1
|
Urbano J. Locoregional Challenges for Interventional Radiology Practice: Specialty de facto but not de jure. Cardiovasc Intervent Radiol 2022; 45:1563-1565. [PMID: 35378614 DOI: 10.1007/s00270-022-03131-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 03/20/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Jose Urbano
- Instituto Ramón y Cajal de Investigación Sanitaria - IRYCIS, Madrid, Spain. .,Vascular and Interventional Radiology Service, Ramon y Cajal University Hospital, M-607, 9, 100, 28034, Madrid, Spain.
| |
Collapse
|
2
|
Guirola JA, Gil S, Zurera L, Echenegusia M, Blázquez J, Guerrero J, Urbano J, de Gregorio MÁ. Transjugular intrahepatic portosystemic shunt (TIPS) in Spain. Clinical-epidemiological considerations in relation to a multicenter registry. REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS 2020; 113:23-27. [PMID: 33226255 DOI: 10.17235/reed.2020.6783/2019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE this study aimed to determine the epidemiological, technical and clinical data of transjugular intrahepatic portosystemic shunt (TIPS) performed by Interventional Radiology departments in Spain. Furthermore, the total number of TIPS carried out in Spain was determined and compared with other countries. MATERIAL AND METHODS a retrospective study was performed with the approval of the Ethical Committee of the Spanish Society of Interventional Radiology (SERVEI). A survey was performed with 31 items (demographic, technical and clinical data) for data acquisition on the current status of TIPS in Spain. The survey was sent to the 49 hospitals that SERVEI included in a previous registry with data of TIPS performed in Spain in 2016. RESULTS of the 49 centers surveyed, 33 (67.35 %) replied to the survey. These centers had completed 265 of the 415 TIPS that year in Spain. The most frequent indication was upper GI bleeding from gastroesophageal varices, which accounted for 144 (54.33 %); 62.26 % of the TIPS were performed urgently and 37.7 % on a scheduled basis. The technical success was 89.16 ± 20.9 %, with a rebleeding rate of 17.9 %. Sixty-nine patients (26.03 %) presented complications, 19.62 % of them minor and 6.41 % major. The 30-day mortality related to the disease was 14.33 %, while mortality at one year was 18.49 %. CONCLUSION notably in our study, the complications of TIPS did not show a clear relationship with the number of procedures performed. With regard to other countries like the United States and France, the number of TIPS in Spain per million inhabitants is currently substantially lower. There were no significant changes compared to the number completed in 2013.
Collapse
Affiliation(s)
- José A Guirola
- Radiologia Intervencionista, Hospital Clínico Universitario Lozano Blesa, España
| | - Santiago Gil
- Radiología Intervencionista, Hospital General Universitario Alicante, España
| | - Luis Zurera
- Radiología Intervencionista, Hospital Universitario Reina Sofía, España
| | - Mikel Echenegusia
- Radiología Intervencionista, Hospital Universitario 12 Octubre, España
| | - Javier Blázquez
- Radiología Intervencionista, Hospital Universitario Ramón y Cajal, España
| | - Javier Guerrero
- Radiología Intervencionista, Hospital Clínico Universitario Lozano Blesa, España
| | - José Urbano
- Radiología Intervencionista, Hospital Vithas Pardo de Aravaca, España
| | | | | |
Collapse
|
3
|
De Gregorio MA, Guirola JA, Magallanes M, Palmero J, Pulido JM, Blazquez J, Cobos J, Abadal JM, Mendez S, Perez-Lafuente M, Piquero Micheto MC, Gregorio A, Lonjedo E, Moreno T, Pulpeiro JR, Sampere J, Esteban E, Muñoz JJ, Bosch J, Alvarez-Arranz E, Gonzalez J, Gelabert A, Urbano J. COVID-19 Outbreak: Infection Control and Management Protocol for Vascular and Interventional Radiology Departments-Consensus Document. Cardiovasc Intervent Radiol 2020; 43:1208-1215. [PMID: 32435829 PMCID: PMC7239350 DOI: 10.1007/s00270-020-02493-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 04/13/2020] [Indexed: 11/12/2022]
Abstract
COVID-19 (SARS-CoV-2 virus) pandemic was recently declared by the WHO as a global health emergency. A group of interventional radiology senior experts developed a consensus document for infection control and management of patients with COVID-19 in interventional radiology (IR) departments. This consensus statement has been brought together at short notice with the help of different protocols developed by governmental entities and scientific societies to be adapted to the current reality and needs of IR Departments. Recommendations are the specific strategies to follow in IR departments, preventive measures and regulations, step by step for donning and doffing personal protective equipment, specific IR procedures which can not be delayed, and aerosol-generating procedures in IR with COVID-19 patients. It is advisable with this document to be adapted to local workplace policies.
Collapse
Affiliation(s)
- Miguel A De Gregorio
- Interventional Radiology, Lozano Blesa University Clinical Hospital, University of Zaragoza, Saragossa, Spain
| | - Jose A Guirola
- Interventional Radiology, Lozano Blesa University Clinical Hospital, University of Zaragoza, Saragossa, Spain.
| | | | - Julio Palmero
- Interventional Radiology, University Clinical Hospital of Valencia, Valencia, Spain
| | - Juan M Pulido
- Interventional Radiology, Dr. Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Javier Blazquez
- Interventional Radiology, Ramón y Cajal Hospital, Madrid, Spain
| | - Jorge Cobos
- Interventional Radiology, Ramón y Cajal Hospital, Madrid, Spain
| | - Jose M Abadal
- Interventional Radiology, Severo Ochoa Hospital, Leganés, Madrid, Spain
| | - Santiago Mendez
- Interventional Radiology, Puerta de Hierro Hospital, Majadahonda, Madrid, Spain
| | | | - Maria C Piquero Micheto
- Interventional Radiology, Lozano Blesa University Clinical Hospital, University of Zaragoza, Saragossa, Spain
| | - Abel Gregorio
- Interventional Radiology, Denia-Marina Salud Hospital, Denia, Alicante, Spain
| | - Elena Lonjedo
- Interventional Radiology, Dr Peset Hospital, Valencia, Spain
| | - Teresa Moreno
- Interventional Radiology, Juan Ramón Jiménez Hospital, Huelva, Spain
| | - Jose R Pulpeiro
- Interventional Radiology, Lucus Augusti Hospital, Lugo, Spain
| | - Jaume Sampere
- Interventional Radiology, Germans Trias y Pujol Hospital, Badalona, Spain
| | - Enrique Esteban
- Interventional Radiology, University Hospital of La Ribera, Alcira, Valencia, Spain
| | - Jose J Muñoz
- Interventional Radiology, University Regional Hospital of Málaga, Málaga, Spain
| | - Jordi Bosch
- Interventional Radiology, Lozano Blesa University Clinical Hospital, University of Zaragoza, Saragossa, Spain
| | - Enrique Alvarez-Arranz
- Interventional Radiology, Lozano Blesa University Clinical Hospital, University of Zaragoza, Saragossa, Spain
| | - Jimena Gonzalez
- Interventional Radiology, San Carlos University Clinical Hospital, Madrid, Spain
| | | | - Jose Urbano
- Interventional Radiology, Ramón y Cajal Hospital, Madrid, Spain
| | | |
Collapse
|