The role of interventional radiology in the treatment of epiphora

Patella, Francesca; Panella, Silvia; Zannoni, Stefania; Jannone, Maria Laura; Pesapane, Filippo; Angileri, Salvatore Alessio; Sbaraini, Sara; Ierardi, Anna Maria; Soldi, Simone; Franceschelli, Giuseppe

doi:10.21037/gs.2017.09.16

Cited by 10 publications

(5 citation statements)

References 53 publications

(93 reference statements)

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“…When the obstruction of the nasolacrimal duct causes epiphora, the definitive treatment is dacryocystorhinostomy. IR can offer an alternative dacryocystoplasty or stent placement that does not require general anesthesia to be performed ( 46 ). There are few absolute contraindications where neoplasm or dacryocystitis is observed, suggesting a broad population with epiphora could be offered this therapy as a first line therapy.…”

Section: Respiratorymentioning

confidence: 99%

Value of interventional radiology and their contributions to modern medical systems

Campbell,

Chick,

Shin

et al. 2024

Front. Radiol.

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Interventional radiology (IR) is a unique specialty that incorporates a diverse set of skills ranging from imaging, procedures, consultation, and patient management. Understanding how IR generates value to the healthcare system is important to review from various perspectives. IR specialists need to understand how to meet demands from various stakeholders to expand their practice improving patient care. Thus, this review discusses the domains of value contributed to medical systems and outlines the parameters of success. IR benefits five distinct parties: patients, practitioners, payers, employers, and innovators. Value to patients and providers is delivered through a wide set of diagnostic and therapeutic interventions. Payers and hospital systems financially benefit from the reduced cost in medical management secondary to fast patient recovery, outpatient procedures, fewer complications, and the prestige of offering diverse expertise for complex patients. Lastly, IR is a field of rapid innovation implementing new procedural technology and techniques. Overall, IR must actively advocate for further growth and influence in the medical field as their value continues to expand in multiple domains. Despite being a nascent specialty, IR has become indispensable to modern medical practice.

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Section: Respiratorymentioning

confidence: 99%

Value of interventional radiology and their contributions to modern medical systems

Campbell,

Chick,

Shin

et al. 2024

Front. Radiol.

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“…When the fluid collection is fully evident utilising ultrasound (US), a US-guided transcutaneous drain positioning is usually the best option because the US is commonly accessible, simple to use, and enables authentic surveillance of the insertion of the drain as well as having no radiation exposure (6). Whenever the fluid collection is in-depth in the abdominal cavity and cannot be seen with the naked eye, computed tomography (CT) scan can provide a good anatomical picture to assist the secure positioning of transcutaneous drainage (7). The cannula or Seldinger technique could be used to place drainage.…”

Section: Introductionmentioning

confidence: 99%

Post pancreatic surgery complications; surgeon vs interventional radiologists

Asghar

Asgher²,

Wahab³

et al. 2022

J Pak Med Assoc

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Even at high-volume centres, pancreatic resections are linked with a high rate of complications, as well as significant morbidity and mortality. In the management of these occurrences, a multidisciplinary approach is required, and interventional radiology plays an important role in the treatment of patients who develop post-surgical problems. The current review was planned to provide an overview of interventional radiological techniques that can be used to treat various types of problems following pancreatic resection. Percutaneous fluid collection drainage, percutaneous transhepatic biliary operations, artery embolisation, venous interventions, and fistula embolisation are feasible therapeutic alternatives with fewer problems than a re-look surgery. They also have a shorter hospital stay and faster recovery. Key Words: Embolization, interventional radiology (IR), pancreatic resection, postpancreatectomy hemorrhage, stent-graft.

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“…Endoscopic dacryocystorhinostomy (DCR) surgery is an effective treatment for managing nasolacrimal duct obstruction and dacryocystitis by reconstructing the lacrimal drainage system (LDS) of nasal [ 1 ]. In previous studies, the high success rate of endoscopic DCR ranged from 80 to 95%.…”

Section: Introductionmentioning

confidence: 99%

Reference role of middle turbinate axilla in lacrimal sac localization assisted by computed tomographic dacryocystography-reference value of middle turbinate in locating lacrimal sac

Yang

Zhi

et al. 2022

BMC Ophthalmol

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Background The middle turbinate axilla (MTA) has always been used as a stable anatomic landmark for endoscopic surgeons to locate the lacrimal sac on the lateral nasal wall. Yet, little is known about whether the lacrimal sac size will affect the positioning effect of MTA on lacrimal sac. The aim of this study was to investigate the regularity of lacrimal sac size and lacrimal sac localization through the reference position of the MTA on computed tomographic dacryocystography (CT-DCG) images. Methods A series of 192 endoscopic dacryocystorhinostomy (DCR) surgeries were performed. All the patients had been diagnosed as unilateral nasolacrimal duct obstruction and received CT-DCG examinations. According to the maximum transverse diameter of the lacrimal sac on CT-DCG, the patients were classified into three groups. Measurements were taken on CT-DCG parasagittal images. Results The average distance from the sac superior fundus (SSF) to the MTA was 7.52 mm ± 3.23 mm, and it increased with the increase of the maximum transverse diameter of the sac among groups (p < 0.01). The average distance from the common canaliculus (CC) to the MTA was 3.95 mm ± 2.49 mm. No significant difference was observed among the groups (p = 0.11). The average distance from the CC to the SSF was 3.41 mm ± 1.31 mm, and it increased with the increase of the sac transverse diameter among groups (p < 0.01). Conclusions The lacrimal sac can be accurately located on the lateral nasal wall by the reference position of the MTA on CT-DCG images. The distance of the SSF to the MTA and the SSF to the CC is related to the lacrimal sac size. The relative position of the CC to the MTA is relatively stable on CT-DCG images, which make it possible to locate the lacrimal sac of different sizes and the corresponding nasal mucosa incision design in endoscopic DCR.

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The role of interventional radiology in the treatment of epiphora

Cited by 10 publications

References 53 publications

Value of interventional radiology and their contributions to modern medical systems

Value of interventional radiology and their contributions to modern medical systems

Post pancreatic surgery complications; surgeon vs interventional radiologists

Reference role of middle turbinate axilla in lacrimal sac localization assisted by computed tomographic dacryocystography-reference value of middle turbinate in locating lacrimal sac

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