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Article ; Online: Partial Splenic Embolization for the Management of Severe Refractory Thrombocytopenia in Antiphospholipid Syndrome: A Case Report and Literature Review.

Jalili, Javad / Pourghorban, Ramin / Mahmoudpour, Masoud / Akhavi Milani, Ali

2022 Volume 56, Issue 3, Page(s) 316–320

Abstract: Antiphospholipid syndrome is an autoimmune condition characterized by arteriovenous thromboembolic events. Thrombocytopenia is a common finding among these patients and is typically of mild severity not requiring any treatment. However, severe cases of ... ...

Abstract	Antiphospholipid syndrome is an autoimmune condition characterized by arteriovenous thromboembolic events. Thrombocytopenia is a common finding among these patients and is typically of mild severity not requiring any treatment. However, severe cases of thrombocytopenia should be treated. Steroids, intravenous immune globulin (IVIG), and immunomodulatory agents are the first-line treatment options, and surgical splenectomy is usually reserved for more severe and refractory cases of thrombocytopenia. Herein, we report the case of a 30-year-old man with primary antiphospholipid syndrome and severe thrombocytopenia. The patient's thrombocytopenia had been refractory to almost all the medical managements, and surgical splenectomy could not be an option due to the patient's high-risk condition for surgery. The patient was successfully managed by partial splenic embolization (PSE) which was a unique application of this technique.
MeSH term(s)	Adult ; Antiphospholipid Syndrome/complications ; Antiphospholipid Syndrome/diagnosis ; Antiphospholipid Syndrome/therapy ; Embolization, Therapeutic/adverse effects ; Humans ; Male ; Splenectomy/adverse effects ; Thrombocytopenia/complications ; Thrombocytopenia/therapy ; Treatment Outcome
Language	English
Publishing date	2022-01-03
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2076272-0
ISSN	1938-9116 ; 1538-5744
ISSN (online)	1938-9116
ISSN	1538-5744
DOI	10.1177/15385744211072682
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Zs.A 622: Show issues

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Article ; Online: A technical review of percutaneous sclerotherapy with bleomycin for giant hepatic venous malformation.

Ghaemi, Omid / Mehrabi Nejad, Mohammad-Mehdi / Rouhezamin, Mohammad Reza / Ayoobi Yazdi, Niloofar / Pourghorban, Ramin / Rokni Yazdi, Hadi

CVIR endovascular

2023 Volume 6, Issue 1, Page(s) 46

Abstract: Background: Hepatic venous malformation (HVM), traditionally called liver haemangioma, is considered the most common benign hepatic lesion. Treatment might be indicated in large and symptomatic HVMs. We aim to describe stepwise technical aspects of ... ...

Abstract	Background: Hepatic venous malformation (HVM), traditionally called liver haemangioma, is considered the most common benign hepatic lesion. Treatment might be indicated in large and symptomatic HVMs. We aim to describe stepwise technical aspects of trans-hepatic percutaneous sclerotherapy of hepatic venous malformation (HVM). Main text: Patients with symptomatic HVM larger than 5 cm are selected after discussion in hepatobiliary multidisciplinary team. After prophylactic antibiotic and corticosteroid administration, local anaesthesia and conscious sedation are applied. A 22-gauge spinal or Chiba needle is used to obtain percutaneous access to the HVM through normal liver parenchyma under ultrasound guidance. To ensure proper needle placement and to prevent accidental delivery of sclerosant into unintended areas, about 5-10 mL iodine contrast is injected under fluoroscopy. Then, 45-60 IU bleomycin is mixed with 10 mL distilled water and 10 mL lipiodol and is slowly injected under fluoroscopy over a period of 20-30 s. After the needle is removed, manual pressure is applied over the puncture site for a period of 5 min followed by placement of a sandbag. Patients are monitored for 6-8 h post-procedure. Conclusion: In this technical review, we described our institutional technique of percutaneous sclerotherapy, which could be regarded as an alternative to TAE in the management of HVM.
Language	English
Publishing date	2023-09-27
Publishing country	Switzerland
Document type	Journal Article
ISSN	2520-8934
ISSN (online)	2520-8934
DOI	10.1186/s42155-023-00394-7
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Article ; Online: Reply to Letter to the Editor: "A Randomised Clinical Trial to Compare Coaxial and Noncoaxial Techniques in Percutaneous Core Needle Biopsy of Renal Parenchyma".

