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Post-procedural Care in Interventional Radiology: What Every Interventional Radiologist Should Know-Part II: Catheter Care and Management of Common Systemic Post-procedural Complications

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Abstract

Interventional radiology (IR) has evolved into a full-fledged clinical specialty with attendant comprehensive patient care responsibilities. Providing excellent and thorough clinical care is as essential to the practice of IR as achieving technical success in procedures. Basic clinical skills that every interventional radiologist should learn include routine management of percutaneously inserted drainage and vascular catheters and rapid effective management of common systemic post-procedural complications. A structured approach to post-procedural care, including routine follow-up and early identification and management of complications, facilitates efficient and thorough management with an emphasis on quality and patient safety. The aim of this second part, in conjunction with part 1, is to complete the comprehensive review of post-procedural care in patients undergoing interventional radiology procedures. We discuss common problems encountered after insertion of drainage and vascular catheters and describe effective methods of troubleshooting these problems. Commonly encountered systemic complications in IR are described, and ways for immediate identification and management of these complications are provided.

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References

  1. Taslakian B, Sebaaly MG, Al-Kutoubi A. Patient evaluation and preparation in vascular and interventional radiology: what every interventional radiologist should know (part 1: patient assessment and laboratory tests). Cardiovasc Interv Radiol. 2016;39(3):325–33.

    Article  Google Scholar 

  2. Taslakian B, Sebaaly MG, Al-Kutoubi A. Patient evaluation and preparation in vascular and interventional radiology: what every interventional radiologist should know (part 2: patient preparation and medications). Cardiovasc Interv Radiol. 2016;39(4):489–99.

    Article  Google Scholar 

  3. Taslakian B, Sridhar D. Post-procedural care in interventional radiology: what every interventional radiologist should know—part I: standard post-procedural instructions and follow-up care. Cardiovasc Interv Radiol. 2017;40(4):481–95.

    Article  Google Scholar 

  4. Gallieni M, Pittiruti M, Biffi R. Vascular access in oncology patients. CA Cancer J Clin. 2008;58(6):323–46.

    Article  PubMed  Google Scholar 

  5. Loveday H, Wilson J, Pratt R, Golsorkhi M, Tingle A, Bak A, et al. epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2014;86(Suppl 1):S1–70.

    Article  PubMed  Google Scholar 

  6. Goldberg M, Mueller P, Saini S, Lee M, Girard M, Dawson S, et al. Importance of daily rounds by the radiologist after interventional procedures of the abdomen and chest. Radiology. 1991;180(3):767–70.

    Article  CAS  PubMed  Google Scholar 

  7. Maher MM, Kealey S, McNamara A, O’Laoide R, Gibney RG, Malone DE. Management of visceral interventional radiology catheters: a troubleshooting guide for interventional radiologists. Radiographics. 2002;22(2):305–22.

    Article  PubMed  Google Scholar 

  8. Picus D, Burns MA, Hicks ME, Darcy MD, Vesely TM. Percutaneous management of persistently immature cholecystostomy tracts. J Vasc Interv Radiol. 1993;4(1):97–101 (discussion 101–2).

    Article  CAS  PubMed  Google Scholar 

  9. McClave SA, Jafri NS. Spectrum of morbidity related to bolster placement at time of percutaneous endoscopic gastrostomy: buried bumper syndrome to leakage and peritonitis. Gastrointest Endosc Clin N Am. 2007;17(4):731–46.

    Article  PubMed  Google Scholar 

  10. Huang SY, Engstrom BI, Lungren MP, Kim CY. Management of dysfunctional catheters and tubes inserted by interventional radiology. Semin Interv Radiol. 2015;32(2):67–77.

    Article  Google Scholar 

  11. Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016.

    Google Scholar 

  12. Taslakian B. Exchange of drainage catheter. In: Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016. p. 309–11.

    Chapter  Google Scholar 

  13. Taslakian B, Moore W. Exchange of chest drain. In: Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016. p. 51–3.

    Chapter  Google Scholar 

  14. Collares FB, Faintuch S, Kim SK, Rabkin DJ. Reinsertion of accidentally dislodged catheters through the original track: what is the likelihood of success? J Vasc Interv Radiol. 2010;21(6):861–4.

