Bio


Andrew Kesselman, M.D. is a radiologist specializing in Vascular & Interventional Radiology. He has expertise in diagnosis and treatment of deep venous disease and portal hypertension as well as specializing in interventional oncology.

Dr. Kesselman earned his M.D. from New York Medical College in 2011. He completed his internship in Preliminary Medicine at Beth Israel Medical Center. Dr. Kesselman completed his Diagnostic Radiology residency at SUNY Downstate in 2016 which was followed by a fellowship in Vascular and Interventional Radiology at Stanford University Medical Center, which he completed in 2017 and continued to serve as a clinical instructor from 2017-2018. Dr. Kesselman was an Assistant Professor of Radiology at Weill Cornell Medicine and an Assistant Attending Interventional Radiologist at the NYPH-Weill Cornell Medicine from 2018-2022 prior to returning to Stanford. In addition to clinical and research activities, Dr. Kesselman is an active teacher of fellows, residents, and medical students.

Clinical Focus


  • IVC Filter Placement and Retrieval
  • Arterial and Venous Chronic Total Occlusions
  • Vascular and Interventional Radiology
  • Acute PE and DVT
  • Percutaneous tumor ablation
  • Uterine Artery Embolization
  • Portal Hypertension

Academic Appointments


  • Clinical Associate Professor, Radiology

Professional Education


  • Board Certification: American Board of Radiology, Interventional Radiology and Diagnostic Radiology (2018)
  • Board Certification: Alliance for Physician Certification and Advancement, Registered Physician in Vascular Interpretation (2019)
  • Fellowship: Stanford University Medical Center (2017) CA
  • Residency: SUNY Downstate School of Medicine Registrar (2016) NY
  • Internship: Beth Israel Medical Center (2012) NY
  • Medical Education: New York Medical College Registrar (2011) NY

Current Research and Scholarly Interests


Currently studying the role of interventional therapies in caval filtration, venous thromboembolism and primary and metastatic hepatic malignancies.

All Publications


  • Portal Hypertensive Gastropathy and MELD-Na Score Predict Recurrent Gastrointestinal Bleeding After TIPSS: An ALTA Group Study. Alimentary pharmacology & therapeutics Hu, K., Sedki, M., Kwong, A., Kesselman, A., Kolli, K. P., Morelli, G., Spengler, E., Said, A., Lai, J., Desai, A., Paul, S., Frenette, C., Fallon, M., German, M., Verna, E., Boike, J., Gregory, D., Thornburg, B., VanWagner, L., Goel, A. 2024

    Abstract

    Transjugular intrahepatic portosystemic shunt (TIPSS) is highly effective for treatment of variceal bleeding; however, factors contributing to rebleeding complications remain unclear.In this study, we aim to determine risk factors for recurrent portal hypertensive gastrointestinal bleeding following TIPSS.Utilising the Advancing Liver Therapeutic Approaches multicentre database, we retrospectively identified adult patients who underwent TIPSS for secondary prophylaxis of variceal bleeding and had a gastrointestinal rebleeding event within 1 year. We developed multivariable logistic regression models to identify clinical/procedural characteristics associated with rebleeding.We identified 476 patients, predominately middle-aged (mean age 57), male (62%) and White (65%), with mean MELD-Na 16. 16% (n = 77) had a rebleeding event; these patients were more likely to be male (p = 0.016), with higher serum creatinine (p = 0.005), MELD-Na (p = 0.0002), portal hypertensive gastropathy on pre-TIPSS upper endoscopy (p = 0.000) and with higher incidence of TIPSS revision (p = 0.000). There were no significant differences in type of TIPSS endoprosthesis, concurrent embolotherapy, and post-TIPSS pressure gradients between those who experienced rebleeding and those who did not. After adjusting for TIPSS revision, multivariable analysis revealed MELD-Na and presence of portal hypertensive gastropathy on pre-TIPSS endoscopy were independently associated with rebleeding.In this retrospective analysis of a multicentre, nationally representative database, we found that apart from TIPSS-related factors, high MELD-Na and portal hypertensive gastropathy on pre-TIPSS endoscopy were independent predictors of rebleeding within 1 year following TIPSS. These variables may be used to identify high-risk patients who may require additional monitoring following TIPSS.

