Interventional Radiology

The section of Interventional Radiology is equipped with state-of-the-art tools for diagnosing vascular disease and performing vascular and nonvascular interventions. Research directions include: use of expandable metallic stents in the airways; treating high-risk aortic arterial aneurysms with endovascular stent-grafts in collaboration with Vascular Surgery; gene therapy of primary and metastatic tumors of the liver via hepatic artery infusion in collaboration with Oncology; and targeting and retention of magnetic-targeted carriers enhancing intra-arterial chemotherapy, also in collaboration with Oncology. The Section holds a yearly interventional radiology review course in San Francisco.

(See article "Evolving Applications on the Interventional X/MR System")

Office Telephone: (415) 353-1300 - FAX: (415) 353-8570

Research Directions:

• Interventional MR projects based on the new combined MR/Fluoroscopy suite: work on embolization, MR compatible wires, balloons and stents
• Joint project with Transplant service for inplantation of pancreatic islet cells
• Use of expandable metallic stents in the airways
• Joint project with Vascular Surgery in treating high-risk aortic arterial aneurysms with endovascular stent-grafts
• Magnetic catheter navigation in the 1.5 Tesla MRI environment

Recent Key References:

Chuter TA, Pak LK, Gordon RL, Reilly LM, Messina LM. Heparin-induced thrombocytopenia and graft thrombosis following endovascular aneurysm repair. J Endovasc Ther 2003; 10(6):1087-90.

Kerlan RK Jr, Coffey JO, Milkman MS, LaBerge JM, Wilson MW, Cea Wolanske KA, Gordon RL. Massive vaginal hemorrhage after uterine fibroid embolization. J Vasc Interv Radiol 2003; 14(11):1465-7.

LaBerge JM, Kerlan RK. Liver infarction following TIPS with a PTFE-covered stent: is the covering the cause? Hepatology 2003; 38(3):778-9; author reply 779.

Norton JA, Kerlan RK. Hepatic artery embolization for treatment of patients with metastatic carcinoid tumors: a commentary. Cancer J 2003; 9(4):241-3.

Rivera-Sanfeliz GM, Assar OS, LaBerge JM, Wilson MW, Gordon RL, Ring EJ, Kerlan RK Jr. Incidence of important hemobilia following transhepatic biliary drainage: left-sided versus right-sided approaches. Cardiovasc Intervent Radiol 2004; 27(2):137-9.

Schneider DB, Curry TK, Eichler CM, Messina LM, Gordon RL, Kerlan RK. Percutaneous mechanical thrombectomy for the management of venous thoracic outlet syndrome. J Endovasc Ther 2003; 10(2):336-40.

Wolanske KA, Gordon RL, Wilson MW, Kerlan RK Jr, LaBerge JM, Jacoby AF. Coil embolization of a tuboovarian anastomosis before uterine artery embolization to prevent nontarget particle embolization of the ovary. J Vasc Interv Radiol 2003; 14(10):1333-8.

Yilmaz LP, Abraham CZ, Reilly LM, Gordon RL, Schneider DB, Messina LM, Chuter TA. Is cross-femoral bypass grafting a disadvantage of aortomonoiliac endovascular aortic aneurysm repair? J Vasc Surg 2003; 38(4):753-7.