Babaei Jandaghi, Ali / Pourghorban, Ramin

Cardiovascular and interventional radiology

2017 Volume 40, Issue 5, Page(s) 801

Language	English
Publishing date	2017-05
Publishing country	United States
Document type	Letter
ZDB-ID	603082-8
ISSN	1432-086X ; 0342-7196 ; 0174-1551
ISSN (online)	1432-086X
ISSN	0342-7196 ; 0174-1551
DOI	10.1007/s00270-017-1611-7
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Zs.A 1378: Show issues

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Article ; Online: Association between pulmonary arterial obstruction index and right lateral ventricular wall thickness with in-hospital mortality in patients with acute pulmonary embolism.

Faghihi Langroudi, Taraneh / Shabestari, Abbas Arjmand / Hekmati, Shahrzad / Pourghorban, Ramin

Emergency radiology

2020 Volume 28, Issue 2, Page(s) 327–331

Abstract: Purpose: To retrospectively assess the correlation between pulmonary arterial obstruction index (PAOI) and right lateral ventricular wall thickness with in-hospital mortality in patients with acute pulmonary embolism.: Methods: CT angiography (CTA) ... ...

Abstract	Purpose: To retrospectively assess the correlation between pulmonary arterial obstruction index (PAOI) and right lateral ventricular wall thickness with in-hospital mortality in patients with acute pulmonary embolism. Methods: CT angiography (CTA) of 55 consecutive patients (30 males; 25 females; mean age ± SD, 59 ± 11 years) with proven acute pulmonary embolism was investigated. PAOI was determined according to the Qanadli score on CTA. Right ventricular lateral wall thickness was also measured, and patients' in-hospital mortality was recorded. The correlation between PAOI and mortality, right ventricular lateral wall thickness and mortality, and PAOI and right ventricular lateral wall thickness was evaluated. Results: PAOI was 23.6 and 10.4 in patients with and without in-hospital mortality, respectively (P < 0.001). Right ventricular lateral wall thickness was 8.7 mm and 7.5 mm in patients with and without in-hospital mortality, respectively (P < 0.001). PAOI more than 21.5 and right ventricular lateral wall thickness more than 8.75 were predictive of in-hospital mortality with a high accuracy. Also, PAOI and right ventricular lateral wall thickness had a significant correlation with each other (P < 0.001; r = 0.695). Conclusion: PAOI and right ventricular lateral wall thickness on CTA were highly predictive of in-hospital mortality in patients with pulmonary embolism. Right ventricular lateral wall thickness and PAOI had a significant correlation with each other as well.
MeSH term(s)	Acute Disease ; Computed Tomography Angiography ; Female ; Heart Ventricles/diagnostic imaging ; Hospital Mortality ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Pulmonary Artery/diagnostic imaging ; Pulmonary Embolism/diagnostic imaging ; Pulmonary Embolism/mortality ; Radiographic Image Interpretation, Computer-Assisted ; Retrospective Studies
Language	English
Publishing date	2020-11-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1425144-9
ISSN	1438-1435 ; 1070-3004
ISSN (online)	1438-1435
ISSN	1070-3004
DOI	10.1007/s10140-020-01871-5
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Zs.A 4880: Show issues

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Article ; Online: Percutaneous Sclerotherapy for Budd-Chiari Syndrome Secondary to Giant Hepatic Venous Malformations (Hemangiomas).

Ayoobi Yazdi, Niloofar / Pourghorban, Ramin / Mehrabi Nejad, Mohammad-Mehdi / Salahshour, Faeze / Jafarian, Ali / Rokni Yazdi, Hadi

Journal of vascular and interventional radiology : JVIR

2022 Volume 33, Issue 9, Page(s) 1107–1112.e2

Abstract: This prospective study evaluated the safety and effectiveness of percutaneous sclerotherapy in the treatment of secondary Budd-Chiari syndrome due to hepatic venous malformations (HVMs). Four patients (mean age, 40 years; 3 women) with 5 HVMs underwent 7 ...

