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Published on: August 6, 2019
Optimizing care for the obese patient in interventional radiology
Dwight Aberle1, Hearns Charles, Steven Hodak
1Vascular and Interventional Radiology, NYU Langone Medical Center, New York, NY, USA. deipolya@mskcc.org.
Obesity presents unique challenges for interventional radiology procedures, impacting imaging and patient monitoring. This review offers strategies to overcome these obstacles and improve care for obese patients undergoing interventions.
Area of Science:
- Interventional Radiology
- Obesity Medicine
- Medical Imaging
Background:
- Rising obesity epidemic necessitates increased interventional radiology (IR) services for obese patients.
- Obesity-related comorbidities often preclude traditional surgical options, increasing reliance on IR.
- Obese patients face heightened risks for vascular and oncologic diseases requiring IR intervention.
Purpose of the Study:
- To identify and describe the unique technical and clinical challenges in managing obese patients within interventional radiology.
- To propose evidence-based methods for mitigating these challenges.
- To optimize interventional radiology care delivery for the growing obese patient population.
Main Methods:
- Review of existing literature on interventional radiology techniques and outcomes in obese patients.
- Analysis of challenges related to imaging, procedural access, and periprocedural monitoring.
- Synthesis of proposed solutions and best practices for managing obese patients.
Main Results:
- Obese patients present difficulties in image acquisition and interpretation due to body habitus.
- Technical feasibility of IR procedures can be compromised by patient size and anatomy.
- Periprocedural monitoring requires specialized approaches to ensure patient safety.
Conclusions:
- Addressing the specific challenges of obese patients is crucial for successful interventional radiology outcomes.
- Implementing tailored strategies can significantly improve the safety and efficacy of IR procedures in this population.
- Further research and standardized protocols are needed to optimize care for obese patients undergoing interventional radiology.
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