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  1. Article ; Online: Endovascular management of a patient with massive renal arteriovenous fistula: challenges and tricks.

    Balasubramanian, Karthikumar / Keshava, Shyamkumar N / Lenin, Audrin / Mukha, Rajiv

    BMJ case reports

    2021  Volume 14, Issue 2

    Abstract: We describe the endovascular management of a patient with a massive renal arteriovenous fistula and a huge venous aneurysmal sac, who presented with features of cardiac failure and fever. The challenges faced and the outcomes are discussed with relevant ... ...

    Abstract We describe the endovascular management of a patient with a massive renal arteriovenous fistula and a huge venous aneurysmal sac, who presented with features of cardiac failure and fever. The challenges faced and the outcomes are discussed with relevant literature review.
    MeSH term(s) Adult ; Angiography, Digital Subtraction ; Arteriovenous Fistula/complications ; Arteriovenous Fistula/diagnostic imaging ; Arteriovenous Fistula/therapy ; Computed Tomography Angiography ; Echocardiography ; Embolization, Therapeutic ; Endovascular Procedures ; Humans ; Male ; Prosthesis Failure ; Renal Artery/abnormalities ; Renal Artery/diagnostic imaging ; Renal Veins/abnormalities ; Renal Veins/diagnostic imaging ; Retreatment ; Septal Occluder Device ; Ventricular Dysfunction, Left/diagnostic imaging ; Ventricular Dysfunction, Left/etiology
    Language English
    Publishing date 2021-02-01
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2020-236358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome.

    Karthikumar, Balasubramanian / Keshava, Shyamkumar N / Moses, Vinu / Chiramel, George K / Ahmed, Munawwar / Mammen, Suraj

    The Indian journal of radiology & imaging

    2018  Volume 28, Issue 2, Page(s) 225–231

    Abstract: Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures.: Aim: This study is done to assess the technical ... ...

    Abstract Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures.
    Aim: This study is done to assess the technical feasibility and outcome of IR-guided percutaneous gastrostomy for patients requiring nutritional support for neuromuscular disorders or head and neck malignancies, as well as to describe simplified and newer technique for pull-type gastrostomy.
    Materials and methods: This is a retrospective study including 29 patients who underwent IR-guided percutaneous gastrostomy over a period of 8 years in a tertiary-level institution. Either pull or push-type gastrostomy was performed in these patients as decided by the interventional radiologist. The procedures were assessed by analyzing the indications, technical aspects, and complications.
    Statistical analysis: Descriptive summary statistics and frequencies were used to assess the techniques and related complications.
    Results: The sample consists of 27 patients (93%) with pull technique and 2 patients (7%) with push technique. The technical success rate was 100%. Most of the complications were minor 24% (7/29), including superficial skin infections around the tube site, self-resolving pneumoperitoneum, tube-related complications such as block, leakage, deformation, and dislodgement. Three patients (10.3%) had major complications. One patient (3.4%) developed massive pneumoperitoneum and mild peritonitis due to technical failure in the first attempt and needed re-puncture for successful placement, and other two patients (6.9%) developed peristromal focal abscess. One patient died on the third postoperative day due to type II respiratory failure.
    Conclusion: IR-guided percutaneous gastrostomy is a safe and effective procedure in selected patients.
    Language English
    Publishing date 2018-07-26
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 605869-3
    ISSN 0971-3026 ; 0970-2016
    ISSN 0971-3026 ; 0970-2016
    DOI 10.4103/ijri.IJRI_393_17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Percutaneous gastrostomy placement by intervention radiology

    Balasubramanian Karthikumar / Shyamkumar N Keshava / Vinu Moses / George K Chiramel / Munawwar Ahmed / Suraj Mammen

    Indian Journal of Radiology and Imaging, Vol 28, Iss 02, Pp 225-

    Techniques and outcome

    2018  Volume 231

    Abstract: Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures. Aim: This study is done to assess the technical feasibility ...

