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Al-Dhawi AF, Almetlag MH, Almutairi L, Alobaidi H, Garad F. Uterine Artery Embolization after Internal Iliac Artery Ligation. The Arab Journal of Interventional Radiology 2022. [DOI: 10.1055/s-0042-1757781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
AbstractUterine artery embolization (UAE) is one of the primary therapies to treat symptomatic uterine fibroids. Even if the patient underwent internal iliac artery ligation during a massive pelvic hemorrhage or peripartum bleeding previously, UAE can be done through the collaterals for any other reasons.We report a 44-year-old woman who underwent UAE for symptomatic multiple uterine fibroids after internal iliac artery ligation with collaterals originating from the left external iliac artery. We briefly present the case's details and review collaterals pathways after left internal iliac artery ligation that might be encountered during UAE.
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Affiliation(s)
- Abeer F. Al-Dhawi
- Department of Interventional Radiology, Medical Imaging Department, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Mohammed H. Almetlag
- Department of Interventional Radiology, Vascular and Interventional Radiology at King Khalid Hospital, Najran, Saudi Arabia
| | - Laila Almutairi
- Department of Radiology and Medical Imaging, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Hatim Alobaidi
- Department of Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Fares Garad
- Department of Interventional Radiology, Medical Imaging Department, King Fahad Medical City, Riyadh, Saudi Arabia
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Justaniah AI, Felemban BA, Garad F, Safar BO. Interventional Radiology Board Examination Experience in Saudi Arabia During COVID-19. J Vasc Interv Radiol 2021; 33:201-202. [PMID: 34718098 PMCID: PMC8639163 DOI: 10.1016/j.jvir.2021.10.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 10/13/2021] [Accepted: 10/22/2021] [Indexed: 11/02/2022] Open
Affiliation(s)
- Almamoon I Justaniah
- Vascular & Interventional Radiologist, Deputy Chair, Department of Radiology, King Faisal Specialist Hospital & Research Centre (Gen. Org.) - Jeddah, P.O. Box 40047, Jeddah 21499, Saudi Arabia.
| | - Basim A Felemban
- Consultant Radiologist - Vascular & Interventional Radiology, Body Imaging Director of Radiology Services, Makkah Healthcare Cluster Head of Interventional Radiology Department Radiology Residency Director, Alnoor Specialist Hospital Makkah, Saudi Arabia Work
| | - Fares Garad
- Consultant Interventional Radiologist, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Bandar O Safar
- Consultant Interventional, Abdominal and Cardiovascular Radiology Section Head, Vascular and International Radiology Quality Director, Radiology Department King Faisal Specialist Hospital & Research Centre - Riyadh MBC - 28, P.O.Box 3354, Riyadh 11211, Saudi Arabia
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Alqahtani N, Altwalah J, Alkhalifah A, Garad F, Alahmari F, Alrashidi I. Selective arterial embolization of aneurysmal bone cyst in the pubic bone: A possible primary treatment. Radiol Case Rep 2021; 16:1280-1283. [PMID: 33854664 PMCID: PMC8027133 DOI: 10.1016/j.radcr.2021.02.054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Accepted: 02/22/2021] [Indexed: 11/03/2022] Open
Abstract
Aneurysmal bone cyst is a benign highly vascular lesion that occurs in children. Traditionally ABCs were treated by surgical resection. However, lesions at difficult to access anatomical locations such as the pelvis have higher morbidity when treated surgically. Recently with the advances in endovascular treatment selective arterial embolization became a promising option for primary treatment of ABC. The authors present a case of a 14-year-old female with a pelvic ABC that was successfully treated by selective arterial embolization. Selective arterial embolization is a cost-efficient way of managing ABC especially in cases where surgical treatment carries high risk.