    View details for DOI 10.1111/apt.18362

    View details for PubMedID 39501554

  • Endovascular Management of Non-Cirrhotic Acute Portomesenteric Venous Thrombosis. Journal of vascular and interventional radiology : JVIR Lorenz, J., Kwak, D. H., Martin, L., Kesselman, A., Hofmann, L. V., Yu, Q., Youssef, S., Ciolek, P., Ahmed, O. 2024

    Abstract

    Acute portomesenteric venous thrombosis (PVT) is a rare but potentially life-threatening condition in individuals without cirrhosis. Initial management typically involves anticoagulation therapy, but the optimal approach to interventional treatment remains a topic of ongoing research. This article explores both traditional and emerging endovascular techniques, providing an overview of the existing evidence supporting their use. Additionally, it delves into the significance of acute PVT in the context of contemporary pathologies, notably COVID-19 infection, vaccine-induced immune thrombotic thrombocytopenia, and liver transplantation.

    View details for DOI 10.1016/j.jvir.2024.09.023

    View details for PubMedID 39389231

  • Percutaneous Cryoneurolysis for Pain Control After Rib Fractures in Older Adults. JAMA surgery Wang, S., Earley, M., Kesselman, A., Vezeridis, A. M., Picel, A. C., Kothary, N., Forrester, J. D. 2024

    View details for DOI 10.1001/jamasurg.2024.2063

    View details for PubMedID 39110467

    View details for PubMedCentralID PMC11307162

  • Large language models' responses to liver cancer surveillance, diagnosis, and management questions: accuracy, reliability, readability. Abdominal radiology (New York) Cao, J. J., Kwon, D. H., Ghaziani, T. T., Kwo, P., Tse, G., Kesselman, A., Kamaya, A., Tse, J. R. 2024

    Abstract

    To assess the accuracy, reliability, and readability of publicly available large language models in answering fundamental questions on hepatocellular carcinoma diagnosis and management.Twenty questions on liver cancer diagnosis and management were asked in triplicate to ChatGPT-3.5 (OpenAI), Gemini (Google), and Bing (Microsoft). Responses were assessed by six fellowship-trained physicians from three academic liver transplant centers who actively diagnose and/or treat liver cancer. Responses were categorized as accurate (score 1; all information is true and relevant), inadequate (score 0; all information is true, but does not fully answer the question or provides irrelevant information), or inaccurate (score - 1; any information is false). Means with standard deviations were recorded. Responses were considered as a whole accurate if mean score was > 0 and reliable if mean score was > 0 across all responses for the single question. Responses were also quantified for readability using the Flesch Reading Ease Score and Flesch-Kincaid Grade Level. Readability and accuracy across 60 responses were compared using one-way ANOVAs with Tukey's multiple comparison tests.Of the twenty questions, ChatGPT answered nine (45%), Gemini answered 12 (60%), and Bing answered six (30%) questions accurately; however, only six (30%), eight (40%), and three (15%), respectively, were both accurate and reliable. There were no significant differences in accuracy between any chatbot. ChatGPT responses were the least readable (mean Flesch Reading Ease Score 29; college graduate), followed by Gemini (30; college) and Bing (40; college; p < 0.001).Large language models provide complex responses to basic questions on hepatocellular carcinoma diagnosis and management that are seldomly accurate, reliable, or readable.

    View details for DOI 10.1007/s00261-024-04501-7

    View details for PubMedID 39088019

    View details for PubMedCentralID 10366809

  • Building Radiology Equity: Themes from the 2023 RAD-AID Conference on International Radiology and Global Health. Journal of the American College of Radiology : JACR Lugossy, A. M., Anton, K., Dako, F., Dixon, R. G., DuCharme, P. A., Duggan, C., Durand, M. A., Einstein, S. A., Elahi, A., Kesselman, A., Kulinski, L. F., Mango, V. L., Pollack, E. B., Scheel, J. R., Schweitzer, A., Svolos, P., Wetherall, M., Mollura, D. J. 2024

    Abstract

    Low-and middle-income countries (LMICs) are significantly impacted by the global scarcity of medical imaging services. Medical imaging is an essential component for diagnosis and guided treatment, which is needed to meet the current challenges of increasing chronic diseases and preparedness for acute-care response. We present some key themes essential for improving global health equity which were discussed at the 2023 RAD-AID Conference on International Radiology and Global Health. They include: (i) capacity-building, (ii) artificial intelligence (AI), (iii) community-based patient navigation, (iv) organizational design for multidisciplinary global health strategy, (v) implementation science, and (vi) innovation. Although not exhaustive, these themes should be considered influential as we guide and expand global health radiology programs in LMICs in the coming years.

