{"id":12416,"date":"2022-04-23T03:23:59","date_gmt":"2022-04-23T03:23:59","guid":{"rendered":"https:\/\/lavascular.com\/?p=12416"},"modified":"2022-06-15T04:42:12","modified_gmt":"2022-06-15T04:42:12","slug":"complication-of-interventional-oncology-procedures","status":"publish","type":"post","link":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/","title":{"rendered":"Complication of interventional oncology procedures"},"content":{"rendered":"<p>With careful patient selection and attention to detail, most IR oncologic interventions are well tolerated.\u00a0 It is important to be aware of the most common complications and their management to provide the best outcomes.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_65 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6616d1a2bf9b3\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6616d1a2bf9b3\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#Complications_of_Thermal_ablation_of_pulmonary_and_chest_wall_tumors\" title=\"Complications of Thermal ablation of pulmonary and chest wall tumors\">Complications of Thermal ablation of pulmonary and chest wall tumors<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#Complications_of_Thermal_ablation_of_hepatic_tumors\" title=\"Complications of Thermal ablation of hepatic tumors\">Complications of Thermal ablation of hepatic tumors<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#Complications_of_hepatic_chemoembolization\" title=\"Complications of hepatic chemoembolization\">Complications of hepatic chemoembolization<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#Complications_of_Radioembolization_Y90_procedures\" title=\"Complications of Radioembolization Y90 procedures\">Complications of Radioembolization Y90 procedures<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#Complications_of_cryoablation\" title=\"Complications of cryoablation\">Complications of cryoablation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#Complications_of_Portal_Vein_Embolization\" title=\"Complications of Portal Vein Embolization\">Complications of Portal Vein Embolization<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Complications_of_Thermal_ablation_of_pulmonary_and_chest_wall_tumors\"><\/span>Complications of Thermal ablation of pulmonary and chest wall tumors<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fever and a small pleural effusion may be present.\u00a0 These are usually self limited and may be accompanied by a productive cough.\u00a0 Pneumonia\/abscess and significant hemoptysis are rare.\u00a0 We typically prescribe peri and postprocedural prophylactic antibiotics for all pulmonary ablations.\u00a0 Pneumothorax is relatively common, occurring in up to 40% of cases, however, only a small percentage of all patients (10%) require needle aspiration or chest tube placement.\u00a0 More severe complications are rare but include bronchopleural fistula, tract seeding, brachial nerve injury, and skin burns.\u00a0 Hemothorax, respiratory failure, pulmonary embolism, and death have been reported.\u00a0 In 2007, the FDA issued a public health notification pertaining to deaths reported following RFA of lung tumors.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complications_of_Thermal_ablation_of_hepatic_tumors\"><\/span>Complications of Thermal ablation of hepatic tumors<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>RFA of hepatic tumors has a long track record of safety.\u00a0 Major complications have been reported to develop in up to 11% of cases with procedural mortality reported between 0.3 to 0.8% (most commonly attributed to hepatic failure and portal vein thrombosis).\u00a0 Hepatic abscess occurs in up to 2% of patients.\u00a0 A higher rate of abscess development is seen in patients with biliary obstruction or a bilioenteric anastomosis.\u00a0 We routinely prescribe antibiotics for all of our thermal ablations.\u00a0 Hemorrhage is usually self limited though hemoperitoneum and subcapsular hematoma can occur.\u00a0 \u00a0Microwave ablation may be associated with a lower rate of hemorrhage.\u00a0 We typically ablate the needle tract (in both RFA and microwave ablation) to mitigate tract seeding or bleeding. Care must be exercised to avoid thermal injury to surrounding structures such as bowel loops and the diaphragm.\u00a0 In select cases, hydrodissection or balloon interposition can be considered.\u00a0 A self limited postablation syndrome with fever, pain, nausea, and transaminitis occurs in a minority of patients.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complications_of_hepatic_chemoembolization\"><\/span>Complications of hepatic chemoembolization<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Care must be taken to properly select patients for chemoembolization in order to avoid adverse outcomes.\u00a0 Patients with portal vein thrombosis, encephalopathy, biliary obstruction, and\/or poor hepatic function (Child Class C cirrhosis) are at increased risk for complications.\u00a0 The majority of patients will experience a self limited postembolization syndrome consisting of pain, fatigue, fever and transient LFT abnormalities.\u00a0 This usually lasts a few days.\u00a0 Systemic effects of the individual chemotherapy agents are rare since most of the chemotherapy is retained in the liver. More serious complications include hepatic decompensation, hepatic abscess, bile duct injury and chemical cholecystitis.\u00a0 While less of a concern than with radioembolization, gastroduodenal ulceration may occur.\u00a0 Care must be taken to evaluate preprocedure renal function, intraprocedural contrast load, and post procedure hydration status as renal dysfunction can occur in up to 2% of patients.