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Radiology
Genitourinary Interventions
Built from Fundamentals of Diagnostic Radiology
What’s inside
6 sections · 90 slides
Overview
- What this chapter covers
Uterine Artery Embolization
A minimally invasive alternative to surgery for symptomatic uterine fibroids.
- What UAE is
- Internal iliac artery
- Anterior and posterior trunks
- Internal iliac artery DSA
- Uterine fibroids
- Fibroid classification by location
- Fibroid classification
- Medical therapy
- Two surgical options
- UAE as an alternative
- Fibroid location and UAE response
- Fertility considerations
- Preprocedural workup
- Preprocedural MRI
- Fibroids on MRI
- Radiation safety during UAE
- Sedation and medications
- UAE procedure flow
- Embolization technique
- Catheterization steps
- Embolization endpoint
- Uterine artery embolization run
- Ovarian artery supply
- Ovarian artery supply to fibroids
- Embolic agents
- Postprocedure pain
- Complications of UAE
- Complications following UAE
- Outcomes after UAE
- The FIBROID registry
- 59.83
Adenomyosis
Endometrial tissue within the uterine muscle wall.
- What adenomyosis is
- MRI diagnosis of adenomyosis
- Adenomyosis on MRI
- Adenomyosis treatment
Percutaneous Renal Interventions
Nephrostomy and ureteral stents for an obstructed or infected kidney.
- Percutaneous nephrostomy
- Kidney position and hilum
- Brodel's avascular line
- Nephrostomy needle path through the kidney
- Renal calyx access choices
- Indications for nephrostomy
- Indications for nephrostomy
- Contraindications to nephrostomy
- Nephrostomy setup
- Imaging guidance for access
- Needle access
- Ultrasound-guided needle access
- Catheter placement
- Nephrostomy catheter position
- Complications of nephrostomy
- Complications following nephrostomy
- Catheter care after nephrostomy
- Nephroureterostomy and ureteral stents
- Nephroureteral versus double-J stent
- Nephroureterostomy and double-J stent
Vascular Renal Interventions
Renal artery stenosis, renovascular hypertension, and renal angiomyolipoma.
- Renal artery stenosis
- Renin–angiotensin system
- Renin–angiotensin system activation
- Atherosclerotic RAS
- Atherosclerotic renal artery stenosis
- Fibromuscular dysplasia
- Fibromuscular dysplasia
- Other causes of RAS
- Two main causes of renal artery stenosis
- Screening for RAS
- Indications for screening for RAS
- Doppler ultrasound findings
- CTA, MRA, and angiography
- Renal vascular anatomy
- Managing atherosclerotic RAS
- Angioplasty and stenting
- Success and complications
- Complications after angioplasty/stenting
- Renal angiomyolipoma
- Imaging of angiomyolipoma
- Renal angiomyolipoma on CT and angiography
- Angiomyolipoma embolization
- Renal angiomyolipoma: imaging panels
Prostate Artery Embolization
A minimally invasive option for benign prostatic hyperplasia.
- BPH and lower urinary tract symptoms
- Medical therapy and TURP
- History of prostate artery embolization
- Evidence for PAE
- PAE technique
- Prostate artery anatomy on angiography
- PAE advantages and complications
- Key takeaways
- Suggested readings
- Suggested readings
- Brant and Helms' Fundamentals of Diagnostic Radiology