Abstract	This prospective study evaluated the safety and effectiveness of percutaneous sclerotherapy in the treatment of secondary Budd-Chiari syndrome due to hepatic venous malformations (HVMs). Four patients (mean age, 40 years; 3 women) with 5 HVMs underwent 7 sessions of percutaneous sclerotherapy with a mixture of bleomycin and lipiodol. All patients had chronic Budd-Chiari syndrome, determined based on imaging findings, with the main symptom being abdominal discomfort and distention. On physical examination, 2 patients had ascites and the other 2 had an epigastric mass. The indication for treatment was intractable abdominal symptoms due to hepatic and/or inferior vena cava (IVC) outflow compression. All procedures were technically successful, with no major complications. Three patients underwent a second session because of incomplete IVC decompression. The patients' symptoms completely resolved at 6 and 12 months of follow-up. There was a significant reduction in lesion volume (P = .007) and an increase in IVC luminal area (P = .018) at 12 months of follow-up.
MeSH term(s)	Adult ; Budd-Chiari Syndrome/diagnostic imaging ; Budd-Chiari Syndrome/etiology ; Budd-Chiari Syndrome/therapy ; Female ; Hemangioma/pathology ; Humans ; Prospective Studies ; Sclerotherapy/adverse effects ; Vena Cava, Inferior/surgery
Language	English
Publishing date	2022-09-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2022.05.022
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Zs.A 3720: Show issues

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Article ; Online: Percutaneous Sclerotherapy with Bleomycin and Ethiodized Oil: A Promising Treatment in Symptomatic Giant Liver Hemangioma.

Ayoobi Yazdi, Niloofar / Mehrabinejad, Mohammad-Mehdi / Dashti, Habibollah / Pourghorban, Ramin / Nassiri Toosi, Mohssen / Rokni Yazdi, Hadi

Radiology

2021 Volume 301, Issue 2, Page(s) 464–471

Abstract: Background Percutaneous sclerotherapy with bleomycin has been proven to have a potential benefit in the management of low-flow venous malformations. Liver hemangiomas are considered low-flow venous malformations. Thus, percutaneous sclerotherapy could ... ...

Abstract	Background Percutaneous sclerotherapy with bleomycin has been proven to have a potential benefit in the management of low-flow venous malformations. Liver hemangiomas are considered low-flow venous malformations. Thus, percutaneous sclerotherapy could potentially have a promising result in their management. Purpose To investigate the feasibility, efficacy, and safety of percutaneous sclerotherapy with bleomycin in the management of symptomatic giant liver hemangioma (GLH). Materials and Methods This single-institute prospective study was conducted between September 2018 and July 2020. Percutaneous sclerotherapy was performed using a mixture of bleomycin and ethiodized oil under guidance of US and fluoroscopy in participants with GLH who were experiencing related abdominal pain or fullness. Technical success was recorded. Change in symptom severity, according to visual analog scale (VAS), was considered the primary outcome of the study. Volume change, based on the lesion volume at CT, and complications, based on the classification of the Society of Interventional Radiology, were regarded as secondary outcomes. The primary and secondary outcomes were recorded 6 and 12 months after the procedure. Comparison was performed by using the Wilcoxon signed-rank test or paired
MeSH term(s)	Adult ; Aged ; Antibiotics, Antineoplastic/therapeutic use ; Bleomycin/therapeutic use ; Ethiodized Oil/therapeutic use ; Feasibility Studies ; Female ; Follow-Up Studies ; Hemangioma/diagnostic imaging ; Hemangioma/therapy ; Humans ; Liver/diagnostic imaging ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/therapy ; Male ; Middle Aged ; Prospective Studies ; Sclerosing Solutions/therapeutic use ; Sclerotherapy/methods ; Tomography, X-Ray Computed ; Treatment Outcome
Chemical Substances	Antibiotics, Antineoplastic ; Sclerosing Solutions ; Bleomycin (11056-06-7) ; Ethiodized Oil (8008-53-5)
Language	English
Publishing date	2021-08-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	80324-8
ISSN	1527-1315 ; 0033-8419
ISSN (online)	1527-1315
ISSN	0033-8419
DOI	10.1148/radiol.2021204444
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Article ; Online: Unique Imaging Features of Renal Arteriopelvic Fistula on Contrast-enhanced Multidetector Computed Tomography.

