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Record Nr. |
UNINA9910484563903321 |
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Titolo |
Interventional radiology in palliative care / / edited by Peter L. Munk and Suresh B. Babu |
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Pubbl/distr/stampa |
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Cham, Switzerland : , : Springer, , [2021] |
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©2021 |
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ISBN |
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Descrizione fisica |
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1 online resource (384 pages) : illustrations |
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Collana |
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Disciplina |
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Soggetti |
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Interventional radiology |
Tractament pal·liatiu |
Radiologia intervencionista |
Llibres electrònics |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di contenuto |
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Intro -- Foreword -- Preface -- Contents -- Part I: Introduction and Nutrition -- Introduction to Palliative Care -- 1 Introduction -- 2 What Is Palliative Care? -- 3 Why Is This Important for Interventional Radiologists? -- 4 The History of Palliative Care -- 5 The "Upstreaming" of Palliative Care -- 6 Specialist Palliative Care -- 7 Awareness of Services -- 8 The Place of Interventional Radiology in Palliative Care -- 9 Practical Considerations with Interventional Radiological Palliative Procedures -- 10 Summary -- References -- Introduction to IR -- References -- Clinical Applications of Outcome Measurement -- 1 Introduction -- 2 Why Do We Need Outcome Measures? -- 3 What Outcome Measures Should We Use? -- 3.1 Patient-Reported Outcome Measures (PROMs) -- 3.2 Other Patient-Centric Outcomes -- 3.3 Burdens on the Caregiver -- 3.4 Cost Savings and Facilitating Transitions of Care -- 4 Choosing the Right Measures -- 4.1 Requirements for Good Outcome Measures in Clinical Care (Greenhalgh et al. 1998) -- 5 Barriers to Using Outcome Measures in Clinical Care -- 6 Getting Started with Outcome Measurement -- References -- Ethics, Consent, and Communication Challenges -- 1 Introduction -- 2 Medical Futility at the End of Life -- |
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3 Shared Decision-Making at the End of Life -- 4 Decision-Making Capacity -- 5 Informed Consent -- References -- Intravenous Access Solutions -- 1 Introduction -- 2 Peripherally Inserted Central Catheters (PICCs) and Non-tunnelled Central Venous Catheters -- 2.1 Indications and Contraindications -- 2.2 Patient Preparation -- 2.3 Technique -- 2.3.1 Peripherally Inserted Central Catheter -- 2.3.2 Non-tunnelled Central Catheters -- 2.3.3 Femoral Vein -- 2.3.4 Subclavian Vein -- 3 Tunnelled Central Venous Catheters (TCVC) -- 3.1 Indications -- 3.2 Contraindications -- 3.3 Patient Preparation. |
