Jeet Sandhu | PTU - Academia.edu (original) (raw)

Papers by Jeet Sandhu

Research paper thumbnail of Selective Arterial Embolization for Control of Massive Upper Gastrointestinal Bleeding

American Journal of Roentgenology, 1975

Massive upper gastrointestinal bleeding was controlled in 11 of 15 patients by the use of selecti... more Massive upper gastrointestinal bleeding was controlled in 11 of 15 patients by the use of selective injected arterial emboli. Embolization is most successful in the treatment of patients with demonstrated arterial bleeding sites at angiography. This group of patients generally has ulcers and it is this group in whom vasopressin infusion has the lowest success rate. At the same time we were successful in controlling only 1 of 4 patients who were bleeding from diffuse hemorrhagic gastritis, those patients in whom vasopressin infusion is very successfu, We, therefore, now embolize only patients in whom arterial bleeding sites are demonstrated at angiography or in whom vasopressin infusion has failed to control the bleeding from hemorrhagic gastritis. Our experience also indicates that short acting occlusive agents, such as autogenous blood clot mixed with aminocaproic acid, are as successful in controlling bleeding as the more permanent types of embolic material.

Research paper thumbnail of Hepatic falciform artery

Cardiovascular and Interventional Radiology, 1997

The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic arter... more The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic artery, and may provide an uncommon but important collateral route when the principal visceral arteries are occluded.

Research paper thumbnail of Hepatic falciform artery

Cardiovascular and Interventional Radiology, 1997

The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic arter... more The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic artery, and may provide an uncommon but important collateral route when the principal visceral arteries are occluded.

Research paper thumbnail of Primary Gianturco Stent Placement for Inferior Vena Cava Abnormalities following Liver Transplantation

Journal of Vascular and Interventional Radiology, 2000

To determine the efficacy of primary Gianturco stent placement for patients with inferior vena ca... more To determine the efficacy of primary Gianturco stent placement for patients with inferior vena caval (IVC) abnormalities following liver transplantation. From August 1996 through March 1999, nine adult patients developed significant IVC abnormalities following liver transplantation. Patients were referred for vena cavography on the basis of abnormal clinical findings, laboratory values, liver biopsy results, Doppler findings, or a combination. Those patients demonstrating a significant caval or hepatic venous gradient were treated with primary Gianturco stent placement. Patients were followed clinically (nine patients), with duplex ultrasound (nine patients), vena cavography (four patients), and biopsy (seven patients). Original pressure gradients ranged from 3 to 14 mm Hg, with a mean of 9 mm Hg. Gradients were reduced to 3 mm Hg or less in all nine patients; presenting signs and symptoms either resolved or improved in eight of nine patients. The ninth patient required repeated transplantation 2 days later. A second patient died 433 days after stent placement of recurrent hepatitis C. Another initially improved following caval stent placement, but underwent repeated transplantation 7 days later due to hepatic necrosis from hepatic arterial thrombosis. Follow-up for the remaining six patients has averaged 491 days, with no clinical, venographic, or ultrasound evidence for recurrent caval stenosis. Intermediate term results suggest that primary Gianturco stent placement for IVC stenosis, compression, or torsion resulting after liver transplantation is safe and effective.

Research paper thumbnail of Temporary Balloon Occlusion of the Internal Iliac Arteries for Control of Hemorrhage during Cesarean Hysterectomy in a Patient with Placenta Previa and Placenta Increta

Journal of Vascular and Interventional Radiology, 2000

... Address correspondence to SMW. email address ,; Taylor H. Stroud, BS ,; Jeet Sandhu, MD ,; Ma... more ... Address correspondence to SMW. email address ,; Taylor H. Stroud, BS ,; Jeet Sandhu, MD ,; Matthew A. Mauro, MD ,; Paul F. Jaques, MD. ... Download Download Images*; Email Abstract; Add to My Reading List; Rights/Permissions; Request Reprints; Related Articles Related Articles ...