    Article  PubMed  Google Scholar 

  15. Taslakian B. Tubography (sinography). In: Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016. p. 321–2.

    Chapter  Google Scholar 

  16. Taslakian B. Tractography (pull-out tractography. In: Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016. p. 317–9.

    Chapter  Google Scholar 

  17. Park JK, Kraus FC, Haaga JR. Fluid flow during percutaneous drainage procedures: an in vitro study of the effects of fluid viscosity, catheter size, and adjunctive urokinase. AJR Am J Roentgenol. 1993;160(1):165–9.

    Article  CAS  PubMed  Google Scholar 

  18. Maskell NA, Davies CW, Nunn AJ, Hedley EL, Gleeson FV, Miller R, et al. UK controlled trial of intrapleural streptokinase for pleural infection. N Engl J Med. 2005;352(9):865–74.

    Article  CAS  PubMed  Google Scholar 

  19. Lahorra JM, Haaga JR, Stellato T, Flanigan T, Graham R. Safety of intracavitary urokinase with percutaneous abscess drainage. AJR Am J Roentgenol. 1993;160(1):171–4.

    Article  CAS  PubMed  Google Scholar 

  20. Cameron R, Davies HR. Intra-pleural fibrinolytic therapy versus conservative management in the treatment of adult parapneumonic effusions and empyema. Cochrane Database Syst Rev. 2008. doi:10.1002/14651858.CD002312.pub3.

    Google Scholar 

  21. Taslakian B. Placement of subcutaneous central venous port. In: Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016. p. 383–6.

    Chapter  Google Scholar 

  22. Taslakian B, Chokr J. Placement of non-tunneled central venous catheter. In: Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016. p. 379–81.

    Chapter  Google Scholar 

  23. Taslakian B. Placement of tunneled central venous catheter. In: Taslakian B, Al-Kutoubi A, Hoballah JJ, editors. Procedural dictations in image-guided intervention: non-vascular, vascular and neuro interventions. New York: Springer; 2016. p. 387–90.

    Chapter  Google Scholar 

  24. Rasmussen RL. The catheter-challenged patient and the need to recognize the recurrently dysfunctional tunneled dialysis catheter. Semin Dial. 2010;23(6):648–52.

    Article  PubMed  Google Scholar 

  25. Nadolski G, Shlansky-Goldberg RD, Stavropoulos SW, Soulen MC, Farrelly C, Trerotola SO. Chest radiograph-based algorithm for managing malfunctioning ports. J Vasc Interv Radiol. 2013;24(9):1337–42.

    Article  PubMed  Google Scholar 

  26. Haymond J, Shalansky K, Jastrzebski J. Efficacy of low-dose alteplase for treatment of hemodialysis catheter occlusions. J Vasc Access. 2005;6(2):76–82.

    CAS  PubMed  Google Scholar 

  27. Merport M, Murphy TP, Egglin TK, Dubel GJ. Fibrin sheath stripping versus catheter exchange for the treatment of failed tunneled hemodialysis catheters: randomized clinical trial. J Vasc Interv Radiol. 2000;11(9):1115–20.

    Article  CAS  PubMed  Google Scholar 

  28. Heye S, Maleux G, Goossens G, Vaninbroukx J, Jerôme M, Stas M. Feasibility and safety of endovascular stripping of totally implantable venous access devices. Cardiovasc Interv Radiol. 2012;35(3):607–12.

    Article  Google Scholar 

  29. Sobolevsky S, Sheiman RG, Faintuch S, Perry L. Femoral-to-port through-and-through wire access to reestablish subcutaneous port function. AJR Am J Roentgenol. 2007;188(4):1047–9.

