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Related Concept Videos

Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

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Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
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Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
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Interventional Radiology in Obstetric Emergencies.

Suyash Kulkarni1, Nitin S Shetty2, Anurag Gupta3

  • 1Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|May 26, 2022
PubMed
Summary
This summary is machine-generated.

Interventional radiology offers minimally invasive treatments for obstetric emergencies like postpartum hemorrhage and ectopic pregnancy. These techniques, including embolization and guided drainage, improve maternal outcomes by managing critical conditions effectively.

Keywords:
Interventional radiologistInterventional radiologyObstetric emergenciesObstetric hemorrhage embolizationPostpartum hemorrhageProphylactic balloon catheter insertionUterine artery embolization

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Area of Science:

  • Obstetrics and Gynecology
  • Interventional Radiology
  • Emergency Medicine

Background:

  • Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality.
  • Existing medical therapies for PPH may fail, necessitating alternative interventions.
  • Obstetric emergencies require timely and effective management strategies.

Purpose of the Study:

  • To review the role and applications of interventional radiology (IR) in managing obstetric emergencies.
  • To highlight IR techniques for conditions such as PPH, placental accreta spectrum, ectopic pregnancy, and puerperal sepsis.
  • To emphasize the importance of image guidance in IR procedures for obstetric patients.

Main Methods:

  • Uterine artery embolization (UAE) for refractory PPH.
  • Prophylactic internal iliac artery (IIA) balloon placement for placental accreta spectrum (PAS).
  • Inferior vena cava (IVC) filter placement for deep vein thrombosis (DVT) in pregnancy.
  • Ultrasound-guided chemical injection for ectopic pregnancy.
  • Image-guided percutaneous or transvaginal drainage for puerperal sepsis.
  • Percutaneous nephrostomy (PCN) for obstructive ureterolithiasis with urosepsis.

Main Results:

  • IR procedures provide effective treatment options when medical management fails.
  • Prophylactic measures like IIA balloons can prevent severe bleeding in PAS.
  • IVC filters offer a solution for DVT when anticoagulation is contraindicated.
  • Image-guided interventions enable precise treatment of ectopic pregnancy and puerperal collections.
  • PCN addresses obstructive urolithiasis contributing to sepsis.

Conclusions:

  • Interventional radiology plays a crucial role in the multidisciplinary management of obstetric emergencies.
  • Ultrasound guidance is preferred for IR procedures in pregnancy, with fluoroscopy used judiciously.
  • IR techniques offer minimally invasive, effective solutions, improving patient outcomes and reducing maternal mortality.