3.4 Technique -- 4 Subcutaneous Ports -- 4.1 Indications -- 4.2 Contraindications -- 4.3 Technique -- 5 Complications -- 6 Post-procedure Care -- References -- Feeding Solutions -- 1 Introduction -- 2 Ethical Issues in Nutrition in Palliative Care -- 3 Effects of Nutritional Support -- 3.1 Pathophysiological Changes -- 3.2 Nutritional Support -- 3.3 Artificial Nutrition -- 4 Interventional Radiology and Nutrition -- 4.1 Enteral Feeding -- 4.1.1 Nasogastric Tube Insertion -- 4.1.2 Nasojejunal Tube Insertion -- 4.2 Modifications of Feeding Tubes -- 4.2.1 Percutaneous Radiological Gastrostomy (PRG) -- 4.2.1.1 Pull Type -- 4.2.1.2 Push Type -- 4.2.1.3 Results and Complications -- 4.2.2 Primary Radiological Jejunostomy -- 4.3 Aiding Oral Feeds by Radiological Stent Placement -- 4.3.1 Oesophageal Stent -- 4.3.2 Gastro-duodenal Stent -- 4.4 Parenteral Nutrition -- 4.4.1 Catheter Types and Recommendations -- 4.4.2 Complications -- 4.4.3 Parenteral Hydration -- 5 Conclusion -- References -- Part II: Musculoskeletal Pain Relief Solutions -- Imaging-Guided Palliative Procedures: Tendon and Bursa Injection -- 1 Introduction -- 2 Image-Guided Tendon and Bursal Injection Basics -- 3 Chemotherapeutic Causes of Arthralgia, Tendinopathy, Synovitis, and Bursitis -- 4 Radiotherapy Causes of Myositis, Tendonitis, and Bursitis -- 5 Systemic Steroid Use in Palliation and Its Effects on Tendons -- 6 Local Steroid Injections to Reduce Focal Inflammation -- 7 Calcific Tendonitis Intervention -- 7.1 Rotator Cuff -- 7.2 Gluteal Musculature -- 7.3 Longus Colli -- 7.4 Less Common Sites of Calcific Tendinopathy -- 8 Bursal Intervention -- 9 Tendon Intervention -- 10 Gout and Crystal Arthropathies -- 11 Summary -- References -- Cement Consolidation: Vertebral Augmentation and Cementoplasty -- 1 Introduction -- 2 Indications. |
3 Materials -- 4 General Technical Considerations -- 5 Vertebral Augmentation -- 6 Cementoplasty: Outside of the Spine -- 7 Complications -- 8 Conclusion -- References -- Palliative Bone Tumors Thermal Ablation -- 1 Introduction -- 2 Palliative Bone Ablation in Cancer Patients -- 3 Ablative Techniques -- 4 Protective Measures -- 4.1 Techniques Achieving Physical Displacement -- 4.2 Morphological/Functional Monitoring -- 5 Results -- 6 Advantages of Ablations -- 7 Conclusions -- References -- Part III: Neurological Pain Relief Solutions -- Epidural Steroid Injections -- 1 Introduction -- 2 Anatomy of the Epidural Space -- 3 Cervical Epidural Injections -- 3.1 Indications -- 3.2 Contraindications -- 3.3 Cervical Epidural Transforaminal Epidural -- 3.3.1 Injection Technique -- 3.4 Cervical Interlaminar Epidural -- 3.4.1 Injection Technique -- 3.4.2 Loss of Resistance Technique -- 3.4.3 Hanging Drop Technique -- 3.5 Complications -- 3.5.1 Drug Related -- 3.5.2 Procedure Related -- 4 Lumbar Epidural Injections -- 4.1 Indications -- 4.2 Contraindications -- 4.3 Lumbar Transforaminal Epidural -- 4.3.1 Injection Technique -- 4.4 Lumbar Interlaminar Epidural -- 4.4.1 Injection Technique -- 4.5 Complications -- 4.5.1 Drug Related -- 4.5.2 Procedure Related -- 5 Caudal Epidural Injection -- 5.1 Indications -- 5.2 Contraindications -- 5.3 Caudal Epidural Injection Technique -- 5.4 |
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Complications -- 5.4.1 Drug Related -- 5.4.2 Procedure Related -- 6 Conclusion -- References -- Spinal Facet Injections for Palliative Pain Management -- 1 Introduction -- 2 Anatomy and Function of the Facet Joints -- 3 Disease Processes Affecting the Facet Joints -- 3.1 Degenerative -- 3.2 Neoplastic -- 3.3 Rheumatologic -- 3.4 Infectious -- 3.5 Traumatic -- 4 Treatment Strategies for Facet Pain. |
