Percutaneous cryoablation of follicular thyroid carcinoma metastasis to the pancreas.

The following is a technical report of the successful cryoablation of pancreatic metastasis originating from follicular thyroid carcinoma. The patient was a 72-year-old female who underwent total thyroidectomy and radioiodine ablation for follicular carcinoma. One year after surgery, a positron emission tomography-computed tomography (PET-CT) examination, performed to demonstrate the source of the increased thyroglobulin, showed a fluorodeoxyglucose (FDG) avid mass located in the body of the pancreas.

Thyroid Embolization for Nonsurgical Treatment of Nodular Goiter: A Single-Center Experience in 56 Consecutive Patients.

Purpose: To investigate the safety and efficacy of thyroid artery embolization (TAE) in the treatment of nodular goiter (NG).

Methods: During a 5.5-year period, 56 consecutive patients with a NG underwent TAE.

Use of cryoablation beyond the prostate.

Unlabelled: Cryoablation has been used for many years as a surgical ablation technique in the prostate and kidney. However, since the introduction of high-intensity focused ultrasound (HIFU) and robotic surgery for prostate tumours, its popularity in the urologic community has declined. In the early 2000s, innovations in cryoablation technology allowed the use of thinner probes, which were suitable for percutaneous application.

US-guided femoral and sciatic nerve blocks for analgesia during endovenous laser ablation.

Purpose: Endovenous laser ablation may be associated with significant pain when performed under standard local tumescent anesthesia. The purpose of this study was to investigate the efficacy of femoral and sciatic nerve blocks for analgesia during endovenous ablation in patients with lower extremity venous insufficiency.

Methods: During a 28-month period, ultrasound-guided femoral or sciatic nerve blocks were performed to provide analgesia during endovenous laser ablation in 506 legs and 307 patients.

Endovenous laser ablation and concomitant foam sclerotherapy: experience in 504 patients.

Purpose: To investigate the value of endovenous laser ablation (ELA) and concomitant ultrasound-guided foam sclerotherapy (USGFS) in patients with chronic venous insufficiency.

Methods: During a 6-year period, concomitant USGFS of the varicose veins were performed in 504 out of 610 patients who underwent ELA for truncal or perforating vein insufficiency. In these 504 patients (944 legs; bilateral in 440 patients), the incompetent veins were greater saphenous vein in 615 legs, small saphenous vein in 118 veins, perforating veins in 42 legs, and a combination of these in 169 legs.

Endovenous laser ablation for saphenous vein insufficiency: immediate and short-term results of our first 60 procedures.

Purpose: To present the immediate and short-term results of our first 60 endovenous laser (EVL) ablation procedures.

Materials And Methods: Between July 2005 and December 2006, 60 EVL ablations were performed in 36 symptomatic patients (26 females, 10 males; mean age +/- SD, 46 +/- 14 years). The incompetent veins included the great saphenous vein (GSV) (n = 52), small saphenous vein (n = 6), and major branches of the GSV (n = 2).

Uterine artery pseudoaneurysm: unusual cause of delayed postpartum hemorrhage.

We describe a case of uterine artery pseudoaneurysm in a 21-year-old woman with postpartum hemorrhage. This condition is easily diagnosed with duplex Doppler sonography and can be treated with embolization, but only if delayed postpartum hemorrhage is considered in the differential diagnosis.

Management of concomitant coronary and bilateral carotid artery disease: a case report.

Patients with severe coexistent coronary and carotid artery stenosis represent a difficult and high-risk population. Herein we describe management of a patient with concomitant coronary artery and bilateral carotid artery disease. Firstly, left carotid artery stenting was done using a self-expandable monorail stent and a neurological protective device.

Aortoiliac kissing stents: long-term results and analysis of risk factors affecting patency.

Purpose: To present the early and long-term results of aortoiliac kissing stents implantation and evaluate the risk factors affecting patency.

Methods: The data were retrospectively reviewed on 68 patients (64 men; mean age 55+/-11, range 32-77) who underwent kissing stents implantation during a 12-year period. The majority of patients (64, 94%) had claudication; 4 patients had rest pain.