    View details for DOI 10.1016/j.jacr.2024.04.025

    View details for PubMedID 38763441

  • Performance of RAPID noncontrast CT stroke platform in large vessel occlusion and intracranial hemorrhage detection. Frontiers in neurology Yedavalli, V., Heit, J. J., Dehkharghani, S., Haerian, H., Mcmenamy, J., Honce, J., Timpone, V. M., Harnain, C., Kesselman, A., Filly, A., Beardsley, A., Sakamoto, B., Song, C., Montuori, J., Navot, B., Mena, F. V., Giurgiutiu, D. V., Kitamura, F., Lima, F. O., Silva, H., Mont'Alverne, F. J., Albers, G. 2023; 14: 1324088

    Abstract

    Noncontrast CT (NCCT) is used to evaluate for intracerebral hemorrhage (ICH) and ischemia in acute ischemic stroke (AIS). Large vessel occlusions (LVOs) are a major cause of AIS, but challenging to detect on NCCT.The purpose of this study is to evaluate an AI software called RAPID NCCT Stroke (RAPID, iSchemaView, Menlo Park, CA) for ICH and LVO detection compared to expert readers.In this IRB approved retrospective, multicenter study, stand-alone performance of the software was assessed based on the consensus of 3 neuroradiologists and sensitivity and specificity were determined. The platform's performance was then compared to interpretation by readers comprised of eight general radiologists (GR) and three neuroradiologists (NR) in detecting ICH and hyperdense vessel sign (HVS) indicating LVO.A total of 244 cases were included. Of the 244, 115 were LVOs and 26 were ICHs. One hundred three cases did not have LVO nor ICH. Stand-alone performance of the software demonstrated sensitivities and specificities of 96.2 and 99.5% for ICH and 63.5 and 95.1% for LVO detection. Compared to all 11 readers and eight GR readers only respectively, the software demonstrated superiority, achieving significantly higher sensitivities (63.5% versus 43.6%, p < 0.0001 and 63.5% versus 40.9%, p = 0.001).The RAPID NCCT Stroke platform demonstrates superior performance to radiologists for detecting LVO from a NCCT. Use of this software platform could lead to earlier LVO detection and expedited transfer of these patients to a thrombectomy capable center.

    View details for DOI 10.3389/fneur.2023.1324088

    View details for PubMedID 38156093

    View details for PubMedCentralID PMC10753184

  • Reply to "Improving Accuracy in ChatGPT". AJR. American journal of roentgenology Cao, J. J., Kamaya, A., Tse, J. R. 2023: 1-2

    View details for DOI 10.2214/AJR.23.29949

    View details for PubMedID 37703485

  • Accuracy of Information Provided by ChatGPT Regarding Liver Cancer Surveillance and Diagnosis. AJR. American journal of roentgenology Cao, J. J., Kwon, D. H., Ghaziani, T. T., Kwo, P., Tse, G., Kesselman, A., Kamaya, A., Tse, J. R. 2023

    View details for DOI 10.2214/AJR.23.29493

    View details for PubMedID 37222278

  • Beyond the AJR: The Excimer Laser-Assisted Retrieval of Embedded IVC Filters. AJR. American journal of roentgenology Kesselman, A., Kuo, W. 2023

    View details for DOI 10.2214/AJR.23.29323

    View details for PubMedID 36946896

  • Implementation and Evaluation of a Comprehensive Simulation Curriculum for the IR/DR Integrated Residency. Academic radiology Khilnani, T. K., Kesselman, A., D'Angelo, D., RoyChoudhury, A., Lamparello, N. A. 2023

    Abstract

    Endovascular simulation is a validated training method, allowing residents to improve technical skills with interventional equipment in a risk-free environment. The purpose of this study was to assess the utility and efficacy of supplementing the IR/DR Integrated Residency training program with a dedicated 2-year endovascular simulation curriculum.Trainees participated in a 2-year curriculum that included the completion of 8 modules using a high-fidelity endovascular simulator (Mentice AB, Gothenberg, Sweden). Procedural modules included IVC filter placement, transarterial chemoembolization, trauma embolization, uterine artery embolization, prostate artery embolization, and peripheral arterial disease interventions. Each quarter, two trainees were filmed while completing an assigned module. Sessions led by IR faculty were held with film footage review and didactics on the assigned topic. Pre- and postcase surveys were collected to evaluate trainee comfort and confidence and assess the validity of the simulation. At the conclusion of the 2-year period, a postcurriculum survey was sent to all trainees to determine how residents viewed the utility of the simulation sessions.Eight residents participated in the pre- and postcase surveys. The simulation curriculum significantly increased trainee confidence for these 8 residents. A separate postcurriculum survey was completed by all 16 IR/DR residents. All 16 residents felt that simulation was a helpful addition to their education. A total of 87.5% of all residents felt that the sessions improved their confidence in the IR procedure room. A total of 75% of all residents believe that the simulation curriculum should be incorporated into the IR residency program.Adoption of a 2-year simulation curriculum can be considered for existing IR/DR training programs with access to high-fidelity endovascular simulators using the described approach.