Pishgar, Farhad / Amini, Erfan / Afshari, Ali / Pourghorban, Ramin

Urology

2016 Volume 94, Page(s) e11

Abstract: The development of renal arteriopelvic fistula after percutaneous renal interventions is an extremely rare complication. We report a case of iatrogenic left renal arteriopelvic fistula in a 78-year-old man with unique imaging features on contrast- ... ...

Abstract	The development of renal arteriopelvic fistula after percutaneous renal interventions is an extremely rare complication. We report a case of iatrogenic left renal arteriopelvic fistula in a 78-year-old man with unique imaging features on contrast-enhanced multidetector computed tomography.
MeSH term(s)	Aged ; Contrast Media ; Humans ; Kidney Diseases/diagnostic imaging ; Kidney Pelvis ; Male ; Multidetector Computed Tomography/methods ; Renal Artery ; Urinary Fistula/diagnostic imaging ; Vascular Fistula/diagnostic imaging
Chemical Substances	Contrast Media
Language	English
Publishing date	2016-08
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	192062-5
ISSN	1527-9995 ; 0090-4295
ISSN (online)	1527-9995
ISSN	0090-4295
DOI	10.1016/j.urology.2016.05.037
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Zs.A 1142: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Added value of lung window in detecting drug mules on non-contrast abdominal computed tomography.

Bahrami-Motlagh, Hooman / Vakilian, Fatemeh / Hassanian-Moghaddam, Hossein / Pourghorban, Ramin

La Radiologia medica

2016 Volume 121, Issue 6, Page(s) 472–477

Abstract: We evaluated the added value of lung window in non-contrast computed tomography (CT) of suspected body packers or stuffers. Forty suspected drug mules who were referred to our tertiary toxicology center were included. The final diagnosis of drug mule was ...

Abstract	We evaluated the added value of lung window in non-contrast computed tomography (CT) of suspected body packers or stuffers. Forty suspected drug mules who were referred to our tertiary toxicology center were included. The final diagnosis of drug mule was based on the detection of packs in stool examination or surgery. Non-contrast CT scans were retrospectively interpreted by two blinded radiologists in consensus before and after reviewing the lung window images. The diagnostic performance of abdominal window scans alone and scans in both abdominal and lung windows were subsequently compared. Seven body packers and 21 body stuffers were identified. The sensitivity, negative predictive value (NPV), and diagnostic accuracy of scans in detection of drug mules (either drug packers or stuffers) raised from 60.7, 52.1, and 72.5 to 64.2, 54.5, and 75.0 %, respectively, with a more number of packs being detected (114 vs. 105 packs). In the body packers group, the diagnostic performance of both abdominal windows scans and combined abdominal and lung windows scans were 100 %. In the body stuffers group, the sensitivity, NPV, and diagnostic accuracy of scans increased from 47.6, 52.1, and 55.0 to 52.3, 54.5, and 57.5 %, respectively, after the addition of lung windows. Reviewing the lung window on non-contrast abdominal CT can be helpful in detection of drug mules.
MeSH term(s)	Adolescent ; Adult ; Drug Trafficking ; Female ; Foreign Bodies/diagnostic imaging ; Humans ; Lung/diagnostic imaging ; Male ; Middle Aged ; Predictive Value of Tests ; Radiography, Abdominal ; Retrospective Studies ; Sensitivity and Specificity ; Tomography, X-Ray Computed/methods
Language	English
Publishing date	2016-06
Publishing country	Italy
Document type	Journal Article
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-015-0618-x
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Article ; Online: Coronavirus Disease 2019 (COVID-19) Candidate Chest CT Features: A Systematic Review of Extracted Imaging Features from 7571 Individuals

Zahiri, Javad / Afsharinia, Mohammad Hossein / Hekmati, Zhaleh / Khodarahmi, Mohsen / Hekmati, Shahrzad / Pourghorban, Ramin

medRxiv

Abstract: Since the outbreak of Coronavirus Disease 2019 (COVID-19) causing novel coronavirus (2019-nCoV)-infected pneumonia (NCIP), over 45 million affected cases have been reported worldwide. Many patients with COVID-19 have involvement of their respiratory ... ...

