An Interventional Radiology Odyssey: The Story of My Life by Josef Rösch

By Josef Rösch

In this autobiography, Josef Rösch, a number one pioneer in interventional radiology from its inception to the current, records his lifestyles and discusses very important points of his paintings, focusing specially on these approaches that he constructed or more desirable and that have been popularized by means of his lectures and guides. In Prague, Dr. Rösch labored on splenoportography and visceral angiography, whereas within the usa he constructed the transjugular intrahepatic portosystemic shunt (TIPS) and brought embolization for remedy of GI bleeding and expandable steel stenting of obstructions of significant veins and the esophagus. additionally, he contributed to the development of coronary angiography and fallopian tube catheterization. The publication additionally describes the author’s function because the lead individual in constructing the Dotter Interventional Institute in 1990. The Institute was once the 1st freestanding, self reliant interventional radiology unit to accommodate schooling, examine, and sufferer care. Dr. Rösch’s association of clinical conferences and his early use of innovations for stay net broadcasting are defined, and the publication concludes via summarizing the a number of honors and awards that he got in acceptance of his achievements.

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The stained segment was resected and the patient had no other bleeding. Publications of our experience were accepted positively and aggressive interventionalists followed our example. Presently, the use of new techniques including CT 48 9 a Back to Portland 1970–1990 b Fig. 11 Bleeding into coecum diagnosed with help of pharmacoangiography using thrombolytic agent. (a) Baseline superior mesenteric angiogram does not show extravasation. There is residual barium in colonic diverticula from previous barium study.

Although no further bleeding occurred, the patient’s liver function continued to deteriorate and hepatorenal syndrome developed. She died 13 days after embolization. Autopsy showed advanced Laennec cirrhosis, renal tubular necrosis and bilateral pneumonia. The stomach contained a large ulcer on the greater curvature. The central part of the right gastroepiploic artery was occluded for 4 cm by a fixed partially organized thrombus. This case, together with an experimental study in canines showing the safety of embolization of the gastric arteries was published in 1972 in Radiology.

During our studies, the question of importance of temperature on hand angiograms often came to my mind. To fulfill my research curiosity, I volunteered to be a normal subject for evaluation. At that time at 51 years of age, I considered myself normal. My left hand was studied and exposed to cool room air, ice cold water and warming with electric heating pad. Basic skin temperature at my fingertips and dorsum of the hand was determined with an electronic thermometer. The angiograms at 33 C done with 3 s catheter-to-wrist circulation revealed fast and excellent filling of palmar and digital arteries with some mild organic disease of digital arteries probably due to aging or degenerative changes resulting from more than 25 years of exposure to x-ray.

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