\u00a0 Paradoxical embolization of lipiodol or particles is exceedingly rare but potentially grave.\u00a0 Overall treatment related mortality rates from TACE have been reported to be roughly 2-3%.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complications_of_Radioembolization_Y90_procedures\"><\/span>Complications of Radioembolization Y90 procedures<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Complications of radioembolization are similar to chemoembolization.\u00a0 Following\u00a0radioembolization, there is small risk of radiation induced liver disease (&lt;4%), ipsilateral lobar volume decrease (\u201cradiation lobectomy\u201d), or liver fibrosis.\u00a0 Radiation pneumonitis is largely avoidable with appropriate pre infusion mapping.\u00a0 Similarly, prophylactic embolization of vessels which may supply the GI tract (typically the gastroduodenal and right gastric artery) lessen the incidence of gastric or duodenal injury.<\/p>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complications_of_cryoablation\"><\/span>Complications of cryoablation<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In contrast to heat based ablation, cryoablation does not cauterize blood vessels which may result in higher bleeding risk.\u00a0 Cryoablation is most commonly used to treat renal cell carcinoma, and in this application, damage to the collecting system (especially with central lesions) may occur.\u00a0 Surrounding bowel or nerves (genitofemoral) may also be damaged.\u00a0 Cryoshock, a severe systemic response due to rapid destruction of cell membranes and lack of protein denaturation, can result in disseminated intravascular coagulation and multisystem organ failure, though is exceedingly rare.<\/p>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complications_of_Portal_Vein_Embolization\"><\/span>Complications of Portal Vein Embolization<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Complications of percutaneous portal vein embolization are usually related to the transhepatic access and include subcapsular hematoma, hemobilia, hemoperitoneum, and cholangitis.\u00a0 Since many of these occur more frequently in the punctured lobe, some advocate an ipsilateral approach (puncture the right lobe).\u00a0 Nontarget embolization, incomplete embolization or recanalization of embolized segments, and complete portal vein thrombosis can occur.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>With careful patient selection and attention to detail, most IR oncologic interventions are well tolerated.\u00a0 It is important to be aware of the most common [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[20],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Complication of interventional oncology procedures - LA Vascular<\/title>\n<meta name=\"description\" content=\"Complication of interventional oncology procedures - Vascular Interventional Radiology\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Complication of interventional oncology procedures - LA Vascular\" \/>\n<meta property=\"og:description\" content=\"Complication of interventional oncology procedures - Vascular Interventional Radiology\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\" \/>\n<meta property=\"og:site_name\" content=\"LA Vascular\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pages\/La-Vascular\/653140648036462\" \/>\n<meta property=\"article:published_time\" content=\"2022-04-23T03:23:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-15T04:42:12+00:00\" \/>\n<meta name=\"author\" content=\"LAVascularMD\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"LAVascularMD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"ScholarlyArticle\",\"@id\":\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\"},\"author\":{\"name\":\"LAVascularMD\",\"@id\":\"https:\/\/lavascular.com\/#\/schema\/person\/db3db0b808137df5a4fe8da519689aed\"},\"headline\":\"Complication of interventional oncology procedures\",\"datePublished\":\"2022-04-23T03:23:59+00:00\",\"dateModified\":\"2022-06-15T04:42:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\"},\"wordCount\":714,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/lavascular.com\/#organization\"},\"articleSection\":[\"Vascular Interventional Radiology\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#respond\"]}]},{\"@type\":[\"WebPage\",\"MedicalWebPage\"],\"@id\":\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\",\"url\":\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\",\"name\":\"Complication of interventional oncology procedures - LA Vascular\",\"isPartOf\":{\"@id\":\"https:\/\/lavascular.com\/#website\"},\"datePublished\":\"2022-04-23T03:23:59+00:00\",\"dateModified\":\"2022-06-15T04:42:12+00:00\",\"description\":\"Complication of interventional oncology procedures - Vascular Interventional Radiology\",\"breadcrumb\":{\"@id\":\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/lavascular.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Endovascular Education\",\"item\":\"https:\/\/lavascular.com\/category\/endovascular-education\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Vascular Interventional Radiology\",\"item\":\"https:\/\/lavascular.com\/category\/endovascular-education\/vascular-interventional-radiology\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Complication of interventional oncology procedures\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lavascular.com\/#website\",\"url\":\"https:\/\/lavascular.com\/\",\"name\":\"LA Vascular\",\"description\":\"Vascular &amp; Health Education\",\"publisher\":{\"@id\":\"https:\/\/lavascular.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lavascular.