Srinivasa Rajiv N, Chick Jeffrey Forris Beecham, Cooper Kyle, Srinivasa Ravi N
Department of Radiology, University of Michigan Health Systems, Ann Arbor, MI.
Department of Radiology, University of Michigan Health Systems, Ann Arbor, MI.
Curr Probl Diagn Radiol. 2019 Mar-Apr;48(2):184-188. doi: 10.1067/j.cpradiol.2018.03.002. Epub 2018 Mar 20.
Interventional radiology-operated endoscopy is an underused technique, which may have a significant impact on the ability to treat patients with a variety of conditions. The purpose of this article is to discuss the setup, equipment, and potential clinical uses of interventional radiology-operated endoscopy.
A number of new and innovative interventions may be performed in the biliary, genitourinary, and gastrointestinal systems through percutaneous access that interventional radiologists already create. When used in combination, endoscopy adds an entirely new dimension to the fluoroscopic-guided procedures of which interventional radiologists are accustomed.
Interventional radiologists are in a unique position to implement endoscopy into routine practice given the manual dexterity and hand-eye coordination already required to perform other image-guided interventions.
Although other specialists traditionally have performed endoscopic interventions and local politics often dictate referral patterns, a collaborative relationship among these specialists and interventional radiology will allow for improved patient care. A concerted effort is needed by interventional radiologists to learn the techniques and equipment required to successfully incorporate endoscopy into practice.
介入放射学操作的内镜检查是一种未得到充分利用的技术，它可能对治疗各种病症患者的能力产生重大影响。本文的目的是讨论介入放射学操作的内镜检查的设置、设备及潜在临床用途。
通过介入放射科医生已建立的经皮通路，可在胆道、泌尿生殖系统和胃肠道系统中进行一些新的创新性干预措施。当联合使用时，内镜检查为介入放射科医生所熟悉的透视引导操作增添了全新维度。
鉴于执行其他影像引导干预措施已需要的手工灵活性和手眼协调能力，介入放射科医生处于将内镜检查纳入常规实践的独特地位。
尽管传统上其他专科医生进行内镜干预，且地方政策常常决定转诊模式，但这些专科医生与介入放射学之间的协作关系将有助于改善患者护理。介入放射科医生需要齐心协力学习将内镜检查成功纳入实践所需的技术和设备。