    View details for DOI 10.1016/j.acra.2023.01.036

    View details for PubMedID 36849334

  • Adverse Events Associated with New Nitinol Venous-Labeled Stents: A Review of the FDA MAUDE Database. Journal of vascular and interventional radiology : JVIR Yan, J., Datta, S., Kesselman, A., Malhotra, A., Scherer, K., Wadhwa, V. 2022

    View details for DOI 10.1016/j.jvir.2022.06.018

    View details for PubMedID 35781070

  • Global Health and Interventional Radiology: Supporting Trainee Engagement and Diversity for Future Development. Journal of vascular and interventional radiology : JVIR Matsumoto, M. M., Dixon, R., Anton, K., Hunt, S. J., Kesselman, A. 2022; 33 (5): 604

    View details for DOI 10.1016/j.jvir.2022.01.005

    View details for PubMedID 35092852

  • Redefining Intermediate-Stage HCC Treatment in the Era of Immune Therapies. JCO oncology practice Brar, G., Kesselman, A., Malhotra, A., Shah, M. A. 2022; 18 (1): 35-41

    Abstract

    Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide. At diagnosis, most patients are ineligible for curative surgery, and approximately 20% of patients are diagnosed with advanced-stage disease. A significant proportion of patients fall under an unresectable or intermediate-stage disease who have liver-limited disease but are not surgical candidates because of large tumor size, number of lesions, or technically inoperable disease. In this unique intermediate-stage patient population, locoregional therapies have been the de facto mainstay of treatment because of high local response rates and favorable safety profile, especially in the context of minimally effective systemic therapies. However, not all patients who receive locoregional therapy for incurable disease have improved survival, and importantly, some of these patients never receive systemic therapy because of disease progression or further decline in hepatic function. Meanwhile, with the remarkable progress that has been made with systemic therapy in the past few years, revisiting the treatment of intermediate-stage HCC seems prudent. In this review, we will highlight current and emerging strategies for treating patients with unresectable, liver-limited HCC.

    View details for DOI 10.1200/OP.21.00227

    View details for PubMedID 34255552

  • Prevalence of hypercoagulable states in stented thrombotic iliac vein compression syndrome with comparison of re-intervention and anticoagulation regimens WORLD JOURNAL OF RADIOLOGY Cramer, P., Mensah, C., DeSancho, M., Malhotra, A., Winokur, R., Kesselman, A. 2021; 13 (12): 371-379

    Abstract

    Endovascular therapy is playing an increasing role in the treatment of iliofemoral venous disease. Iliac stent patency is multifactorial, and current management is based on best clinical practices, varying by institution.To evaluate how thrombophilia influences management and outcomes of patients who undergo venous stenting for thrombotic iliac vein compression syndromes.A retrospective observational analysis was performed on 65 patients with thrombotic iliac vein compression syndrome that underwent common iliac vein (CIV) stenting between December 2013 and December 2019 at a large academic center. Search criteria included CIV stenting and iliac vein compression. Non-thrombotic lesions and iliocaval thrombosis and/or occlusions were excluded. A total of 65 patients were selected for final analysis. Demographic information, procedural data points, and post-procedural management and outcomes were collected. Statistical analyses included Fisher's exact and Chi-square tests to compare discrete variables and the Wilcoxon rank-sum test to compare continuous variables between thrombophilia positive and negative patients.65 patients underwent successful balloon angioplasty and CIV stenting. Of these patients, 33 (50.8%) underwent thrombophilia testing, with 16 (48.5%) testing positive. Stent patency on ultrasound did not significantly differ between thrombophilia positive and negative patients at 1 mo (92.3% vs 81.3%, P = 0.6), 6 mo (83.3% vs 80%, P > 0.9), or 12 mo (77.8% vs 76.9%, P = 0.8). Immediately after stent placement, thrombophilia patients were more likely to be placed on dual therapy (aspirin and anticoagulation) or triple therapy (aspirin, clopidogrel, and anticoagulation) (50% vs 41.2%, P > 0.9), and remain on dual therapy at 6 mo (25% vs 12.5%, P = 0.5) and 12 mo (25% vs 6.7%, P = 0.6). There was no significant difference in re-intervention rates (25% vs 35.3%, P = 0.7) or number of re-interventions (average 2.3 vs 1.3 per patient, P = 0.4) between thrombophilia positive and negative patients.Half of patients with stented thrombotic iliac vein compression syndrome and thrombophilia testing were positive. The presence of thrombophilia did not significantly impact stent patency or re-intervention rates.

