Learning points taken so from #CIRSE2020
Biliary:
Transpapillary Vs suprapap biliary stenting. Suprapap stent placement is safer, avoids postop pancreatitis with similar clinical results, stent patency and patient survival . Clinical success was associated with survival increase
Biliary:
Transpapillary Vs suprapap biliary stenting. Suprapap stent placement is safer, avoids postop pancreatitis with similar clinical results, stent patency and patient survival . Clinical success was associated with survival increase
If you're going to do a percutaneous caecostomy, ensure there is a follow up definitive plan. Better to swing towards a colonic stent if you can.
Fibroid embolisation:
Hydronephrosis is not a CI to embolisation
PE risk is 1 in 400
10mg dexamethasone IV 1 hour pre UAE
Fibroid embolisation:
Hydronephrosis is not a CI to embolisation
PE risk is 1 in 400
10mg dexamethasone IV 1 hour pre UAE
Fibroid embolisation cont:
Wait 6 months post UAE and post procedure MRI before commencing pregnancy.
Any fibroid that touches the endometrium has a risk to pass. The larger the fibroid the higher the risk.
>50% of the fibroid in the cavity = high risk of passage 30-40%
Wait 6 months post UAE and post procedure MRI before commencing pregnancy.
Any fibroid that touches the endometrium has a risk to pass. The larger the fibroid the higher the risk.
>50% of the fibroid in the cavity = high risk of passage 30-40%
Fibroid embolisation:
Consider hysteroscopic resection within a week post embolisation for high risk of passage fibroids (anyone doing this? @Irfan_I_Ahmed @keithppereira @thefibroidlady)
No sig diff in outcomes in the embolisation of ovarian collaterals at 1st UAE embo
Consider hysteroscopic resection within a week post embolisation for high risk of passage fibroids (anyone doing this? @Irfan_I_Ahmed @keithppereira @thefibroidlady)
No sig diff in outcomes in the embolisation of ovarian collaterals at 1st UAE embo
Pulmonary AVM
Concern of aneurysmal dilatation and recanalisation using AVP plugs when treating pulmonary AVMs. Use a combination of AVP and coils to increase occlusive effect. The closer to the sac, the better.
Pulmonary AVM embolisation does not increase PAP.
Concern of aneurysmal dilatation and recanalisation using AVP plugs when treating pulmonary AVMs. Use a combination of AVP and coils to increase occlusive effect. The closer to the sac, the better.
Pulmonary AVM embolisation does not increase PAP.
Emborrhoid:
Use the symptom severity score in clinic
~70% clinic success with minimal complications
Identify all the vessels from IMA supplying the haemorrhoidal plexus and embolise at the level of the pubic bone. Use 2-3mm 0.018 coils. Look for the middle rectal supply.
Use the symptom severity score in clinic
~70% clinic success with minimal complications
Identify all the vessels from IMA supplying the haemorrhoidal plexus and embolise at the level of the pubic bone. Use 2-3mm 0.018 coils. Look for the middle rectal supply.
GAE
Commonest complication is skin discolouration - use ice pack over the knee
Treat mild to moderate knee OA resistent to conservative treatment. Recurrence in severe group. Treat to prune not to stasis
Embosphere 100-300um dilute in 20ml contrast 100% (👍👏👏 @marklittle_IR)
Commonest complication is skin discolouration - use ice pack over the knee
Treat mild to moderate knee OA resistent to conservative treatment. Recurrence in severe group. Treat to prune not to stasis
Embosphere 100-300um dilute in 20ml contrast 100% (👍👏👏 @marklittle_IR)
Feel free to add learning points!!! I know I've missed a lot & I haven't completed all the posters! Although very different, it was a great conference & I thoroughly enjoyed it. @cirsesociety
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