interventional radiology4

19
Complications Hematoma (hilar vessel injury ( Pneumothorax Hematuria (AVF (

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Page 1: Interventional radiology4

Complications

Hematoma (hilar vessel injury(

Pneumothorax

Hematuria (AVF(

Page 2: Interventional radiology4

Complications

Risk : Kinking of the drain at the skin

Page 3: Interventional radiology4

Anterior approachPosterior approach

Endocavitary approach

Page 4: Interventional radiology4

Pelvic cavity

Anterior approach

Volume of the massChange bladder filling

Inferior epigastric vessels

Page 5: Interventional radiology4

Pelvic cavity

Anterior approach

Page 6: Interventional radiology4

Pelvic cavity

Anterior approach

Page 7: Interventional radiology4

Pelvic cavity

Lymphocel drainag

Page 8: Interventional radiology4

Pelvic cavity

Lymphocel drainag

Page 9: Interventional radiology4

Pelvic cavity

Lymphocel drainag

Page 10: Interventional radiology4

Pelvic cavity

Lymphocel aspirationRenal transplant

Page 11: Interventional radiology4

Sclerosis Cyst/Lymphocel

Tetracycline, ethanol, bleomycine, betadine

Rules: Preliminary opacification to search for communication (GI, Biliary,

ureter(

Technique : 2/3 volum ; 1 h ; reaspiration ; repeat

Page 12: Interventional radiology4

Pelvic cavity

Posterior approach

Sciatic

VesselsGluteal muscles

Page 13: Interventional radiology4

Pelvic cavityPosterioproac

h

Page 14: Interventional radiology4

Pelvic cavity

Posterior approach

Page 15: Interventional radiology4

Drainages

DécliveDiameter (type de fluid(

One , two,….

Guide/S (long, large caliber drain(

Direct puncture (Fast, small drain(

Page 16: Interventional radiology4

Drainages

If thick wall: risk of residual cavity non collapsed

Page 17: Interventional radiology4

Drainages

Post cystectomy abcess

Page 18: Interventional radiology4

Drainages

Density modification due to hemorrage

Page 19: Interventional radiology4

Drainages

Endocavitary approach

Multiplane US probe–cristal extremity

Probe of drainage‘locking’Fixation material on the

endocavitary probe with adapted diameter guide

Caliber ‘thick rectal/vaginal wall’/ Seldinger