    View details for DOI 10.4329/wjr.v13.i12.371

    View details for Web of Science ID 000753662500001

    View details for PubMedID 35070117

    View details for PubMedCentralID PMC8716936

  • Safety and Efficacy of Microwave Ablation for Hepatocellular Carcinoma in the Setting of Transjugular Intrahepatic Portosystemic Shunt CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY Yan, J., Ying, X., Malhotra, A., Talenfeld, A., Charalel, R., Lee, K., Trost, D., Kesselman, A. 2022; 45 (5): 578-581

    Abstract

    This retrospective analysis reviews five patients with transjugular intrahepatic portosystemic shunt (TIPS) who underwent percutaneous microwave ablation of hepatocellular carcinoma between January 2017 and September 2020. Mean tumor diameter was 2.0 cm (range 1.3-2.9 cm), and mean tumor distance from TIPS was 2.3 cm (range 1.5-3.3 cm). There were no major adverse events, and the TIPS patency was 100% post-ablation. The technical success rate was 100%, and the complete response rate was 100%. In this small study, percutaneous microwave ablation appears safe and effective for the treatment of hepatocellular carcinoma in patients with TIPS in the short-term follow-up period.

    View details for DOI 10.1007/s00270-021-03012-y

    View details for Web of Science ID 000725424100001

    View details for PubMedID 34859308

  • Addressing Global Radiology Disparities: Increasing Access to Interventional Radiology Education RADIOGRAPHICS McKenney, A., Garg, T., Kim, E., Kesselman, A. 2021; 41 (5): E142-E144

    View details for DOI 10.1148/rg.2021210176

    View details for Web of Science ID 000692204400002

    View details for PubMedID 34469223

  • Transjugular intrahepatic portosystemic shunt (TIPS) as rescue therapy for endoscopic glue migration and bleeding gastric varices. Radiology case reports Yan, J., Browne, W., Kesselman, A. 2021; 16 (8): 2035-2037

    Abstract

    Gastric variceal (GV) bleeding is an important and fatal complication for cirrhotic patients which has historically been controlled with sclerosants and band ligation. Cyanoacrylate glue therapy has emerged as a more favorable option with bleeding control of up to 90% and low complication rates; however, several reports show possible ectopic systemic glue migration, most commonly into the portomesenteric system and leading to portal hypertension. To decompress portal pressures and mitigate future complications, transjugular intrahepatic portosystemic shunt (TIPS) placement may be a viable rescue therapy. We present two cases of TIPS placement for an 18-year-old and 51-year-old male in the setting of endoscopic glue migration into the portomesenteric system that demonstrate feasibility and success in temporizing acute variceal bleeding. Both cases demonstrated decompressing portovenous pressures but may result in need for re-intervention.

    View details for DOI 10.1016/j.radcr.2021.05.005

    View details for PubMedID 34158887

  • To New Heights: Interventional Radiology Outreach to Underserved Regions via Aircraft-Delivered Mobile Health Units CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY England, R. W., Gage, D., Kesselman, A., Mollura, D. J. 2021; 44 (9): 1478-1480

    View details for DOI 10.1007/s00270-021-02869-3

    View details for Web of Science ID 000652950500005

    View details for PubMedID 34019110

  • Current Controversies in Inferior Vena Cava Filter Placement: AJR Expert Panel Narrative Review AMERICAN JOURNAL OF ROENTGENOLOGY Kesselman, A., Oo, T., Johnson, M., Stecker, M. S., Kaufman, J., Trost, D. 2021; 216 (3): 563-569

    Abstract

    Despite inferior vena cava (IVC) filter practice spanning over 50 years, interventionalists face many controversies in proper utilization and management. This article reviews recent literature and offers opinions on filter practices. IVC filtration is most likely to benefit patients at high risk of iatrogenic pulmonary embolus during endovenous intervention. Filters should be used selectively in patients with acute trauma or who are undergoing bariatric surgery. Retrieval should be attempted for perforating filter and fractured filter fragments when imaging suggests feasibility and favorable risk-to-benefit ratio. Antibiotic prophylaxis should be considered when removing filters with confirmed gastrointestinal penetration. Anticoagulation solely because of filter presence is not recommended except in patients with active malignancy. Anticoagulation while filters remain in place may decrease long-term filter complications in these patients. Patients with a filter and symptomatic IVC occlusion should be offered filter removal and IVC reconstruction. Physicians implanting filters may maximize retrieval by maintaining physician-patient relationships and scheduling follow-up at time of placement. Annual follow-up allows continued evaluation for removal or replacement as appropriate. Advanced retrieval techniques increase retrieval rates but require caution. Certain cases may require referral to experienced centers with additional retrieval resources. The views expressed should help guide clinical practice, future innovation, and research.