Ultrasound-guided retrograde popliteal artery catheterization: experience in 174 consecutive patients.

Purpose: To assess the safety and efficacy of ultrasound (US) guidance during retrograde popliteal artery catheterization (RPAC) and identify the risk factors for late hemostasis and complications.

Methods: A retrospective review was undertaken of consecutive patients who underwent grayscale US-guided RPAC during the last 8 years. Chart review identified 174 patients (150 men; mean age 61+/-10 years, range 37-84) with 247 iliofemoral lesions, which were treated via US-guided RPAC.

Observer variability based on the strength of MR scanners in the assessment of lumbar degenerative disc disease.

Object: aim of this study was to analyse the observer variability in the diagnosis and definition of disc pathologies with low and high-field strength MR scanners.

Material And Methods: 95 patients with low back pain or radicular pain who were referred from two different centers were included in the study. Fifty-seven patients were scanned with 0.

Transvenous embolization and stent placement for an internal iliac arteriovenous fistula with central iliac vein occlusion.

The authors present a case of traumatic arteriovenous fistula of the internal iliac vessels treated with attempted surgical ligation of the common iliac artery and external iliac artery. The fistula persisted after the operation, and because the patient received no further treatment for the following 6 years, a venous outflow occlusion also developed as a result of high-flow angiopathy. Because the arterial route was eliminated at previous surgery, the fistula and venous occlusion were percutaneously treated via a transvenous approach.

Subintimal versus intraluminal recanalization of chronic iliac occlusions.

Purpose: To present our experience with subintimal recanalization of chronic iliac occlusions and retrospectively compare the results of this technique with those of standard intraluminal recanalization.

Methods: A retrospective review was conducted of 98 patients (91 men; mean age 61+/-10 years, range 37-77) with unilateral chronic iliac occlusions who underwent standard intraluminal recanalization or subintimal recanalization if intraluminal wire passage failed. The technical success, complications, and patency rates were statistically compared between groups.

Primary stenting of embolic occlusions in iliac arteries.

Purpose: To present our experience with the use of primary stenting to treat embolic iliac artery occlusions.

Methods And Results: Six patients (5 men; mean age 50.6+/-14.

Subintimal angioplasty of long superficial femoral artery occlusions.

Purpose: To investigate the value of subintimal angioplasty (SA) and selective stent placement in the treatment of long (> or =15 cm) superficial femoral artery (SFA) occlusions.

Materials And Methods: During a period of 4.5 years, 67 long SFA occlusions in 61 patients (52 male, 9 female) were intended to be treated with SA, either retrogradely (n = 55) or antegradely (n = 12).

Endovascular treatment of an acute superior mesenteric artery occlusion following failed surgical embolectomy.

Purpose: To present the successful primary stenting of a superior mesenteric artery (SMA) occlusion following failed surgical embolectomy.

Case Report: A 65-year-old woman with a history of atrial fibrillation underwent surgical embolectomy of an acute embolic occlusion of the superior mesenteric artery (SMA). The following day, symptom recurrence suggested reocclusion, which was confirmed with emergent arteriography.

Endovascular treatment of a recipient celiac trunk stenosis after orthotopic liver transplantation.

Purpose: To present the successful endovascular treatment of a severe recipient celiac trunk stenosis that led to allograft ischemia following liver transplantation.

Case Report: A 56-year-old woman underwent orthotopic liver transplantation because of hepatitis C-induced cirrhosis. After the operation, routine hepatic Doppler ultrasonography showed a tardus parvus flow pattern in the hepatic artery, suggesting an impending hepatic artery thrombosis.

Pediatric fascioliasis: report of three cases.

Fascioliasis is an uncommon hepatobiliary disease in children. Ultrasonographic, computed tomography (CT) and magnetic resonance imaging (MRI) findings of the disease have been thoroughly described in the last decade. These radiological findings play an important role in the differential diagnosis of the disease since it may clinically mimic several hepatobiliary and systemic diseases.