Research paper thumbnail of Resource Requirements for Interventional Radiologic Management of Long-Term Ambulatory Hemodialysis Patients

The purpose of this study was to determine how many and what type of procedures a vascular and in... more The purpose of this study was to determine how many and what type of procedures a vascular and interventional radiology service should provide for patients at ambulatory-patient dialysis centers and to determine the necessary resource requirements. These data may provide a realistic starting point for those engaged in the planning and provision of contractual services to dialysis centers. Patient records at three dialysis centers for a recent 3-year period were examined, and demographic and clinical data were recorded. Records were cross-correlated with records from the vascular and interventional radiology service that had contractually provided all dialysis-related procedures. These data generated a monthly procedure volume and case mix per 100 dialysis patients. Facility usage times for 121 dialysis-related procedures were obtained prospectively and used to calculate the expected resources needed to service the dialysis patients. The three centers provided 5795 hemodialysis-months to 386 patients. Of the 386 patients over the 36-month period, 101 died and 92 transferred from the centers. Three hundred and sixteen patients required 1580 interventional procedures. Monthly procedure volume per 100 dialysis patients averaged 27.1 procedures. Observed procedure times were used to calculate expected room-time hours required to service the monthly procedural volume and case mix per 100 dialysis patients. On average, 500 ambulatory dialysis patients will require the full-time use of an interventional suite and the services of a full-time technologist, nurse, and physician to provide necessary dialysis-related procedures. If resources cannot accommodate this volume, the quality and timeliness of care for these patients is jeopardized.

Research paper thumbnail of Balloon Tamponade for the Treatment of Inadvertent Subclavian Arterial Catheter Placement

Journal of Vascular and Interventional Radiology, 2000

Research paper thumbnail of MANAGEMENT OF VENA CAVA STENOSIS AFTER LIVER TRANSPLANTATION

Research paper thumbnail of Dialysis ports: A new totally implantable option for hemodialysis access

Techniques in Vascular and Interventional Radiology, 2002

Current options for hemodialysis access have significant limitations. Chronic central venous cath... more Current options for hemodialysis access have significant limitations. Chronic central venous catheters have even more problems. In an effort to surmount many of the problems associated with chronic central venous catheters, totally implantable access systems have been designed. This article reviews the 2 devices currently available or under investigation for use as dialysis ports. Operational principles are described, and insertion technique is highlighted. Performance characteristics are then addressed. Copyright 2002, Elsevier Science (USA). All rights reserved.

Research paper thumbnail of Selective Arterial Embolization for Control of Massive Upper Gastrointestinal Bleeding

American Journal of Roentgenology, 1975

Massive upper gastrointestinal bleeding was controlled in 11 of 15 patients by the use of selecti... more Massive upper gastrointestinal bleeding was controlled in 11 of 15 patients by the use of selective injected arterial emboli. Embolization is most successful in the treatment of patients with demonstrated arterial bleeding sites at angiography. This group of patients generally has ulcers and it is this group in whom vasopressin infusion has the lowest success rate. At the same time we were successful in controlling only 1 of 4 patients who were bleeding from diffuse hemorrhagic gastritis, those patients in whom vasopressin infusion is very successfu, We, therefore, now embolize only patients in whom arterial bleeding sites are demonstrated at angiography or in whom vasopressin infusion has failed to control the bleeding from hemorrhagic gastritis. Our experience also indicates that short acting occlusive agents, such as autogenous blood clot mixed with aminocaproic acid, are as successful in controlling bleeding as the more permanent types of embolic material.

Research paper thumbnail of Hepatic falciform artery

Cardiovascular and Interventional Radiology, 1997

The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic arter... more The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic artery, and may provide an uncommon but important collateral route when the principal visceral arteries are occluded.

Research paper thumbnail of Hepatic falciform artery

Cardiovascular and Interventional Radiology, 1997

The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic arter... more The hepatic falciform artery is an occasional terminal branch of the left or middle hepatic artery, and may provide an uncommon but important collateral route when the principal visceral arteries are occluded.