    View details for DOI 10.2214/AJR.20.24817

    View details for Web of Science ID 000642944100006

    View details for PubMedID 33206563

  • Role of interventional radiology in the treatment of COVID-19 patients: Early experience from an epicenter CLINICAL IMAGING Lee, K., Talenfeld, A. D., Browne, W. F., Holzwanger, D. J., Harnain, C., Kesselman, A., Pua, B. B. 2021; 71: 143-146

    Abstract

    To highlight the role of interventional radiology (IR) in the treatment of patients hospitalized with coronavirus disease 2019 (COVID-19).Retrospective review of hospitalized patients who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and had one or more IR procedures at a tertiary referral hospital in New York City during a 6-week period in April and May of 2020.Of the 724 patients admitted with COVID-19, 92 (12.7%) underwent 124 interventional radiology procedures (79.8% in IR suite, 20.2% at bedside). The median age of IR patients was 63 years (range 24-86 years); 39.1% were female; 35.9% in the intensive care unit. The most commonly performed IR procedures were central venous catheter placement (31.5%), inferior vena cava filter placement (9.7%), angiography/embolization (4.8%), gastrostomy tube placement (9.7%), image-guided biopsy (10.5%), abscess drainage (9.7%), and cholecystostomy tube placement (6.5%). Thoracentesis/chest tube placement and nephrostomy tube placement were also performed as well as catheter-directed thrombolysis of massive pulmonary embolism and thrombectomy of deep vein thrombosis. General anesthesia (10.5%), monitored anesthesia care (18.5%), moderate sedation (29.8%), or local anesthetic (41.1%) was utilized. There were 3 (2.4%) minor complications (SIR adverse event class B), 1 (0.8%) major complication (class C), and no procedure-related death. With a median follow-up of 4.3 months, 1.1% of patients remain hospitalized, 16.3% died, and 82.6% were discharged.Interventional radiology participated in the care of hospitalized COVID-19 patients by performing a wide variety of necessary procedures.

    View details for DOI 10.1016/j.clinimag.2020.10.048

    View details for Web of Science ID 000615972600005

    View details for PubMedID 33259979

    View details for PubMedCentralID PMC7642741

  • Endovascular simulation as a supplemental training tool during the COVID-19 national emergency CLINICAL IMAGING Kesselman, A., Lamparello, N. A., Malhotra, A., Winokur, R. S., Pua, B. B. 2020; 67: 72-73

    Abstract

    The ongoing COVID pandemic raises many concerns as our healthcare system is pushed to its limits and as a consequence, Interventional Radiology training may be compromised. Endovascular simulators allow trainees many benefits to build and maintain endovascular skills in a safe environment. Our experience demonstrates a methodology to maintain IR training with use of didactic and simulation supplementation during the COVID-19 pandemic, which may be helpful for incorporation at other institutions facing similar challenges.

    View details for DOI 10.1016/j.clinimag.2020.05.026

    View details for Web of Science ID 000569858500013

    View details for PubMedID 32526661

    View details for PubMedCentralID PMC7833009

  • Transforming Positive Pressure IR Suites to Treat COVID-19 Patients JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Lamparello, N. A., Choi, S., Charalel, R., Lee, K., Kesselman, A., Scherer, K., Harnain, C. M., Browne, W. F., Shiffman, M., Holzwanger, D. J., Pua, B. B. 2020; 31 (9): 1496-1499

    View details for DOI 10.1016/j.jvir.2020.06.019

    View details for Web of Science ID 000577351600022

    View details for PubMedID 32747141

    View details for PubMedCentralID PMC7324314

  • A Role for Virtual Reality in Planning Endovascular Procedures JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Mohammed, M., Khalaf, M. H., Kesselman, A., Wang, D. S., Kothary, N. 2018; 29 (7): 971–74
  • Endovascular Removal of Fractured Inferior Vena Cava Filter Fragments: 5-Year Registry Data with Prospective Outcomes on Retained Fragments JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Kesselman, A. J., Hoang, N., Sheu, A. Y., Kuo, W. T. 2018; 29 (6): 758–64
  • A Role for Virtual Reality in Planning Endovascular Procedures. Journal of vascular and interventional radiology : JVIR Mohammed, M. A., Khalaf, M. H., Kesselman, A., Wang, D. S., Kothary, N. 2018; 29 (7): 971–74

