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Visceral angiography and embolization.

D M Coldwell1

  • 1University of Washington Medical Center School of Medicine, Seattle.

Current Opinion in Radiology
|August 1, 1992
PubMed
Summary
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Diagnostic and therapeutic angiography offers new approaches for tumor therapy, trauma, and portal hypertension. Angiography aids in diagnosing insulinomas and treating injuries through embolization, with transjugular intrahepatic portosystemic shunts showing promise.

Area of Science:

  • Interventional Radiology
  • Vascular Imaging
  • Oncology

Background:

  • Angiography is a key imaging modality in various clinical scenarios.
  • Advances in angiography have expanded its diagnostic and therapeutic applications.
  • Understanding these new aspects is crucial for effective patient management.

Purpose of the Study:

  • To review novel diagnostic and therapeutic applications of angiography.
  • To highlight the role of angiography in tumor therapy, trauma management, and portal hypertension.
  • To discuss emerging techniques and their clinical significance.

Main Methods:

  • Review of current literature on diagnostic and therapeutic angiography.
  • Analysis of case studies and clinical outcomes related to specific applications.

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  • Discussion of techniques such as intra-arterial administration, embolization, and shunt procedures.

    • Main Results:

    • Intra-arterial calcium gluconate is effective for diagnosing insulinomas.
    • Tumor embolization and chemoembolization show promise in cancer treatment.
    • Angiography-guided embolization is beneficial for blunt hepatic, pelvic, and splenic trauma.
    • Transjugular intrahepatic portosystemic shunt (TIPS) is a valuable adjunct in managing portal hypertension.

    Conclusions:

    • Angiography provides critical diagnostic and therapeutic options for complex conditions.
    • Embolization techniques offer minimally invasive treatment for trauma and tumors.
    • TIPS represents a significant advancement in managing portal hypertension, often complementing surgical interventions.