Research ArticleINTERVENTIONAL
Hemodynamic and Anatomic Variations Require an Adaptable Approach during Intra-Arterial Chemotherapy for Intraocular Retinoblastoma: Alternative Routes, Strategies, and Follow-Up
E. Bertelli, S. Leonini, D. Galimberti, S. Moretti, R. Tinturini, T. Hadjistilianou, S. De Francesco, D.G. Romano, I.M. Vallone, S. Cioni, P. Gennari, P. Galluzzi, I. Grazzini, S. Rossi and S. Bracco
American Journal of Neuroradiology February 2016, DOI: https://doi.org/10.3174/ajnr.A4741
E. Bertelli
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
S. Leonini
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
D. Galimberti
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
S. Moretti
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
R. Tinturini
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
T. Hadjistilianou
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
S. De Francesco
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
D.G. Romano
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
I.M. Vallone
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
S. Cioni
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
P. Gennari
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
P. Galluzzi
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
I. Grazzini
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
S. Rossi
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
S. Bracco
From the Department of Molecular and Developmental Medicine (E.B., S.R.), University of Siena, Siena, Italy; Units of Neuroimaging and Neurointervention (S.L., D.G.R., I.M.V., S.C., P. Gennari, P. Galluzzi, I.G., S.B.), Pediatrics (D.G., S.M.), and Neurosurgical Intensive Care (R.T.), Azienda Ospedaliera Universitaria Senese, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy; and Department of Medicine, Surgery and Neuroscience (T.H., S.D.F.), Unit of Ophthalmology, University of Siena, Policlinico “Santa Maria alle Scotte,” Siena, Italy.
Data supplements
Supplemental Video
Files in this Data Supplement:
- Video (.mov) - Contrast medium flowing back into the ICA after successful catheterization of the OA
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Hemodynamic and Anatomic Variations Require an Adaptable Approach during Intra-Arterial Chemotherapy for Intraocular Retinoblastoma: Alternative Routes, Strategies, and Follow-Up
E. Bertelli, S. Leonini, D. Galimberti, S. Moretti, R. Tinturini, T. Hadjistilianou, S. De Francesco, D.G. Romano, I.M. Vallone, S. Cioni, P. Gennari, P. Galluzzi, I. Grazzini, S. Rossi, S. Bracco
American Journal of Neuroradiology Feb 2016, DOI: 10.3174/ajnr.A4741
Hemodynamic and Anatomic Variations Require an Adaptable Approach during Intra-Arterial Chemotherapy for Intraocular Retinoblastoma: Alternative Routes, Strategies, and Follow-Up
E. Bertelli, S. Leonini, D. Galimberti, S. Moretti, R. Tinturini, T. Hadjistilianou, S. De Francesco, D.G. Romano, I.M. Vallone, S. Cioni, P. Gennari, P. Galluzzi, I. Grazzini, S. Rossi, S. Bracco
American Journal of Neuroradiology Feb 2016, DOI: 10.3174/ajnr.A4741
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