    Abstract

    Current imaging technologies are capable of acquiring volumetric data, but they are limited by the flat 2-dimensional representation of complex 3-dimensional data. This pictorial report illustrates the potential role of interactive virtual reality (VR) that enables physicians to visualize and interact with image data as if they were real physical objects. Increasing availability of tools that make the VR environment a possibility could potentially be valuable in the interventional radiology suite.

    View details for PubMedID 29935787

  • Prophylactic IVC filter placement in bariatric surgery patients: results from a prospective filter registry CVIR ENDOVASCULAR Sheu, A. Y., Hoang, N., Kesselman, A. J., Liang, T., Rosenberg, J. K., Kuo, W. T. 2018; 1 (1)
  • Endovascular Removal of Fractured Inferior Vena Cava Filter Fragments: 5-Year Registry Data with Prospective Outcomes on Retained Fragments. Journal of vascular and interventional radiology : JVIR Kesselman, A. J., Hoang, N. S., Sheu, A. Y., Kuo, W. T. 2018; 29 (6): 758–64

    Abstract

    To evaluate the safety and efficacy of attempted percutaneous filter fragment removal during retrieval of fractured inferior vena cava (IVC) filters and to report outcomes associated with retained filter fragments.Over a 5-year period, 82 consecutive patients presenting with a fractured IVC filter were prospectively enrolled into an institutional review board-approved registry. There were 27 men and 55 women (mean, 47 y; range, 19-85 y). After main filter removal, percutaneous removal of fragments was attempted if they were deemed intravascular and accessible on preprocedural computed tomography (CT), cone-beam CT, and/or intravascular ultrasound; distal pulmonary artery (PA) fragments were left alone. A total of 185 fragments were identified (81 IVC, 33 PA, 16 cardiac, 2 hepatic vein, 1 renal vein, 1 aorta, 51 retroperitoneal). Mean filter dwell time was 2,183 days (range, 59-9,936 d). Eighty-seven of 185 fragments (47%) were deemed amenable to attempted removal: 65 IVC, 11 PA, 8 cardiac, 2 hepatic, and 1 aortic. Primary safety outcomes were major procedure-related complications.Fragment removal was successful in 78 of 87 cases (89.7%; 95% confidence interval [CI], 81.3-95.2). There were 6 minor complications with no consequence (6.9%; 95% CI, 2.6-14.4) involving intraprocedural fragment embolization and 1 major complication (1.1%; 95% CI, 0.0-6.2), a cardiac tamponade that was successfully treated. The complication rate from attempted cardiac fragment removal was 12.5% (1 of 8; 95% CI, 0.3-52.7). Among patients with retained cardiopulmonary fragments (n = 19), 81% remained asymptomatic during long-term clinical follow-up of 845 days (range, 386-2,071 d).Percutaneous removal of filter fragments from the IVC and proximal PAs is safe and effective overall, but attempted intracardiac fragment removal carries a higher risk of complication. Most residual filter fragments not amenable to percutaneous removal remain asymptomatic and may be monitored clinically.

    View details for PubMedID 29706344

  • 2016 RAD-AID Conference on International Radiology for Developing Countries: Gaps, Growth, and United Nations Sustainable Development Goals. Journal of the American College of Radiology Mollura, D. J., Soroosh, G., Culp, M. P. 2017; 14 (6): 841-847

    Abstract

    The 2016 RAD-AID Conference analyzed the accelerated global activity in the radiology community that is transforming medical imaging into an effective spearhead of health care capacity building in low- and middle-income countries. Global health efforts historically emphasized disaster response, crisis zones, and infectious disease outbreaks. However, the projected doubling of cancer and cardiovascular deaths in developing countries in the next 15 years and the need for higher technology screening and diagnostic technologies in low-resource regions, as articulated by the United Nations' new Sustainable Development Goals of 2016, is heightening the role of radiology in global health. Academic US-based radiology programs with RAD-AID chapters achieved a threefold increase in global health project offerings for trainees in the past 5 years. RAD-AID's nonprofit radiology volunteer corps continue to grow by more than 40% yearly, with a volunteer base of 5,750 radiology professionals, serving in 23 countries, donating close to 20,000 pro bono hours globally in 2016. As a high-technology specialty interfacing with nearly all medical and surgical disciplines, radiology underpins vital health technology infrastructure, such as digital imaging archives, electronic medical records, and advanced diagnosis and treatment, essential for long-term future health care capacity in underserved areas of the world.

