By Sriharsha Athreya
This booklet is a concise advent to the interventional radiology box and is designed to aid clinical scholars and citizens comprehend the basic ideas on the topic of image-guided interventional approaches and be sure the proper use of imaging modalities within the therapy of varied issues. It covers the background of interventional radiology; radiation safeguard; apparatus; medicinal drugs; and strategies resembling biopsy and drainage, vascular entry, embolization, and tumor ablation. The ebook additionally describes the symptoms, sufferer guidance, post-procedure care, and issues for the most typical interventional radiology tactics.
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Additional resources for Demystifying Interventional Radiology: A Guide for Medical Students
2008;36(2):69–74. 7. Oppenheimer J, Ray Jr CE, Kondo KL. Miscellaneous pharmaceutical agents in interventional radiology. Semin Intervent Radiol. 2010;27(4):422–30. 8. Interventional Radiology Drugs on the Web. html on 11 June 2014. 9. Olsen JW, Barger Jr RL, Doshi SK. Moderate sedation: what radiologists need to know. AJR Am J Roentgenol. 2013;201:941–6. 10. Marti-Bonmati L, Graells M, Ronchera-Oms CL. Reduction of peristaltic artifacts on magnetic resonance imaging of the abdomen: a comparative evaluation of three drugs.
Summary In the pre-procedural setting, medications play a key role in minimizing patient risk of bleeding and infection; it is important to evaluate the procedure and patient for possible risk factors for bleeding and infection and adjust pre-procedural medication accordingly. Intra-procedural medications help sedate and anesthetize patients, alter vascular muscle tone, and reduce peristalsis for gastric interventions and detailed imaging. Post-procedural medications are helpful in managing pain, nausea and vomiting, bleeding risk, and infection.
Peri- and Intra-procedural Medications Vasoconstrictors Vasoconstrictors  are primarily used for acute gastroenterological bleeding. The main vasoconstrictor utilized is vasopressin. Vasopressin (exogenous form of antidiuretic hormone, ADH) promotes contraction of vascular smooth muscle of the small arterioles, capillaries, and small venules . Vasopressin infusion is indicated in GI bleed cases where embolization is contraindicated or cannot be performed such as in diffuse mucosal bleeding.