Research paper thumbnail of Primary Gianturco Stent Placement for Inferior Vena Cava Abnormalities following Liver Transplantation

Journal of Vascular and Interventional Radiology, 2000

To determine the efficacy of primary Gianturco stent placement for patients with inferior vena ca... more To determine the efficacy of primary Gianturco stent placement for patients with inferior vena caval (IVC) abnormalities following liver transplantation. From August 1996 through March 1999, nine adult patients developed significant IVC abnormalities following liver transplantation. Patients were referred for vena cavography on the basis of abnormal clinical findings, laboratory values, liver biopsy results, Doppler findings, or a combination. Those patients demonstrating a significant caval or hepatic venous gradient were treated with primary Gianturco stent placement. Patients were followed clinically (nine patients), with duplex ultrasound (nine patients), vena cavography (four patients), and biopsy (seven patients). Original pressure gradients ranged from 3 to 14 mm Hg, with a mean of 9 mm Hg. Gradients were reduced to 3 mm Hg or less in all nine patients; presenting signs and symptoms either resolved or improved in eight of nine patients. The ninth patient required repeated transplantation 2 days later. A second patient died 433 days after stent placement of recurrent hepatitis C. Another initially improved following caval stent placement, but underwent repeated transplantation 7 days later due to hepatic necrosis from hepatic arterial thrombosis. Follow-up for the remaining six patients has averaged 491 days, with no clinical, venographic, or ultrasound evidence for recurrent caval stenosis. Intermediate term results suggest that primary Gianturco stent placement for IVC stenosis, compression, or torsion resulting after liver transplantation is safe and effective.

Research paper thumbnail of Temporary Balloon Occlusion of the Internal Iliac Arteries for Control of Hemorrhage during Cesarean Hysterectomy in a Patient with Placenta Previa and Placenta Increta

Journal of Vascular and Interventional Radiology, 2000

... Address correspondence to SMW. email address ,; Taylor H. Stroud, BS ,; Jeet Sandhu, MD ,; Ma... more ... Address correspondence to SMW. email address ,; Taylor H. Stroud, BS ,; Jeet Sandhu, MD ,; Matthew A. Mauro, MD ,; Paul F. Jaques, MD. ... Download Download Images*; Email Abstract; Add to My Reading List; Rights/Permissions; Request Reprints; Related Articles Related Articles ...

Research paper thumbnail of Resource Requirements for Interventional Radiologic Management of Long-Term Ambulatory Hemodialysis Patients

The purpose of this study was to determine how many and what type of procedures a vascular and in... more The purpose of this study was to determine how many and what type of procedures a vascular and interventional radiology service should provide for patients at ambulatory-patient dialysis centers and to determine the necessary resource requirements. These data may provide a realistic starting point for those engaged in the planning and provision of contractual services to dialysis centers. Patient records at three dialysis centers for a recent 3-year period were examined, and demographic and clinical data were recorded. Records were cross-correlated with records from the vascular and interventional radiology service that had contractually provided all dialysis-related procedures. These data generated a monthly procedure volume and case mix per 100 dialysis patients. Facility usage times for 121 dialysis-related procedures were obtained prospectively and used to calculate the expected resources needed to service the dialysis patients. The three centers provided 5795 hemodialysis-months to 386 patients. Of the 386 patients over the 36-month period, 101 died and 92 transferred from the centers. Three hundred and sixteen patients required 1580 interventional procedures. Monthly procedure volume per 100 dialysis patients averaged 27.1 procedures. Observed procedure times were used to calculate expected room-time hours required to service the monthly procedural volume and case mix per 100 dialysis patients. On average, 500 ambulatory dialysis patients will require the full-time use of an interventional suite and the services of a full-time technologist, nurse, and physician to provide necessary dialysis-related procedures. If resources cannot accommodate this volume, the quality and timeliness of care for these patients is jeopardized.

Research paper thumbnail of Balloon Tamponade for the Treatment of Inadvertent Subclavian Arterial Catheter Placement

Journal of Vascular and Interventional Radiology, 2000

Research paper thumbnail of MANAGEMENT OF VENA CAVA STENOSIS AFTER LIVER TRANSPLANTATION

Research paper thumbnail of Dialysis ports: A new totally implantable option for hemodialysis access

Techniques in Vascular and Interventional Radiology, 2002

Current options for hemodialysis access have significant limitations. Chronic central venous cath... more Current options for hemodialysis access have significant limitations. Chronic central venous catheters have even more problems. In an effort to surmount many of the problems associated with chronic central venous catheters, totally implantable access systems have been designed. This article reviews the 2 devices currently available or under investigation for use as dialysis ports. Operational principles are described, and insertion technique is highlighted. Performance characteristics are then addressed. Copyright 2002, Elsevier Science (USA). All rights reserved.