    Article  PubMed  Google Scholar 

  30. Vats HS. Complications of catheters: tunneled and nontunneled. Adv Chronic Kidney Dis. 2012;19(3):188–94.

    Article  PubMed  Google Scholar 

  31. Maya ID, Saddekni S, Allon M. Treatment of refractory central vein stenosis in hemodialysis patients with stents. Semin Dial. 2007;20(1):78–82.

    Article  PubMed  Google Scholar 

  32. Patel IJ, Davidson JC, Nikolic B, Salazar GM, Schwartzberg MS, Walker TG, et al. Addendum of newer anticoagulants to the SIR consensus guideline. J Vasc Interv Radiol. 2013;24(5):641–5.

    Article  PubMed  Google Scholar 

  33. Patel IJ, Davidson JC, Nikolic B, Salazar GM, Schwartzberg MS, Walker TG, et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 2012;23(6):727–36.

    Article  PubMed  Google Scholar 

  34. Stecker MS, Johnson MS, Ying J, McLennan G, Agarwal DM, Namyslowski J, et al. Time to hemostasis after traction removal of tunneled cuffed central venous catheters. J Vasc Interv Radiol. 2007;18(10):1232–9 (quiz 1240).

    Article  PubMed  Google Scholar 

  35. Martinez Salazar GM, Tan CS, Spearman K, Wicky S, Wu S. Safety of percutaneous tunneled hemodialysis catheter procedures in patients receiving concurrent clopidogrel therapy. J Vasc Access. 2014;15(1):33–7.

    Article  PubMed  Google Scholar 

  36. Sacks D, McClenny TE, Cardella JF, Lewis CA. Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol. 2003;14(9 Pt 2):S199–202.

    Article  PubMed  Google Scholar 

  37. McQuillan P, Pilkington S, Allan A, Taylor B, Short A, Morgan G, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ. 1998;316(7148):1853–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002;324(7334):387–90.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Hillman KM, Bristow PJ, Chey T, Daffurn K, Jacques T, Norman SL, et al. Duration of life-threatening antecedents prior to intensive care admission. Intensive Care Med. 2002;28(11):1629–34.

    Article  PubMed  Google Scholar 

  40. Green AL, Williams A. An evaluation of an early warning clinical marker referral tool. Intensive Crit Care Nurs. 2006;22(5):274–82.

    Article  PubMed  Google Scholar 

  41. Goldhill D, Worthington L, Mulcahy A, Tarling M, Sumner A. The patient-at-risk team: identifying and managing seriously ill ward patients. Anaesthesia. 1999;54(9):853–60.

    Article  CAS  PubMed  Google Scholar 

  42. Endacott R, Kidd T, Chaboyer W, Edington J. Recognition and communication of patient deterioration in a regional hospital: a multi-methods study. Aust Crit Care. 2007;20(3):100–5.

    Article  PubMed  Google Scholar 

  43. Jones M. NEWSDIG: the national early warning score development and implementation group. Clin Med (Lond). 2012;12(6):501–3.

    Article  Google Scholar 

  44. Smith GB, Prytherch DR, Meredith P, Schmidt PE, Featherstone PI. The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death. Resuscitation. 2013;84(4):465–70.

    Article  PubMed  Google Scholar 

  45. Fenton AM, Hammill SC, Rea RF, Low PA, Shen W-K. Vasovagal syncope. Ann Intern Med. 2000;133(9):714–25.

    Article  CAS  PubMed  Google Scholar 

  46. Santini M, Ammirati F, Colivicchi F, Gentilucci G, Guido V. The effect of atropine in vasovagal syncope induced by head-up tilt testing. Eur Heart J. 1999;20(23):1745–51.

    Article  CAS  PubMed  Google Scholar 

  47. Kinsella SM, Tuckey JP. Perioperative bradycardia and asystole: relationship to vasovagal syncope and the Bezold–Jarisch reflex. Br J Anaesth. 2001;86(6):859–68.

    Article  CAS  PubMed  Google Scholar 

  48. Kaufmann H, Hainsworth R. Why do we faint? Muscle Nerve. 2001;24(8):981–3.

    Article  CAS  PubMed  Google Scholar 

  49. Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S729–67.