Abstract	Since the outbreak of Coronavirus Disease 2019 (COVID-19) causing novel coronavirus (2019-nCoV)-infected pneumonia (NCIP), over 45 million affected cases have been reported worldwide. Many patients with COVID-19 have involvement of their respiratory system. According to studies in the radiology literature, chest computed tomography (CT) is recommended in suspected cases for initial detection, evaluating the disease progression and monitoring the response to therapy. The aim of this article is to review the most frequently reported imaging features in COVID-19 patients in order to provide a reliable insight into expected CT imaging manifestations in patients with positive reverse-transcription polymerase chain reaction (RT-PCR) test results, and also for the initial detection of patients with suspicious clinical presentation whose RT-PCR test results are false negative. A total of 60 out of 173 initial COVID-19 studies, comprising 7571 individuals, were identified by searching PubMed database for articles published between the months of January and June 2020. The data of these studies were related to patients from China, Japan, Italy, USA, Iran and Singapore. Among 40 reported features, presence of ground glass opacities (GGO), consolidation, bilateral lung involvement and peripheral distribution are the most frequently observed ones, reported in 100%, 91.7%, 85%, and 83.3% of articles, respectively. In a similar way, we extracted CT imaging studies of similar pulmonary syndromes outbreaks caused by other strains of coronavirus family: Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). For MERS and SARS, 2 out of 21 and 5 out of 153 initially retrieved studies had CT findings, respectively. Herein, we have indicated the most common coronavirus family related and COVID-19 specific features. Presence of GGO, consolidation, bilateral lung involvement and peripheral distribution were the features reported in at least 83% of COVID-19 articles, while air bronchogram, multi-lobe involvement and linear opacity were the three potential COVID-19 specific CT imaging findings. This is necessary to recognize the most promising imaging features for diagnosis and follow-up of patients with COVID-19. Furthermore, we identified co-existed CT imaging features.
Keywords	covid19
Language	English
Publishing date	2020-11-05
Publisher	Cold Spring Harbor Laboratory Press
Document type	Article ; Online
DOI	10.1101/2020.11.03.20225326
Database	COVID19

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Article: Idiopathic inferior mesenteric arteriovenous fistula: a rare cause of pulsatile abdominal mass.

Faghihi Langroudi, Taraneh / Shabestari, Abbas Arjmand / Pourghorban, Reza / Pourghorban, Ramin

The Indian journal of surgery

2015 Volume 77, Issue Suppl 1, Page(s) 84–86

Abstract: Inferior mesenteric arteriovenous fistula (AVF) is an extremely rare vascular abnormality which may be idiopathic or secondary to previous trauma or surgery, and it may result in portal hypertension or ischemic colitis if left untreated. Imaging can help ...

Abstract	Inferior mesenteric arteriovenous fistula (AVF) is an extremely rare vascular abnormality which may be idiopathic or secondary to previous trauma or surgery, and it may result in portal hypertension or ischemic colitis if left untreated. Imaging can help accurately diagnose visceral AVFs and create a vascular map to display the feeding artery and draining vein before the surgery; however, multidetector computed tomography (MDCT) angiography of inferior mesenteric AVF is not well documented in the literature. In this article, the authors report a case of inferior mesenteric AVF in a 48-year-old woman evaluated for left-sided abdominal pain and diagnosed preoperatively by MDCT angiography. Surgical excision of the AVF was successfully performed, and the postoperative course was uneventful.
Language	English
Publishing date	2015-04
Publishing country	India
Document type	Journal Article
ZDB-ID	138063-1
ISSN	0972-2068 ; 0019-5650
ISSN	0972-2068 ; 0019-5650
DOI	10.1007/s12262-014-1157-8
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