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Affiliation(s)
- Nayef Alqahtani
- Department of Medical Imaging, Division of Vascular and Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Jumanah Altwalah
- Department of Medical Imaging, Ministry of National Guard - Health Affairs; King Abdulaziz Medical City, Riyadh, Saudi Arabia
| | - Abdulrahman Alkhalifah
- Department of Medical Imaging, Division of Musculoskeletal Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Fares Garad
- Department of Medical Imaging, Division of Vascular and Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Faisal Alahmari
- Department of Medical Imaging, Division of Vascular and Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Ibrahim Alrashidi
- Department of Medical Imaging, Division of Vascular and Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Alrashidi I, Alharthy H, Alahmari F, Alammari S, Alobaidi H, Alruhaimi A, Almat'hami A, Alkhalifah A, Garad F. Uterine Artery Embolization Improves Quality of Life in Patients with Pure Adenomyosis: A Single‑Center Experience. The Arab Journal of Interventional Radiology 2020. [DOI: 10.4103/ajir.ajir_30_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Aim: The aim of the study was to assess clinical outcomes following uterine artery embolization (UAE) in the treatment of dysmenorrhea and menorrhagia related to pure adenomyosis. Materials and Methods: This was a retrospective analysis of 14 patients with dysmenorrhea and menorrhagia related to pure adenomyosis treated with UAE using polyvinyl alcohol (PVA) between January 2017 and September 2019. The baseline and 3-month and 12-month postintervention outcomes were assessed using Uterine Fibroid Symptom-Health-Related Quality of Life Questionnaire (UFS-QOL), Symptom Severity Score (SSS), and magnetic resonance imaging findings. The median age of the patients was 47 years (28–55). The main clinical presentation was dysmenorrhea and menorrhagia, with a median duration of symptom of 24 (12–84) months. All patients received combined estrogen-progestin and nonsteroidal anti-inflammatory drugs prior to UAE without clinical improvement. Results: According to UFS-QOL and SSS results, the score for distress level was statistically significantly reduced from baseline 4.6 (3.6–5) to 2.25 (1–3.37) (P = 0. 018) after 3 months, and remained stable 12 months later. The score of symptom level was statistically significantly reduced from 4 (3.6–5) at baseline to 1.6 (1–3.58) (P = 0. 018) after 3 months with maintained clinical satisfaction after 12-month follow-up. The junctional zone was statistically significantly reduced from baseline with a median of 33.5 mm (19–79 mm) to 25 mm (8–77 mm) after 3 and 12 months (P = 0.046). The incidence of post-UAE permanent amenorrhea is 71% with a mean age of 49 years. No patient underwent hysterectomy during the follow-up period. Conclusion: UAE using PVA can improve the quality of life in patients with menorrhagia and dysmenorrhea related to adenomyosis. However, larger prospective studies are needed to establish the long-term outcomes and risk of amenorrhea.
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Affiliation(s)
- Ibrahim Alrashidi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Hayat Alharthy
- Department of Obstetric and Gynecology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Faisal Alahmari
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Sultan Alammari
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Hatim Alobaidi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Abdulwaeed Alruhaimi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Abdulaziz Almat'hami
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Abdulrahman Alkhalifah
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Fares Garad
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Alshehre O, Alahmari F, Alammari S, Almathami A, Alobaidi H, Alrashidi I, Alosaimi M, Garad F. Portosystemic Encephalopathy in a Noncirrhotic Patient Treated by Vascular Plug Embolization of Mesoiliac Shunt. The Arab Journal of Interventional Radiology 2020. [DOI: 10.4103/ajir.ajir_19_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Mesoiliac shunts in the absence of liver cirrhosis are rarely reported as a cause of hyperammonemia with encephalopathy. Here, we report the case of a 65-year-old female patient with no history of liver disease, who developed significant confusion. Workup showed hyperammonemia and encephalopathy due to spontaneous mesoiliac shunt with no imaging signs of portal hypertension. Liver biopsy showed no evidence of cirrhosis. The shunt was occluded using a vascular plug, resulting in complete resolution of symptoms with no recurrence at 8-year follow-up.