    Article  PubMed  Google Scholar 

  50. Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18 Suppl 2):S414–35.

    Article  PubMed  Google Scholar 

  51. Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Hess EP, Moitra VK, et al. Part 7: adult advanced cardiovascular life support: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18 Suppl 2):S444–64.

    Article  PubMed  Google Scholar 

  52. Devereaux P, Goldman L, Cook DJ, Gilbert K, Leslie K, Guyatt GH. Perioperative cardiac events in patients undergoing noncardiac surgery: a review of the magnitude of the problem, the pathophysiology of the events and methods to estimate and communicate risk. Can Med Assoc J. 2005;173(6):627–34.

    Article  CAS  Google Scholar 

  53. O’Connor RE, Brady W, Brooks SC, Diercks D, Egan J, Ghaemmaghami C, et al. Part 10: acute coronary syndromes: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S787–817.

    Article  PubMed  Google Scholar 

  54. Berroa F, Lafuente A, Javaloyes G, Cabrera-Freitag P, de la Borbolla JM, Moncada R, et al. The incidence of perioperative hypersensitivity reactions: a single-center, prospective, cohort study. Anesth Analg. 2015;121(1):117–23.

    Article  PubMed  Google Scholar 

  55. Gurrieri C, Weingarten TN, Martin DP, Babovic N, Narr BJ, Sprung J, et al. Allergic reactions during anesthesia at a large United States referral center. Anesth Analg. 2011;113(5):1202–12.

    Article  CAS  PubMed  Google Scholar 

  56. American College of Radiology. ACR manual on contrast media. Reston: American College of Radiology; 2016.

    Google Scholar 

  57. Sampson HA, Munoz-Furlong A, Campbell RL, Adkinson NF Jr, Bock SA, Branum A, et al. Second symposium on the definition and management of anaphylaxis: summary report—second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. Ann Emerg Med. 2006;47(4):373–80.

    Article  PubMed  Google Scholar 

  58. Lieberman P, Nicklas RA, Oppenheimer J, Kemp SF, Lang DM, Bernstein DI, et al. The diagnosis and management of anaphylaxis practice parameter: 2010 update. J Allergy Clin Immunol. 2010;126(3):477–80 (e1–42).

    Article  PubMed  Google Scholar 

  59. Simons FE, Gu X, Simons KJ. Epinephrine absorption in adults: intramuscular versus subcutaneous injection. J Allergy Clin Immunol. 2001;108(5):871–3.

    Article  CAS  PubMed  Google Scholar 

  60. Simons KJ, Simons FER. Epinephrine and its use in anaphylaxis: current issues. Curr Opin Allergy Clin Immunol. 2010;10(4):354–61.

    Article  CAS  PubMed  Google Scholar 

  61. Hoek TLV, Morrison LJ, Shuster M, Donnino M, Sinz E, Lavonas EJ, et al. Part 12: cardiac arrest in special situations 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 suppl 3):S829–61.

    Article  Google Scholar 

  62. Zarrinpar A, Kerlan RK. A guide to antibiotics for the interventional radiologist. Semin Interv Radiol. 2005;22(2):69–79.

    Article  Google Scholar 

  63. Zagoria RJ, Dyer RB. Do’s and don’t’s of percutaneous nephrostomy. Acad Radiol. 1999;6(6):370–7.

    Article  CAS  PubMed  Google Scholar 

  64. McNicholas MM, Lee MJ, Dawson SL, Mueller PR. Complications of percutaneous biliary drainage and stricture dilatation. Semin Intervent Radiol. 1994;11:242–53.

    Article  Google Scholar 

  65. Lorenz JM, Leef JA, Chou CH, Funaki B, Straus CM, Rosenblum JD. Sonographic needle guidance in cholangiography in children. J Vasc Interv Radiol. 2001;12(3):342–6.

    Article  CAS  PubMed  Google Scholar 

  66. Muckart DJ, Bhagwanjee S. American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference definitions of the systemic inflammatory response syndrome and allied disorders in relation to critically injured patients. Crit Care Med. 1997;25(11):1789–95.

