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Notices
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Previous edition copyrighted 2018.
Library of Congress Control Number: 2022939124
Printed in Canada by Friesens, Altona, Manitoba, Canada
Dedication
To Helen, Brighton, Brayden, and family not-so-extended, for your continued faith, support, and encouragement.
BCW
Contributing Authors
Joseph A. Ronsivalle, DO, FSIR
Chairman, Medical Imaging
The Guthrie Clinic
Sayre, Pennsylvania
Joshua Kuban, MD
Associate Professor
Department of Interventional Radiology
The University of Texas MD Anderson Cancer Center Houston, Texas
Anatoly Loskutov, MD
Assistant Professor
Vascular & Interventional Radiology
University of Missouri-Kansas City
Saint Luke’s Hospital Kansas City, Missouri
Christos Georgiades, MD, PhD, FSIR, FCIRSE
Professor of Radiology, Oncology & Surgery
Director, Interventional Oncology
Vascular & Interventional Radiology
The Johns Hopkins University Baltimore, Maryland
Kenneth H. Cho, MD, MBA
Chief, Interventional Radiology
Einstein Medical Center Montgomery East Norriton, Pennsylvania
Clinical Assistant Professor
Sidney Kimmel College of Medicine at Jefferson University Philadelphia, Pennsylvania
Conrad Pun, MD
Clinical Associate Professor
Vascular and Interventional Radiology
University of Wisconsin School of Medicine and Public Health Madison, Wisconsin
Clifford R. Weiss, MD, FSIR, FCIRSE
Professor of Radiology
Radiological Science and Biomedical Engineering
Medical Director of the Center for Bioengineering, Innovation and Design
The Johns Hopkins University School of Medicine Baltimore, Maryland
Lee S. Cummings, MD
Surgical Director of Kidney Transplantation
Liver Transplant Surgeon
Surgical Director of HPB Surgery
Saint Luke’s Hospital
Clinical Assistant Professor of Surgery
University of Missouri-Kansas City Kansas City, Missouri
Matthew B. Wilkinson, MD, PhD
Abdominal Transplant and Hepatobiliary and Pancreatic Surgery
Saint Luke’s Hospital
Assistant Professor of Surgery
University of Missouri-Kansas City Kansas City, Missouri
Andrew Kolarich, MD
Diagnostic and Interventional Radiology Resident
The Johns Hopkins Hospital Baltimore, Maryland
Yvonne Tsitsiou, MBBS BSc (Hons)
Medical Student
The Johns Hopkins University School of Medicine
Baltimore, Maryland
Amanda L. Scott, DO
Radiology Resident
Einstein Medical Center Montgomery East Norriton, Pennsylvania
Jessica L. Burris, BS
Medical Student
Touro University California College of Osteopathic Medicine Vallejo, California
Nicolas Cardenas, MD
Diagnostic and Interventional Radiology Resident
The University of Texas at Houston Medical School Houston, Texas
Wylie T. Foss, MD
Interventional Radiology Resident
The University of Texas MD Anderson Cancer Center Houston, Texas
Ethan Yiyang Lin, MD
Interventional Radiology Fellow
The University of Texas MD Anderson Cancer Center Houston, Texas
Christopher Bailey, MD
Nikhil Bhagat, MD
Scott M. Brannan, MD
Julia R. Crim, MD
Mandeep S. Dagli, MD
Suvranu Ganguli, MD
Jared Halpin, MD
Brian Holly, MD
Additional Contributors
Zubin Irani, MD
Ross Holwerda, MD
Donald V. La Barge, III, MD, MBA
Raymond W. Liu, MD
Coleman O. Martin, MD
Lara Mrak, MD, PhD
Franklin Nwoke, MD
A. Keith Rastogi, MD
Jessica Sanchez, MD
Nathan Saucier, MD
Ashraf Thabet, MD
Scott R. Shuldiner, MD
Derek S. Vien, MD
Stephan Wicky, MD
Steven Wu, MD
Preface
Welcome to Diagnostic Imaging: Interventional Radiology, third edition. Designed as a “howto” guide and searchable reference, this third edition is instrumental to both trainees and seasoned proceduralists. The text encompasses the extensive scope of vascular and nonvascular procedures expected of a busy interventional radiology practice, covering topics in a comprehensive yet straightforward fashion. Succinct text, bullet points, and subdivided chapters allow rapid search of pre- and postprocedural concepts. Formerly titled Diagnostic Imaging: Interventional Procedures, this retitled text highlights the breadth of procedures and comprehensive abilities of the specialists for which it was authored, while the format remains true to the first edition, created by T. Greg Walker, MD, FSIR.
Updates to our third edition include step-by-step demonstrations of procedures, hundreds of new high-quality fluoroscopic and diagnostic images, full-color clinical photographs and graphics, and in-depth corresponding image captions. Intraprocedural cautions, alternatives, and complications are described within the text and illustrated with specific case examples. Interventional techniques and equipment and expected procedural outcomes and procedurespecific references have been updated and optimized. Additionally, new chapters have been authored to cover procedures performed in the rapidly expanding field of interventional radiology, including thrombectomy of pulmonary embolism and insertion of peritoneal dialysis catheters.
This edition contains valuable contributions from authors of diverse practice types, including those in private practice and those practicing at academic institutions, such as The Johns Hopkins Hospital, Massachusetts General Hospital, The University of Texas MD Anderson Cancer Center, Dotter Department of Interventional Radiology, University of Iowa, University of Wisconsin, and University of Missouri-Kansas City.
I am eternally grateful to our team of authors for their dedication, expertise, and hard work. Additional credit and gratitude goes out to the team of editors and illustrators at Elsevier, setting the Diagnostic Imaging series of textbooks apart from any others currently available. Special acknowledgement and gratitude is due to my professional colleagues, including the technologists, nurses, staff, partners, and other professionals who I have the privilege of working alongside daily within the Saint Luke’s Health System.
The opportunity to author this textbook flush with case images and outstanding graphics has been extremely satisfying. I hope that you will find Diagnostic Imaging: Interventional Radiology, third edition, to be a valuable addition to your practice!
Brandt C. Wible, MD
Associate Professor
Section Head, Vascular & Interventional Radiology
University of Missouri-Kansas City
Saint Luke’s Hospital
Kansas City, Missouri
Acknowledgments
LEAD EDITOR
Rebecca L. Bluth, BA
LEAD ILLUSTRATOR
Laura C. Wissler, MA
TEXT EDITORS
Arthur G. Gelsinger, MA
Nina Themann, BA
Terry W. Ferrell, MS
Megg Morin, BA
Kathryn Watkins, BA
Shannon Kelly, MA
ILLUSTRATIONS
Lane R. Bennion, MS
Richard Coombs, MS
IMAGE EDITORS
Jeffrey J. Marmorstone, BS
Lisa A. M. Steadman, BS
ART DIRECTION AND DESIGN
Cindy Lin, BFA
PRODUCTION EDITORS
Emily C. Fassett, BA
John Pecorelli, BS
Sections
SECTION 1: General Principles
SECTION 2: Venous, Portal, and Lymphatic Procedures
