By D. Sahani, B. Bounds, W. Brugge, Peter Robert Mueller (auth.), Andreas Adam MB, BS, FRCP, FRCR, FRCS, Robert F. Dondelinger MD, Peter Robert Mueller MD (eds.)

ISBN-10: 3642186688

ISBN-13: 9783642186684

ISBN-10: 3642622356

ISBN-13: 9783642622359

Interventional radiology is taking part in an more and more major position within the scientific administration of sufferers with melanoma, exchanging extra invasive conventional tools and making it attainable to house formerly untreatable stipulations. This cutting-edge booklet describes the options at present utilized by interventional radiologists within the therapy and palliation of various malignant stipulations. all through, the emphasis is on functional matters. each bankruptcy has been written through an international professional within the subject involved. This e-book will function an authoritative resource of data and should be beneficial to these utilizing interventional radiological thoughts within the remedy of sufferers with malignant disease.

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C A 45-mm+16-mm covered Wallstent was placed across the defect which completely closed the fistula. d This esophagogram, performed the following day, shows no passage contrast medium into the trachea or bronchi were treated with Wallstent endoprostheses placed in the trachea (five patients) and left main bronchus (one patient). All fistulas were sealed at the time of insertion. All esophagotracheal fistulas remained sealed during follow-up. There was one recurrence at 7 days in the patient in whom the stent was placed in the left main bronchus (Sabharwal et al.

B A covered esophageal stent was deployed across the large fistula, which immediately sealed the perforation. The patient’s sepsis and pleural effusions resolved and the patient was discharged from hospital 15 days later. [With permission from Morgan (2001)] b Interventional Radiology in Esophageal Cancer 41 a b Fig. 22a,b. Treatment of a malignant esophageal perforation with a covered stent. A 67-year-old patient with a lower esophageal carcinoma. a Attempted endoscopic laser therapy on the previous day failed because it was not possible to pass the endoscope through the stricture.

R. Morgan and A. 2 Results Most reports of metallic stenting in the airways in patients with esophageal cancer are limited to case reports. The largest series of esophagorespiratory fistulas treated by airway stenting was recently reported by Sabharwal et al. (2000). Six patients Fig. 25a–d. Treatment of a high esophagotracheal fistula with a covered tracheal stent. a This 59-year-old female with a carcinoma in the upper esophagus was treated by placement of two covered Wallstents to palliate dysphagia.

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Interventional Radiology in Cancer by D. Sahani, B. Bounds, W. Brugge, Peter Robert Mueller (auth.), Andreas Adam MB, BS, FRCP, FRCR, FRCS, Robert F. Dondelinger MD, Peter Robert Mueller MD (eds.)


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