    Article  CAS  PubMed  Google Scholar 

  67. Hollenberg SM, Ahrens TS, Annane D, Astiz ME, Chalfin DB, Dasta JF, et al. Practice parameters for hemodynamic support of sepsis in adult patients: 2004 update. Crit Care Med. 2004;32(9):1928–48.

    Article  PubMed  Google Scholar 

  68. Miller MJ, Smith TP, Ryan JM. Sepsis in the interventional radiology patient. Tech Vasc Interv Radiol. 2006;9(2):64–8.

    Article  PubMed  Google Scholar 

  69. Natanson C, Danner RL, Reilly JM, Doerfler ML, Hoffman WD, Akin GL, et al. Antibiotics versus cardiovascular support in a canine model of human septic shock. Am J Physiol. 1990;259(5 Pt 2):H1440–7.

    CAS  PubMed  Google Scholar 

  70. Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock, 2012. Intensive Care Med. 2013;39(2):165–228.

    Article  CAS  PubMed  Google Scholar 

  71. Kim W, Clark TW, Baum RA, Soulen MC. Risk factors for liver abscess formation after hepatic chemoembolization. J Vasc Interv Radiol. 2001;12(8):965–8.

    Article  CAS  PubMed  Google Scholar 

  72. Wood BJ, Abraham J, Hvizda JL, Alexander HR, Fojo T. Radiofrequency ablation of adrenal tumors and adrenocortical carcinoma metastases. Cancer. 2003;97(3):554–60.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Choi D, Lim HK, Kim MJ, Kim SJ, Kim SH, Lee WJ, et al. Liver abscess after percutaneous radiofrequency ablation for hepatocellular carcinomas: frequency and risk factors. AJR Am J Roentgenol. 2005;184(6):1860–7.

    Article  PubMed  Google Scholar 

  74. Woo S, Chung JW, Hur S, Joo SM, Kim HC, Jae HJ, et al. Liver abscess after transarterial chemoembolization in patients with bilioenteric anastomosis: frequency and risk factors. AJR Am J Roentgenol. 2013;200(6):1370–7.

    Article  PubMed  Google Scholar 

  75. Brown DB, Nikolic B, Covey AM, Nutting CW, Saad WE, Salem R, et al. Quality improvement guidelines for transhepatic arterial chemoembolization, embolization, and chemotherapeutic infusion for hepatic malignancy. J Vasc Interv Radiol. 2012;23(3):287–94.

    Article  PubMed  Google Scholar 

  76. Geschwind JF, Kaushik S, Ramsey DE, Choti MA, Fishman EK, Kobeiter H. Influence of a new prophylactic antibiotic therapy on the incidence of liver abscesses after chemoembolization treatment of liver tumors. J Vasc Interv Radiol. 2002;13(11):1163–6.

    Article  PubMed  Google Scholar 

  77. Sutcliffe JA, Briggs JH, Little MW, McCarthy E, Wigham A, Bratby M, et al. Antibiotics in interventional radiology. Clin Radiol. 2015;70(3):223–34.

    Article  CAS  PubMed  Google Scholar 

  78. Georgiades CS, Hong K, Geschwind JF. Pre- and postoperative clinical care of patients undergoing interventional oncology procedures: a comprehensive approach to preventing and mitigating complications. Tech Vasc Interv Radiol. 2006;9(3):113–24.

    Article  PubMed  Google Scholar 

  79. O’shaughnessy D, Atterbury C, Bolton Maggs P, Murphy M, Thomas D, Yates S, et al. Guidelines for the use of fresh‐frozen plasma, cryoprecipitate and cryosupernatant. Br J Haematol. 2004;126(1):11–28.

    Article  PubMed  Google Scholar 

  80. Moore EH. Percutaneous lung biopsy: an ordering clinician’s guide to current practice. Semin Respir Crit Care Med. 2008;29(4):323–34.

