Interventional Radiology in Women's Health

This book is a practical resource for the current applications of interventional radiology in the care of female
patients. Divided into seven main sections, the book opens with an introduction to the role of interventional radiology
in women’s health, discussing such topics as specific concerns relevant to the female patient and safety
considerations related to the provision of care. The sections that follow address common clinical problems and
conditions unique to women, including uterine fibroids, infertility, pelvic pain, osteoporosis, and varicose veins. A
final section describes interventional procedures for treating breast cancer and offers key recommendations for further
practice development.

Features:

Clinical review of each disease entity at the beginning of each section

Detailed discussion of specific procedures with descriptions of indications, evaluation, techniques, and possible
complications

Insights from leading specialists in such fields as obstetrics and gynecology, internal medicine, and orthopaedics
presented in "Clinical Perspective" chapters

An indispensable reference for interventional radiologists, this book will also be valuable for all physicians involved
in the care of women, including obstetricians and gynecologists.


Contents
Foreword.. . . . . . . . . . . . . . . . . . . . . . . . . ix
Robert I. White Jr., MD
Preface.xi
Contributors.. . . . . . . . . . . . . . . . . . . . . xiii
i.Women and Interventional Radiology
1. Clinical Patient Management.. 3
Brian F. Stainken and Gary P. Siskin
2. Radiation Safety.. . . . . . . . . . . . . . 9
R. Torrance Andrews and Todd L. Kooy
3. Female Physicians in Interventional Radiology. . . . . . . . . . 16
Meridith Englander
II Uterine Interventions
4. Clinical Review: Uterine Leiomyomas.. . . . . . . . . . . . . . . . . . . 27
Richard Shlansky-Goldberg, Mark Rosen, and Ann Honebrink
5. Uterine Fibroid Embolization. . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Gary P. Siskin
6. New Treatments for Uterine Fibroids.. . . . . . . . . . . . . . . . . . . . 58
Gary P. Siskin, Suzanne D. LeBlang, and Kristof Chwalisz
7. Uterine Fibroid Embolization and Infertility.. . . . . . . . . . . . 71
Gary P. Siskin
8. Obstetric and Gynecologic Indications for Pelvic Embolization.. . . . . . . . . . . . . . . . . . . . . 77
Jean-Claude Veille and Gary P. Siskin
9. Clinical Perspective: Uterine Embolization.. . . . . . . . . . . . . . 90
Jay Goldberg
10. Clinical Perspective: The Development of Uterine Fibroid Embolization.. . . . . . . . . . . . 95
James Spies
III Fallopian Tube Interventions
11. Clinical Review: Infertility.. . 101
Stephen Cohen
viii Contents
12. Fallopian Tube Recanalization.. . . . . . . . . . . . . . . . . . . . . . . . . . 110
David M. Hovsepian and Gary P. Siskin
13. Fallopian Tube Occlusion.. . . 119
Hugh McSwain and Mark F. Brodie
14. Clinical Perspective: Interventional Radiology and Patient Fertility. . . . . . . . . . . . . . . . 128
Robert L. Worthington-Kirsch
IV Ovarian Interventions
15. Clinical Review: Pelvic Pain. 133
Jafar Golzarian, Fadi Youness, and Colleen M. Kennedy
16. Pelvic Congestion Syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Anthony Andrew Nicholson
17. Ovarian Drainage Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Gary P. Siskin
18. Clinical Perspective: Chronic Pelvic Pain.. . . . . . . . . . . . . . . 155
C. Paul Perry
V Spine Interventions
19. Clinical Review: Osteoporosis. . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Michael F. Holick
20. Vertebroplasty for Compression Fractures.. . . . . . . . . . . . . 176
David F. Kallmes
21. Kyphoplasty for Vertebral Compression Fractures.. . . . . 183
Wayne J. Olan and Joey Marie Robinson
22. Clinical Perspective: Orthopedic Surgery . Percutaneous Cement Augmentation of
Vertebral Compression Fractures. . . . . . . . . . . . . . . . . . . . . . . 189
Burt Yaszay and Jeffrey M. Spivak
23. Clinical Perspective: Image-Guided Therapy of Spinal Disorders.. . . . . . . . . . . . . . . . . . . 194
Gerald Wyse and Kieran Murphy
VI Vein Interventions
24. Clinical Review: Anatomy and Pathophysiology of Lower Extremity Venous
Insufficiency.. . . . . . . . . . . . . . . . . . . . 199
Chieh-Min Fan
25. Saphenous Vein Ablation.. . . 210
Robert J. Min
26. Sclerotherapy and Ambulatory Phlebectomy. . . . . . . . . . . 218
Lowell S. Kabnick
27. Clinical Perspective: Venous Insufficiency and the Opportunity for Interventional
Radiology. . . . . . . . . . . . . . . . . 226
Gerald Niedzwiecki
VII Breast Interventions
28. Forward Perspective: Interventional Radiology and the Breast.. . . . . . . . . . . . . . . . . . . . 231
Kenneth R. Tomkovich
Index.. 241