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Affiliation(s)
- Othman Alshehre
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
| | - Faisal Alahmari
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
| | - Sultan Alammari
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
| | - Abdulaziz Almathami
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
| | - Hatim Alobaidi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
| | - Ibrahim Alrashidi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
| | - Marwan Alosaimi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
| | - Fares Garad
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
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Alrashidi I, Alahmari F, Garad F, Alruhaimi A, El-Tholoth HS, Alnemer M, Said M. Intraprostatic Abscess: An Acute Complication of Prostatic Artery Embolization. J Vasc Interv Radiol 2019; 30:267-269. [PMID: 30717964 DOI: 10.1016/j.jvir.2018.11.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 11/12/2018] [Accepted: 11/16/2018] [Indexed: 11/29/2022] Open
Affiliation(s)
- Ibrahim Alrashidi
- Department of Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia 4777714 ext #42969/25458
| | - Faisal Alahmari
- Department of Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia 4777714 ext #42969/25458
| | - Fares Garad
- Department of Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia 4777714 ext #42969/25458
| | - Abdulwahed Alruhaimi
- Department of Interventional Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia 4777714 ext #42969/25458
| | - Hossam S El-Tholoth
- Department of Urology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia 4777714 ext #42969/25458
| | - Murtadah Alnemer
- Department of Urology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia 4777714 ext #42969/25458
| | - Mohamed Said
- Department of Urology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia 4777714 ext #42969/25458
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Alrashidi I, Garad F, Alahmari F, Alammari S, Alqahtani N, Almathami A, Alobaidi H. Endovascular Management of Symptomatic Hypervascular Endometrial Polyposis in a Virgin Patient. The Arab Journal of Interventional Radiology 2018. [DOI: 10.4103/ajir.ajir_27_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
We report a case of uterine artery embolization (UAE) of endometrial polyposis in a 42-year-old virgin female who had a 10-year history of menorrhagia resulting in with chronic anemia. Endometrial polyps resolved and patient's symptoms improved with no recurrence at 18-month follow-up pelvic magnetic resonance imaging. This case presents UAE as an alternative option for the management of endometrial polyps in patients who decline surgical or hysteroscopic options.
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Affiliation(s)
- Ibrahim Alrashidi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Fares Garad
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Faisal Alahmari
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Sultan Alammari
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Nayef Alqahtani
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Abdulaziz Almathami
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Hatim Alobaidi
- Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Arabi M, BenMousa A, Bzeizi K, Garad F, Ahmed I, Al-Otaibi M. Doxorubicin-loaded drug-eluting beads versus conventional transarterial chemoembolization for nonresectable hepatocellular carcinoma. Saudi J Gastroenterol 2015; 21:175-80. [PMID: 26021777 PMCID: PMC4455148 DOI: 10.4103/1319-3767.157571] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND/AIMS To compare the efficacy and safety profile of doxorubicin-loaded drug-eluting beads (DEB) to the conventional TACE (C-TACE) in the management of nonresectable hepatocellular carcinoma (HCC). PATIENTS AND METHODS All patients with nonresectable HCC who underwent either c-TACE or DEB-TACE during the period 2006-2014 and fulfilled the inclusion criteria were included in this retrospective study. Primary endpoints were tumor response rate at first imaging follow up, treatment-related liver toxicity, and treatment emergent adverse events (TEAE). RESULTS Thirty-five patients (51 procedures) in the DEB-TACE group and 19 patients (25 procedures) in the c-TACE group were included in the analysis. The median follow up time was 61 days (range 24-538 days) in the DEB-TACE group and 86 days (range 3-152 days) for the c-TACE group patients. Complete response (CR), objective response (OR), disease control (DC), and progressive disease (PD) rates were 11%, 24%, 17%, and 47%, respectively, in the DEB = TACE group compared with 4%, 32%, 28%, and 36%, respectively, in the c-TACE group. Mean ALT change from baseline was minimal in the DEB-TACE patients compared with c-TACE group (7.2 vs 79.4 units, P = 0.001). Hospital stay was significantly shorter in the DEB-TACE group (7.8 days vs 11.4 days; P = 0.038). The 2-year survival rate was 60% for the c-TACE patients and 58% for the DEB-TACE (P = 0.4). CONCLUSIONS DEB-TACE compared with c-TACE is associated with lesser liver toxicity benefit, better tolerance, and shorter hospital stay. The two modalities however had similar survival and efficacy benefits.
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Affiliation(s)
- Mohammad Arabi
- Department of Medical Imaging, Division of Interventional Radiology, Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia,Address for correspondence: Dr. Mohammad Arabi, Consultant Interventional Radiologist, Department of Medical Imaging, Prince Sultan Military Medical City, Riyadh, 11159, Kingdom of Saudi Arabia. E-mail:
| | - Ali BenMousa
- Department of Hepatology, Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia
| | - Khaled Bzeizi
- Department of Hepatology, Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia
| | - Fares Garad
- Department of Medical Imaging, Division of Interventional Radiology, Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia
| | - Ishtiaq Ahmed
- Department of Medical Imaging, Division of Interventional Radiology, Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia
| | - Melfi Al-Otaibi
- Department of Hepatology, Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia
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