    Article  PubMed  Google Scholar 

  81. Moore E, Shepard J, McLoud T, Templeton P, Kosiuk J. Positional precautions in needle aspiration lung biopsy. Radiology. 1990;175(3):733–5.

    Article  CAS  PubMed  Google Scholar 

  82. Yamagami T, Nakamura T, Iida S, Kato T, Nishimura T. Management of pneumothorax after percutaneous CT-guided lung biopsy. Chest. 2002;121(4):1159–64.

    Article  PubMed  Google Scholar 

  83. Lanigan D, Jurriaans E, Hammonds JC, Wells IP, Choa RG. The current status of embolization in renal cell carcinoma—a survey of local and national practice. Clin Radiol. 1992;46(3):176–8.

    Article  CAS  PubMed  Google Scholar 

  84. Chuang VP, Wallace S, Soo CS, Charnsangavej C, Bowers T. Therapeutic Ivalon embolization of hepatic tumors. AJR Am J Roentgenol. 1982;138(2):289–94.

    Article  CAS  PubMed  Google Scholar 

  85. Leung DA, Goin JE, Sickles C, Raskay BJ, Soulen MC. Determinants of postembolization syndrome after hepatic chemoembolization. J Vasc Interv Radiol. 2001;12(3):321–6.

    Article  CAS  PubMed  Google Scholar 

  86. Lewandowski RJ, Mulcahy MF, Kulik LM, Riaz A, Ryu RK, Baker TB, et al. Chemoembolization for hepatocellular carcinoma: comprehensive imaging and survival analysis in a 172-patient cohort. Radiology. 2010;255(3):955–65.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Basile A, Carrafiello G, Ierardi AM, Tsetis D, Brountzos E. Quality-improvement guidelines for hepatic transarterial chemoembolization. Cardiovasc Interv Radiol. 2012;35(4):765–74.

    Article  Google Scholar 

  88. Salem R, Lewandowski RJ, Atassi B, Gordon SC, Gates VL, Barakat O, et al. Treatment of unresectable hepatocellular carcinoma with use of 90Y microspheres (TheraSphere): safety, tumor response, and survival. J Vasc Interv Radiol. 2005;16(12):1627–39.

    Article  PubMed  Google Scholar 

  89. Society of Obstetricians and Gynaecologists of Canada. SOGC clinical practice guidelines. Uterine fibroid embolization (UFE). Number 150, October 2004. Int J Gynaecol Obstet. 2005;89(3):305–18.

    Article  Google Scholar 

  90. Schirf BE, Vogelzang RL, Chrisman HB. Complications of uterine fibroid embolization. Semin Interv Radiol. 2006;23(2):143–9.

    Article  Google Scholar 

  91. Castells A, Bruix J, Ayuso C, Bru C, Montanya X, Boix L, et al. Transarterial embolization for hepatocellular carcinoma. Antibiotic prophylaxis and clinical meaning of postembolization fever. J Hepatol. 1995;22(4):410–5.

    Article  CAS  PubMed  Google Scholar 

  92. Wigmore SJ, Redhead DN, Thomson BN, Currie EJ, Parks RW, Madhavan KK, et al. Postchemoembolisation syndrome–tumour necrosis or hepatocyte injury? Br J Cancer. 2003;89(8):1423–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  93. Paye F, Farges O, Dahmane M, Vilgrain V, Flejou JF, Belghiti J. Cytolysis following chemoembolization for hepatocellular carcinoma. Br J Surg. 1999;86(2):176–80.

    Article  CAS  PubMed  Google Scholar 

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  1. Vascular and Interventional Radiology Section, Department of Radiology, NYU Langone Medical Center, 550 First Avenue, New York, NY, 10016, USA

    Bedros Taslakian & Divya Sridhar

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Taslakian, B., Sridhar, D. Post-procedural Care in Interventional Radiology: What Every Interventional Radiologist Should Know-Part II: Catheter Care and Management of Common Systemic Post-procedural Complications. Cardiovasc Intervent Radiol 40, 1304–1320 (2017). https://doi.org/10.1007/s00270-017-1709-y

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