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Emergent Image-Guided Treatments in the Cancer Patient

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Surgical Emergencies in the Cancer Patient
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Abstract

Modern advances in medical imaging and minimally invasive technologies have led to the development of a variety of image-guided procedures used in the treatment of numerous oncologic conditions. In all settings, the minimally invasive nature of these procedures benefits patients by reducing the pain and trauma encountered with traditional open surgeries while allowing for more rapid recovery and return to normal function.

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References

  1. Chock E, Wolfe BM, Matolo NM. Acute suppurative cholangitis. Surg Clin North Am. 1981;61:885–92.

    Article  CAS  PubMed  Google Scholar 

  2. Yeh BM, Liu PS, Soto JA, Corvera CA, Hussain HK. MR imaging and CT of the biliary tract. Radiographics. 2009;29:1669–88.

    Article  PubMed  Google Scholar 

  3. Ray Jr CE, Lorenz JM, Burke CT, et al. ACR appropriateness criteria radiologic management of benign and malignant biliary obstruction. J Am Coll Radiol. 2013;10:567–74.

    Article  PubMed  Google Scholar 

  4. Larghi A, Tringali A, Lecca PG, Giordano M, Costamagna G. Management of hilar biliary strictures. Am J Gastroenterol. 2008;103:458–73.

    Article  PubMed  Google Scholar 

  5. Zhao XQ, Dong JH, Jiang K, Huang XQ, Zhang WZ. Comparison of percutaneous transhepatic biliary drainage and endoscopic biliary drainage in the management of malignant biliary tract obstruction: a meta-analysis. Dig Endosc. 2015;27:137–45.

    Article  PubMed  Google Scholar 

  6. Leng JJ, Zhang N, Dong JH. Percutaneous transhepatic and endoscopic biliary drainage for malignant biliary tract obstruction: a meta-analysis. World J Surg Oncol. 2014;12:272.

    Article  PubMed  Google Scholar 

  7. Lee SH, Park JK, Yoon WJ, et al. Optimal biliary drainage for inoperable Klatskin’s tumor based on Bismuth type. World J Gastroenterol. 2007;13:3948–55.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Malloy PC, Grassi CJ, Kundu S, et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 2009;20:S240–9.

    Article  PubMed  Google Scholar 

  9. Pomerantz BJ. Biliary tract interventions. Tech Vasc Interv Radiol. 2009;12:162–70.

    Article  PubMed  Google Scholar 

  10. Winick AB, Waybill PN, Venbrux AC. Complications of percutaneous transhepatic biliary interventions. Tech Vasc Interv Radiol. 2001;4:200–6.

    Article  CAS  PubMed  Google Scholar 

  11. Venkatesan AM, Kundu S, Sacks D, et al. Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected]. J Vasc Interv Radiol. 2010;21:1611–30. quiz 31.

    Article  PubMed  Google Scholar 

  12. Rivera-Sanfeliz GM, Assar OS, LaBerge JM, et al. Incidence of important hemobilia following transhepatic biliary drainage: left-sided versus right-sided approaches. Cardiovasc Intervent Radiol. 2004;27:137–9.

    Article  CAS  PubMed  Google Scholar 

  13. Covey AM, Brown KT. Percutaneous transhepatic biliary drainage. Tech Vasc Interv Radiol. 2008;11:14–20.

    Article  PubMed  Google Scholar 

  14. Ierardi AM, Mangini M, Fontana F, et al. Usefulness and safety of biliary percutaneous transluminal forceps biopsy (PTFB): our experience. Minim Invasive Ther Allied Technol. 2014;23:96–101.

    Article  PubMed  Google Scholar 

  15. Patel P, Rangarajan B, Mangat K. Improved accuracy of percutaneous biopsy using “cross and push” technique for patients suspected with malignant biliary strictures. Cardiovasc Intervent Radiol. 2014;38:1005–10.

    Article  PubMed  Google Scholar 

  16. Jung GS, Huh JD, Lee SU, Han BH, Chang HK, Cho YD. Bile duct: analysis of percutaneous transluminal forceps biopsy in 130 patients suspected of having malignant biliary obstruction. Radiology. 2002;224:725–30.

    Article  PubMed  Google Scholar 

  17. Tsuyuguchi T, Takada T, Miyazaki M, et al. Stenting and interventional radiology for obstructive jaundice in patients with unresectable biliary tract carcinomas. J Hepatobiliary Pancreat Surg. 2008;15:69–73.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Chak A, Cooper GS, Lloyd LE, Kolz CS, Barnhart BA, Wong RC. Effectiveness of endoscopy in patients admitted to the intensive care unit with upper GI hemorrhage. Gastrointest Endosc. 2001;53:6–13.