    Abstract Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures. Aim: This study is done to assess the technical feasibility and outcome of IR-guided percutaneous gastrostomy for patients requiring nutritional support for neuromuscular disorders or head and neck malignancies, as well as to describe simplified and newer technique for pull-type gastrostomy. Materials and Methods: This is a retrospective study including 29 patients who underwent IR-guided percutaneous gastrostomy over a period of 8 years in a tertiary-level institution. Either pull or push-type gastrostomy was performed in these patients as decided by the interventional radiologist. The procedures were assessed by analyzing the indications, technical aspects, and complications. Statistical Analysis: Descriptive summary statistics and frequencies were used to assess the techniques and related complications. Results: The sample consists of 27 patients (93%) with pull technique and 2 patients (7%) with push technique. The technical success rate was 100%. Most of the complications were minor 24% (7/29), including superficial skin infections around the tube site, self-resolving pneumoperitoneum, tube-related complications such as block, leakage, deformation, and dislodgement. Three patients (10.3%) had major complications. One patient (3.4%) developed massive pneumoperitoneum and mild peritonitis due to technical failure in the first attempt and needed re-puncture for successful placement, and other two patients (6.9%) developed peristromal focal abscess. One patient died on the third postoperative day due to type II respiratory failure. Conclusion: IR-guided percutaneous gastrostomy is a safe and effective procedure in selected patients.
    Keywords fluoroscopy-guided percutaneous gastrostomy ; percutaneous radiological gastrostomy ; per-oral image-guided gastrostomy ; pull-type gastrostomy ; push-type gastrostomy ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 616
    Language English
    Publishing date 2018-04-01T00:00:00Z
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome

    Karthikumar, Balasubramanian / Keshava, Shyamkumar N / Moses, Vinu / Chiramel, George K / Ahmed, Munawwar / Mammen, Suraj

    Indian Journal of Radiology and Imaging

    2018  Volume 28, Issue 02, Page(s) 225–231

    Abstract: Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures. : Aim: This study is done to assess the technical ... ...

    Abstract Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures.
    Aim: This study is done to assess the technical feasibility and outcome of IR-guided percutaneous gastrostomy for patients requiring nutritional support for neuromuscular disorders or head and neck malignancies, as well as to describe simplified and newer technique for pull-type gastrostomy.
    Materials and Methods: This is a retrospective study including 29 patients who underwent IR-guided percutaneous gastrostomy over a period of 8 years in a tertiary-level institution. Either pull or push-type gastrostomy was performed in these patients as decided by the interventional radiologist. The procedures were assessed by analyzing the indications, technical aspects, and complications.
    Statistical Analysis: Descriptive summary statistics and frequencies were used to assess the techniques and related complications.
    Results: The sample consists of 27 patients (93%) with pull technique and 2 patients (7%) with push technique. The technical success rate was 100%. Most of the complications were minor 24% (7/29), including superficial skin infections around the tube site, self-resolving pneumoperitoneum, tube-related complications such as block, leakage, deformation, and dislodgement. Three patients (10.3%) had major complications. One patient (3.4%) developed massive pneumoperitoneum and mild peritonitis due to technical failure in the first attempt and needed re-puncture for successful placement, and other two patients (6.9%) developed peristromal focal abscess. One patient died on the third postoperative day due to type II respiratory failure.
    Conclusion: IR-guided percutaneous gastrostomy is a safe and effective procedure in selected patients.
    Keywords Fluoroscopy-guided percutaneous gastrostomy ; percutaneous radiological gastrostomy ; per-oral image-guided gastrostomy ; pull-type gastrostomy ; push-type gastrostomy
    Language English
    Publishing date 2018-04-01
    Publisher Thieme Medical and Scientific Publishers Private Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605869-3
    ISSN 1998-3808 ; 0971-3026 ; 0970-2016
    ISSN (online) 1998-3808
    ISSN 0971-3026 ; 0970-2016
    DOI 10.4103/ijri.IJRI_393_17
    Database Thieme publisher's database

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