    View details for DOI 10.1016/j.jacr.2017.01.049

    View details for PubMedID 28372963

  • Successful Implementation of a PACS in Tanzania. Journal of the American College of Radiology Song, J. W., Mango, M. C., Museru, L. M., Kesselman, A., Foryoung, K., Kiloloma, O., Goodman, T. R., Minja, F. J. 2017

    View details for DOI 10.1016/j.jacr.2017.01.009

    View details for PubMedID 28259497

  • Catheter-Directed Therapy for Acute Submassive Pulmonary Embolism: Summary of Current Evidence and Protocols. Catheter-Directed Therapy for Acute Submassive Pulmonary Embolism: Summary of Current Evidence and Protocols. Kesselman, A., Kuo, W. T. 2017; 20 (3): 193-196

    View details for DOI 10.1053/20170709

  • 2015 RAD-AID Conference on International Radiology for Developing Countries: The Evolving Global Radiology Landscape JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY Kesselman, A., Soroosh, G., Mollura, D. J. 2016; 13 (9): 1139-1144

    Abstract

    Radiology in low- and middle-income (developing) countries continues to make progress. Research and international outreach projects presented at the 2015 annual RAD-AID conference emphasize important global themes, including (1) recent slowing of emerging market growth that threatens to constrain the advance of radiology, (2) increasing global noncommunicable diseases (such as cancer and cardiovascular disease) needing radiology for detection and management, (3) strategic prioritization for pediatric radiology in global public health initiatives, (4) continuous expansion of global health curricula at radiology residencies and the RAD-AID Chapter Network's participating institutions, and (5) technologic innovation for recently accelerated implementation of PACS in low-resource countries.

    View details for DOI 10.1016/j.jacr.2016.03.028

    View details for Web of Science ID 000383313400028

    View details for PubMedID 27233909

  • Impact of Music in Reducing Patient Anxiety During Pediatric Ultrasound. Pediatric reports Kesselman, A., Bergen, M., Stefanov, D., Goldfisher, R., Amodio, J. 2016; 8 (1): 6349-?

    Abstract

    The use of noninvasive ultrasound examinations can potentially result in significant anxiety in the pediatric population. The purpose of this study was to assess the influence of music during pediatric ultrasound examinations to reduce anxiety measured by heart rate. A total of 44 patients were recruited; 21 controls and 23 experimental. Each participant was randomized to either music or no music (control) after parental consent was obtained. Pulse oximeters were used to monitor heart rate at 15 second intervals for a total of 1 minute, with mean values calculated prior to entering the procedure room, during the middle of the procedure, and after the procedure was completed. The total scan time was determined from the initial image acquisition until the last image recorded by the ultrasound technologist. At the completion of each procedure, the ultrasound technologist scored the ease of performance for the scan on a subjective scale of 1-10 based on prior experience. When utilizing music during pediatric ultrasounds examinations, our study demonstrated significantly decreased heart rate variability from pre-procedural to post-procedural periods. There was no statistical significant difference in total scan time or ultrasound technologist scoring between the two groups. This study demonstrates that music is an inexpensive and effective means of reducing anxiety during pediatric ultrasound as indicated by heart rate.

    View details for DOI 10.4081/pr.2016.6349

    View details for PubMedID 27114817

    View details for PubMedCentralID PMC4821217

  • A Glance at Gender-Specific Preferences Influencing Interventional Radiology Selection JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Perez, Y. V., Kesselman, A., Abbey-Mensah, G., Walsh, J. 2016; 27 (1): 142-143

    View details for DOI 10.1016/j.jvir.2015.09.009

    View details for Web of Science ID 000367963600019

    View details for PubMedID 26723924

  • 2014 RAD-AID Conference on International Radiology for Developing Countries: The Road Ahead for Global Health Radiology JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY Culp, M., Mollura, D. J., Mazal, J. 2015; 12 (5): 475-480

    View details for DOI 10.1016/j.jacr.2015.01.019

    View details for Web of Science ID 000354420900011

    View details for PubMedID 25940363

  • Fracture of corpora cavernosa with massive cavernosalvenous shunts INTERNATIONAL BRAZ J UROL Lang, E. K., Zinn, H., Abbey-Mensah, G., Kesselman, A., Bergen, M. 2014; 40 (2): 277-278