Thrombolytic therapy The resulting
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Catheter-directed thrombolysis for
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Catheter-directed thrombolysis A ca
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Inferior vena cava filters 1. Free
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Case • 25 y.o. female • 11 days
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Pulsed - spray technique (rt-PA)
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MRV follow-up 12 months
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Percutaneous mechanical thrombectom
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Rotarex - fragmentation
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Cavography Left iliofemoral thrombo
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Procedure pics
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Residual clots in filter
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Result after stents placement Smart
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Dialysis graft occlusion
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3,8 mg rt-PA
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Chronic occlusion
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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: Catheters Diagnostic catheters (4,
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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