4.1 Conservative and Pharmacologic Therapies -- 4.2 Median Branch Blocks -- 4.3 Radiofrequency Ablation -- 4.4 Facet Injections and Aspirations -- 4.5 Surgical Techniques -- 5 Effectiveness of Facet Injections -- 6 Complications of Facet Injections -- 7 Conclusion -- References -- Spinal Nerve Root Blocks -- 1 Introduction -- 2 Indications and Patient Selection -- 3 Contraindications and Limitations -- 4 Techniques -- 4.1 Modalities and Equipment -- 4.1.1 Needles -- 4.1.2 CT vs. Fluoroscopy Guided -- 4.1.3 Planning -- 4.2 Medications -- 4.3 Cervical Nerve Root Blocks -- 4.4 Thoracic Nerve Root Blocks -- 4.5 Lumbar and Sacral Nerve Root Blocks -- 4.6 Spinal Epidural Injections -- 5 Post-procedure Care and Follow-Up -- 6 Conclusion -- References -- Nerve Blocks (Non-spinal) -- 1 Introduction -- 2 Indications -- 3 Contraindications -- 4 Therapeutic Options -- 4.1 Local Anesthetics -- 4.2 Thermal Neurolysis -- 4.3 Pulsed Radiofrequency (Neural Modulation) -- 4.4 Chemical Neurolysis -- 5 Techniques for Common Peripheral Nerve Blocks -- 5.1 Head and Neck -- 5.2 Trunk -- 5.3 Upper Extremity -- 5.4 Pelvis and Lower Extremity -- 6 Associative Therapies -- 7 Conclusion -- References -- Autonomic Blocks -- 1 Introduction -- 2 Functional Anatomy of Visceral Autonomic Nervous System -- 3 Celiac Plexus Neurolysis (CPN) -- 3.1 Indications -- 3.2 Contraindications -- 3.3 Pre-procedural Evaluation -- 3.4 Technique -- 3.4.1 Imaging Guidance and Patient Positioning -- 3.4.2 Site of Neurolytic Injection -- 3.4.3 Various Approaches -- 3.4.3.1 Paravertebral Posterior Approach -- 3.4.3.2 Anterior Approach -- 3.4.3.3 Other Approaches -- 3.5 Superior Hypogastric Plexus Neurolysis (SHPN) -- 3.5.1 Functional Anatomy -- 3.5.2 Technique -- 3.5.3 Ganglion Impar Neurolysis (GIN) -- 3.5.4 Post-procedure Care. |
3.5.5 Complications -- 3.5.6 Clinical Efficacy -- 3.6 Conclusion -- References -- Part IV: Tumour Debulking Solutions -- Endovascular Embolisation Techniques -- 1 Introduction -- 2 Indications -- 3 Contraindications -- 4 Techniques -- 4.1 Access -- 4.2 Vascular Supply -- 4.3 Cannulisation of Target Vessels -- 4.4 Embolic Agents -- 4.5 Phasing of Embolisation -- 4.6 Safety Aspects -- 5 Associative Therapies -- 6 Follow-Up -- 7 Conclusion -- References -- Tumour Ablations -- 1 Introduction -- 2 Techniques of Ablation -- 2.1 Radiofrequency Ablation (Pereira et al. 2004) -- 2.2 Microwave Ablation (Simon et al. 2005 -- Brace 2009) -- 2.3 Cryo-ablation (Rose and Morris 2015 -- Erinjeri 2013) -- 2.4 Other Ablative Therapies -- 2.4.1 High-Intensity Focused Ultrasound (HIFU) -- 2.4.2 Chemical Ablation (Garnon et al. 2013) -- 3 Patient Preparation -- 4 Anaesthesia for Ablation (Fox and Harvey 2005) -- 5 Various Regions -- 5.1 Chest -- 5.1.1 Procedure -- 5.2 Liver -- 5.3 Adrenal -- 5.4 Kidneys -- 5.5 Prostate -- 5.6 Primary Bone and Soft Tissue Tumours -- 5.7 Other Regions -- 6 Conclusion -- References -- Part V: Bleeding Solutions -- Bleeding Solutions in the Head and Neck -- 1 Introduction -- 1.1 Pre-procedural Consideration -- 2 Management of Acute Haemorrhage -- 2.1 Epistaxis -- 2.1.1 Tumour-Induced Epistaxis -- 2.1.2 Post-treatment Epistaxis -- 2.2 Carotid Blowout -- 2.2.1 Role of Endovascular Therapy in Carotid Blowout Syndrome (CBS) -- 2.2.2 Permanent Balloon Occlusion (PBO) -- 2.2.3 Selective Embolization -- 2.2.4 Endovascular Stent Placement -- 3 Palliative |
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Embolization of Tumours -- 4 Limitations of Endovascular Treatment -- 5 Post-procedural Consideration -- References -- Gastro-intestinal Bleed -- 1 Introduction -- 2 Clinical Assessment, Resuscitation, and Initial Management (Ramaswamy et al. 2008). |
3 Role Computed Tomographic Angiography (CTA) (Ramaswamy et al. 2014. |
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