[Vascular interventional procedures in oncology].
Indications for interventional radiology have increased, and various arterial and venous procedures are nowadays possible in oncology. Besides emergency procedures, scheduled palliative or curative procedures require multidisciplinary cooperation emphasizing on cautions related to iodine contrast media and concerning immunosuppresion, hemostasis disorders, analgesia, and the choice of the adequate approach. Diagnostic endovascular biopsies and venous sampling may be performed. Embolisation procedures are useful for achieving hemostasis, tumor devascularisation, or chemo-embolisation. Revascularisation procedures concern central vein obstructions, catheter occlusion or arterial stenoses and occlusions. Vena cava filtering, retrieval of intravascular foreign bodies and percutaneous implantation of ports can also be indicated, as well other treatments of central venous access complications. The principles, technical aspects, results, and indications of these various endovascular procedures are described in this review.
Alfidja
Agaicha
A
Service de radiologie B, hôpital Gabriel-Montpied, BP 69, 63003 Clermont-Ferrand, Inserm Erim EA 3295 ERI 14, F, CHU, 63000 Clermont-Ferrand.
Chabrot
Pascal
P
Cassagnes
Lucie
L
Dumousset
Eric
E
Ravel
Anne
A
Garcier
Jean-Marc
JM
Boyer
Louis
L
D001706:Biopsy / Q000379:methods; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods; D005547:Foreign Bodies / Q000628:therapy; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000379:methods; D017613:Iodine Compounds / Q000009:adverse effects; D009369:Neoplasms / Q000098:blood supply / Q000188:drug therapy; D016491:Peripheral Vascular Diseases / Q000628:therapy; D015641:Radiography, Interventional / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods*; D016306:Vena Cava Filters
D003287:Contrast Media; D017613:Iodine Compounds