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/lavascular.com\/#organization\",\"name\":\"LA Vascular\",\"url\":\"https:\/\/lavascular.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lavascular.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/lavascular.com\/wp-content\/uploads\/2014\/11\/LAVascular-logo.png\",\"contentUrl\":\"https:\/\/lavascular.com\/wp-content\/uploads\/2014\/11\/LAVascular-logo.png\",\"width\":260,\"height\":81,\"caption\":\"LA Vascular\"},\"image\":{\"@id\":\"https:\/\/lavascular.com\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/pages\/La-Vascular\/653140648036462\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/lavascular.com\/#\/schema\/person\/db3db0b808137df5a4fe8da519689aed\",\"name\":\"LAVascularMD\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lavascular.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/aa918a4a613f5eae3a161ee68999e3f3?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/aa918a4a613f5eae3a161ee68999e3f3?s=96&d=mm&r=g\",\"caption\":\"LAVascularMD\"},\"url\":\"https:\/\/lavascular.com\/author\/lavascularmd\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Complication of interventional oncology procedures - LA Vascular","description":"Complication of interventional oncology procedures - Vascular Interventional Radiology","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/","og_locale":"en_US","og_type":"article","og_title":"Complication of interventional oncology procedures - LA Vascular","og_description":"Complication of interventional oncology procedures - Vascular Interventional Radiology","og_url":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/","og_site_name":"LA Vascular","article_publisher":"https:\/\/www.facebook.com\/pages\/La-Vascular\/653140648036462","article_published_time":"2022-04-23T03:23:59+00:00","article_modified_time":"2022-06-15T04:42:12+00:00","author":"LAVascularMD","twitter_misc":{"Written by":"LAVascularMD","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"ScholarlyArticle","@id":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#article","isPartOf":{"@id":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/"},"author":{"name":"LAVascularMD","@id":"https:\/\/lavascular.com\/#\/schema\/person\/db3db0b808137df5a4fe8da519689aed"},"headline":"Complication of interventional oncology procedures","datePublished":"2022-04-23T03:23:59+00:00","dateModified":"2022-06-15T04:42:12+00:00","mainEntityOfPage":{"@id":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/"},"wordCount":714,"commentCount":0,"publisher":{"@id":"https:\/\/lavascular.com\/#organization"},"articleSection":["Vascular Interventional Radiology"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#respond"]}]},{"@type":["WebPage","MedicalWebPage"],"@id":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/","url":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/","name":"Complication of interventional oncology procedures - LA Vascular","isPartOf":{"@id":"https:\/\/lavascular.com\/#website"},"datePublished":"2022-04-23T03:23:59+00:00","dateModified":"2022-06-15T04:42:12+00:00","description":"Complication of interventional oncology procedures - Vascular Interventional Radiology","breadcrumb":{"@id":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/lavascular.com\/"},{"@type":"ListItem","position":2,"name":"Endovascular Education","item":"https:\/\/lavascular.com\/category\/endovascular-education\/"},{"@type":"ListItem","position":3,"name":"Vascular Interventional Radiology","item":"https:\/\/lavascular.com\/category\/endovascular-education\/vascular-interventional-radiology\/"},{"@type":"ListItem","position":4,"name":"Complication of interventional oncology procedures"}]},{"@type":"WebSite","@id":"https:\/\/lavascular.com\/#website","url":"https:\/\/lavascular.com\/","name":"LA Vascular","description":"Vascular &amp; Health Education","publisher":{"@id":"https:\/\/lavascular.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/lavascular.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/lavascular.com\/#organization","name":"LA Vascular","url":"https:\/\/lavascular.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/lavascular.com\/#\/schema\/logo\/image\/","url":"https:\/\/lavascular.com\/wp-content\/uploads\/2014\/11\/LAVascular-logo.png","contentUrl":"https:\/\/lavascular.com\/wp-content\/uploads\/2014\/11\/LAVascular-logo.png","width":260,"height":81,"caption":"LA Vascular"},"image":{"@id":"https:\/\/lavascular.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/pages\/La-Vascular\/653140648036462"]},{"@type":"Person","@id":"https:\/\/lavascular.com\/#\/schema\/person\/db3db0b808137df5a4fe8da519689aed","name":"LAVascularMD","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/lavascular.com\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/aa918a4a613f5eae3a161ee68999e3f3?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/aa918a4a613f5eae3a161ee68999e3f3?s=96&d=mm&r=g","caption":"LAVascularMD"},"url":"https:\/\/lavascular.com\/author\/lavascularmd\/"}]}},"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/posts\/12416"}],"collection":[{"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/comments?post=12416"}],"version-history":[{"count":2,"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/posts\/12416\/revisions"}],"predecessor-version":[{"id":12418,"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/posts\/12416\/revisions\/12418"}],"wp:attachment":[{"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/media?parent=12416"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/categories?post=12416"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lavascular.com\/wp-json\/wp\/v2\/tags?post=12416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}