Advertisement

Role of cone-beam CT augmented by navigational software in the single-session management of gastrointestinal hemorrhage and infected deep postoperative fluid collections

  • Author Footnotes
    1 J.C-H. has no conflict of Interest.
    Joshua Cornman-Homonoff
    Footnotes
    1 J.C-H. has no conflict of Interest.
    Affiliations
    Department of Radiology, Division of Interventional Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, United States of America
    Search for articles by this author
  • Author Footnotes
    2 D.C.M. is a paid consultant for GE Healthcare.
    David C. Madoff
    Correspondence
    Corresponding author at: Department of Radiology, Division of Interventional Radiology, New York-Presbyterian Hospital/Weill Cornell Medical Center, 525 East 68th Street P-518, New York, NY 10065, United States of America.
    Footnotes
    2 D.C.M. is a paid consultant for GE Healthcare.
    Affiliations
    Department of Radiology, Division of Interventional Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, United States of America
    Search for articles by this author
  • Author Footnotes
    1 J.C-H. has no conflict of Interest.
    2 D.C.M. is a paid consultant for GE Healthcare.

      Highlights

      • CBCT with navigational software augmentation allows for vascular and nonvascular interventions in a traditional IR suite.
      • Complex procedures with high acuity and general anesthesia may be performed in a single room without need to move patient.
      • Case describes first single session GI bleed embolization and percutaneous drainage of a deep abdominal fluid collection.

      Abstract

      Utilization of cone-beam CT with navigational software augmentation allows performance of both vascular and nonvascular interventions in a traditional fluoroscopy suite without need for additional hardware. The improvements in target identification and procedure time associated with use of these technologies suggest that they may be particularly beneficial in emergent settings where decreased procedure time correlates with improved outcomes. We illustrate these potential advantages through the successful single-session management of a clinically unstable patient with both gastrointestinal (GI) hemorrhage and infected postoperative fluid collections.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Chehab M.A.
        • Brinjikji W.
        • Copelan A.
        • Venkatesan A.M.
        Navigational tools for interventional radiology and interventional oncology applications.
        Semin Intervent Radiol. 2015; 32: 416-427
        • Ronot M.
        • Abdel-Rehim M.
        • Hakime A.
        • et al.
        Cone-beam CT angiography for determination of tumor-feeding vessels during chemoembolization of liver tumors: comparison of conventional and dedicated-software analysis.
        J Vasc Interv Radiol. 2016; 27: 32-38
        • Iwazawa J.
        • Ohue S.
        • Hashimoto N.
        • Mitani T.
        Comparison of the number of image acquisitions and procedural time required for transarterial chemoembolization of hepatocellular carcinoma with and without tumor-feeder detection software.
        Radiol Res Pract. 2013; 2013580839
        • Cornelis F.H.
        • Borgheresi A.
        • Petre E.N.
        • Santos E.
        • Solomon S.B.
        • Brown K.
        Hepatic arterial embolization using cone beam CT with tumor feeding vessel detection software: impact on hepatocellular carcinoma response.
        Cardiovasc Intervent Radiol. 2018; 41: 104-111
        • Abi-Jaoudeh N.
        • Fisher T.
        • Jacobus J.
        • et al.
        Prospective randomized trial for image-guided biopsy using cone-beam CT navigation compared with conventional CT.
        J Vasc Interv Radiol. 2016; 27: 1342-1349
        • McKay T.
        • Ingraham C.R.
        • Johnson G.E.
        • Kogut M.J.
        • Vaidya S.
        • Padia S.A.
        Cone-beam CT with fluoroscopic overlay versus conventional CT guidance for percutaneous abdominopelvic abscess drain placement.
        J Vasc Interv Radiol. 2016; 27: 52-57
        • Iwazawa J.
        • Ohue S.
        • Hashimoto N.
        • Mitani T.
        Accuracy of software-assisted detection of tumour feeders in transcatheter hepatic chemoembolization using three target definition protocols.
        Clin Radiol. 2014; 69: 145-150
        • Carrafiello G.
        • Ierardi A.M.
        • Duka E.
        • et al.
        Usefulness of cone-beam computed tomography and automatic vessel detection software in emergency transarterial embolization.
        Cardiovasc Intervent Radiol. 2016; 39: 530-537
        • Deschamps F.
        • Solomon S.B.
        • Thornton R.H.
        • et al.
        Computed analysis of three-dimensional cone-beam computed tomography angiography for determination of tumor-feeding vessels during chemoembolization of liver tumor: a pilot study.
        Cardiovasc Intervent Radiol. 2010; 33: 1235-1242
        • Miyayama S.
        • Yamashiro M.
        • Nagai K.
        • Sugimori N.
        • Iwata K.
        • Sakuragawa N.
        Usefulness of dual-phase cone-beam computed tomography during arteriography and automated tumour-feeder detection software in transarterial embolization for obscure arterial bleeding in the abdomen.
        J Med Imaging Radiat Oncol. 2018; 62: 364-369