    Article  CAS  PubMed  Google Scholar 

  19. Esrailian E, Gralnek IM. Nonvariceal upper gastrointestinal bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am. 2005;34:589–605.

    Article  PubMed  Google Scholar 

  20. Dolezal J, Vizda J, Kopacova M. Single-photon emission computed tomography enhanced Tc-99m-pertechnetate disodium-labelled red blood cell scintigraphy in the localization of small intestine bleeding: a single-centre twelve-year study. Digestion. 2011;84:207–11.

    Article  PubMed  Google Scholar 

  21. Tabibian JH, Wong Kee Song LM, Enders FB, Aguet JC, Tabibian N. Technetium-labeled erythrocyte scintigraphy in acute gastrointestinal bleeding. Int J Colorectal Dis. 2013;28:1099–105.

    Article  PubMed  Google Scholar 

  22. Kuhle WG, Sheiman RG. Detection of active colonic hemorrhage with use of helical CT: findings in a swine model. Radiology. 2003;228:743–52.

    Article  PubMed  Google Scholar 

  23. Garcia-Blazquez V, Vicente-Bartulos A, Olavarria-Delgado A, et al. Accuracy of CT angiography in the diagnosis of acute gastrointestinal bleeding: systematic review and meta-analysis. Eur Radiol. 2013;23:1181–90.

    Article  CAS  PubMed  Google Scholar 

  24. Lee EW, Laberge JM. Differential diagnosis of gastrointestinal bleeding. Tech Vasc Interv Radiol. 2004;7:112–22.

    Article  PubMed  Google Scholar 

  25. Frisoli JK, Sze DY, Kee S. Transcatheter embolization for the treatment of upper gastrointestinal bleeding. Tech Vasc Interv Radiol. 2004;7:136–42.

    Article  PubMed  Google Scholar 

  26. Kuo WT. Transcatheter treatment for lower gastrointestinal hemorrhage. Tech Vasc Interv Radiol. 2004;7:143–50.

    Article  PubMed  Google Scholar 

  27. Kuo WT, Lee DE, Saad WE, Patel N, Sahler LG, Waldman DL. Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol. 2003;14:1503–9.

    Article  PubMed  Google Scholar 

  28. Patel TH, Cordts PR, Abcarian P, Sawyer MA. Will transcatheter embolotherapy replace surgery in the treatment of gastrointestinal bleeding?(2)(2). Curr Surg. 2001;58:323–7.

    Article  PubMed  Google Scholar 

  29. Schenker MP, Duszak Jr R, Soulen MC, et al. Upper gastrointestinal hemorrhage and transcatheter embolotherapy: clinical and technical factors impacting success and survival. J Vasc Interv Radiol. 2001;12:1263–71.

    Article  CAS  PubMed  Google Scholar 

  30. Meehan T, Stecker MS, Kalva SP, Oklu R, Walker TG, Ganguli S. Outcomes of transcatheter arterial embolization for acute hemorrhage originating from gastric adenocarcinoma. J Vasc Interv Radiol. 2014;25:847–51.

    Article  PubMed  Google Scholar 

  31. Tandberg DJ, Smith TP, Suhocki PV, et al. Early outcomes of empiric embolization of tumor-related gastrointestinal hemorrhage in patients with advanced malignancy. J Vasc Interv Radiol. 2012;23:1445–52.

    Article  PubMed  Google Scholar 

  32. Lee HJ, Shin JH, Yoon HK, et al. Transcatheter arterial embolization in gastric cancer patients with acute bleeding. Eur Radiol. 2009;19:960–5.

    Article  PubMed  Google Scholar 

  33. Fidelman N, Freed RC, Nakakura EK, Rosenberg J, Bloom AI. Arterial embolization for the management of gastrointestinal hemorrhage from metastatic renal cell carcinoma. J Vasc Interv Radiol. 2010;21:741–4.

    Article  PubMed  Google Scholar 

  34. Kouba E, Wallen EM, Pruthi RS. Management of ureteral obstruction due to advanced malignancy: optimizing therapeutic and palliative outcomes. J Urol. 2008;180:444–50.

    Article  PubMed  Google Scholar 

  35. Ku JH, Lee SW, Jeon HG, Kim HH, Oh SJ. Percutaneous nephrostomy versus indwelling ureteral stents in the management of extrinsic ureteral obstruction in advanced malignancies: are there differences? Urology. 2004;64:895–9.

    Article  PubMed  Google Scholar 

  36. Joshi HB, Stainthorpe A, MacDonagh RP, Keeley Jr FX, Timoney AG, Barry MJ. Indwelling ureteral stents: evaluation of symptoms, quality of life and utility. J Urol. 2003;169:1065–9. discussion 9.

    Article  CAS  PubMed  Google Scholar 

  37. Monsky WL, Molloy C, Jin B, et al. Quality-of-life assessment after palliative interventions to manage malignant ureteral obstruction. Cardiovasc Intervent Radiol. 2013;36:1355–63.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Allen DJ, Longhorn SE, Philp T, Smith RD, Choong S. Percutaneous urinary drainage and ureteric stenting in malignant disease. Clin Oncol. 2010;22:733–9.

    Article  CAS  Google Scholar 

  39. Cochran ST, Barbaric ZL, Lee JJ, Kashfian P. Percutaneous nephrostomy tube placement: an outpatient procedure? Radiology. 1991;179:843–7.

    Article  CAS  PubMed  Google Scholar 

  40. Uppot RN. Emergent nephrostomy tube placement for acute urinary obstruction. Tech Vasc Interv Radiol. 2009;12:154–61.

    Article  PubMed  Google Scholar 

  41. Farrell TA, Hicks ME. A review of radiologically guided percutaneous nephrostomies in 303 patients. J Vasc Interv Radiol. 1997;8:769–74.

    Article  CAS  PubMed  Google Scholar 

  42. Bahu R, Chaftari AM, Hachem RY, et al. Nephrostomy tube related pyelonephritis in patients with cancer: epidemiology, infection rate and risk factors. J Urol. 2013;189:130–5.

    Article  PubMed  Google Scholar 

  43. Gerspach JM, Bellman GC, Stoller ML, Fugelso P. Conservative management of colon injury following percutaneous renal surgery. Urology. 1997;49:831–6.

    Article  CAS  PubMed  Google Scholar 

  44. Adamo R, Saad WE, Brown DB. Management of nephrostomy drains and ureteral stents. Tech Vasc Interv Radiol. 2009;12:193–204.

    Article  PubMed  Google Scholar 

  45. Yu JB, Wilson LD, Detterbeck FC. Superior vena cava syndrome—a proposed classification system and algorithm for management. J Thorac Oncol. 2008;3:811–4.

    Article  PubMed  Google Scholar 

  46. Rice TW, Rodriguez RM, Light RW. The superior vena cava syndrome: clinical characteristics and evolving etiology. Medicine. 2006;85:37–42.

    Article  PubMed  Google Scholar 

  47. Wilson LD, Detterbeck FC, Yahalom J. Clinical practice. Superior vena cava syndrome with malignant causes. N Engl J Med. 2007;356:1862–9.

    Article  CAS  PubMed  Google Scholar 

  48. Zen Y, Adsay NV, Bardadin K, et al. Biliary intraepithelial neoplasia: an international interobserver agreement study and proposal for diagnostic criteria. Mod Pathol. 2007;20:701–9.

    Article  PubMed  Google Scholar 

  49. Eren S, Karaman A, Okur A. The superior vena cava syndrome caused by malignant disease. Imaging with multi-detector row CT. Eur J Radiol. 2006;59:93–103.

    Article  PubMed  Google Scholar 

  50. Ganeshan A, Hon LQ, Warakaulle DR, Morgan R, Uberoi R. Superior vena caval stenting for SVC obstruction: current status. Eur J Radiol. 2009;71:343–9.

    Article  PubMed  Google Scholar 

  51. Kee ST, Kinoshita L, Razavi MK, Nyman UR, Semba CP, Dake MD. Superior vena cava syndrome: treatment with catheter-directed thrombolysis and endovascular stent placement. Radiology. 1998;206:187–93.

    Article  CAS  PubMed  Google Scholar 

  52. Gwon DI, Ko GY, Kim JH, Shin JH, Yoon HK, Sung KB. Malignant superior vena cava syndrome: a comparative cohort study of treatment with covered stents versus uncovered stents. Radiology. 2013;266:979–87.

    Article  PubMed  Google Scholar 

  53. Hennequin LM, Fade O, Fays JG, et al. Superior vena cava stent placement: results with the Wallstent endoprosthesis. Radiology. 1995;196:353–61.

    Article  CAS  PubMed  Google Scholar 

  54. Levitan N, Dowlati A, Remick SC, et al. Rates of initial and recurrent thromboembolic disease among patients with malignancy versus those without malignancy. Risk analysis using Medicare claims data. Medicine. 1999;78:285–91.

    Article  CAS  PubMed  Google Scholar 

  55. Sorensen HT, Mellemkjaer L, Olsen JH, Baron JA. Prognosis of cancers associated with venous thromboembolism. N Engl J Med. 2000;343:1846–50.

    Article  CAS  PubMed  Google Scholar 

  56. Johnson MJ, Sproule MW, Paul J. The prevalence and associated variables of deep venous thrombosis in patients with advanced cancer. Clin Oncol. 1999;11:105–10.

    Article  CAS  Google Scholar 

  57. Ambrus JL, Ambrus CM, Mink IB, Pickren JW. Causes of death in cancer patients. J Med. 1975;6:61–4.

    CAS  PubMed  Google Scholar 

  58. Lyman GH, Bohlke K, Khorana AA, et al. Venous thromboembolism prophylaxis and treatment in patients with cancer: American Society of Clinical Oncology clinical practice guideline update 2014. J Clin Oncol. 2015;33:654–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Noble SI, Shelley MD, Coles B, et al. Management of venous thromboembolism in patients with advanced cancer: a systematic review and meta-analysis. Lancet Oncol. 2008;9:577–84.

    Article  PubMed  Google Scholar 

  60. Gerotziafas GT, Mahe I, Elalamy I. New orally active anticoagulant agents for the prevention and treatment of venous thromboembolism in cancer patients. Ther Clin Risk Manag. 2014;10:423–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Chan A, Woodruff RK. Complications and failure of anticoagulation therapy in the treatment of venous thromboembolism in patients with disseminated malignancy. Aust N Z J Med. 1992;22:119–22.

    Article  CAS  PubMed  Google Scholar 

  62. Harrington KJ, Bateman AR, Syrigos KN, et al. Cancer-related thromboembolic disease in patients with solid tumours: a retrospective analysis. Ann Oncol. 1997;8:669–73.

    Article  CAS  PubMed  Google Scholar 

  63. Clarke-Pearson DL, Synan IS, Creasman WT.Anticoagulation therapy for venous thromboembolism in patients with gynecologic malignancy. Am J Obstet Gynecol. 1983;147:369–75.

    CAS  PubMed  Google Scholar 

  64. Whitney BA, Kerstein MD. Thrombocytopenia and cancer: use of the Kim-Ray Greenfield filter to prevent thromboembolism. South Med J. 1987;80:1246–8.

    Article  CAS  PubMed  Google Scholar 

  65. Zerati AE, Wolosker N, Yazbek G, Langer M, Nishinari K. Vena cava filters in cancer patients: experience with 50 patients. Clinics. 2005;60:361–6.

    Article  PubMed  Google Scholar 

  66. Olin JW, Young JR, Graor RA, Ruschhaupt WF, Beven EG, Bay JW. Treatment of deep vein thrombosis and pulmonary emboli in patients with primary and metastatic brain tumors. Anticoagulants or inferior vena cava filter? Arch Intern Med. 1987;147:2177–9.

    Article  CAS  PubMed  Google Scholar 

  67. Calligaro KD, Bergen WS, Haut MJ, Savarese RP, DeLaurentis DA. Thromboembolic complications in patients with advanced cancer: anticoagulation versus Greenfield filter placement. Ann Vasc Surg. 1991;5:186–9.

    Article  CAS  PubMed  Google Scholar 

  68. Cohen JR, Tenenbaum N, Citron M. Greenfield filter as primary therapy for deep venous thrombosis and/or pulmonary embolism in patients with cancer. Surgery. 1991;109:12–5.

    CAS  PubMed  Google Scholar 

  69. Imberti D, Dentali F, Ageno W, et al. Evidence and clinical judgment: vena cava filters. Thromb Haemost. 2014;111:618–24.

    Article  PubMed  Google Scholar 

  70. Wood KE. Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest. 2002;121:877–905.

    Article  PubMed  Google Scholar 

  71. Kearon C, Kahn SR, Agnelli G, et al. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th ed.). Chest. 2008;133:454S–545.

    Article  CAS  PubMed  Google Scholar 

  72. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet. 1999;353:1386–9.

    Article  CAS  PubMed  Google Scholar 

  73. Stein PD, Matta F. Thrombolytic therapy in unstable patients with acute pulmonary embolism: saves lives but underused. Am J Med. 2012;125:465–70.

    Article  PubMed  Google Scholar 

  74. Kuo WT, Gould MK, Louie JD, Rosenberg JK, Sze DY, Hofmann LV. Catheter-directed therapy for the treatment of massive pulmonary embolism: systematic review and meta-analysis of modern techniques. J Vasc Interv Radiol. 2009;20:1431–40.

    Article  PubMed  Google Scholar 

  75. Dobrow E, Kim P. Endovascular treatment of massive and submassive pulmonary embolism. Tech Vasc Interv Radiol. 2014;17:121–6.

    Article  PubMed  Google Scholar 

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Correspondence to Jonathan Kessler M.D. .

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Kessler, J. (2017). Emergent Image-Guided Treatments in the Cancer Patient. In: Fong, Y., Kauffmann, R., Marcinkowski, E., Singh, G., Schoellhammer, H. (eds) Surgical Emergencies in the Cancer Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-44025-5_6

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