Yifan Wu , Jinzhi Wang , Zhihui Fu , Min Liu , Wanmu Xie , Xincao Tao , Qiang Huang , Zhenguo Zhai
{"title":"“Guidezilla” extension catheter combined with balloon technique for treating pulmonary artery stenosis caused by Takayasu arteritis","authors":"Yifan Wu , Jinzhi Wang , Zhihui Fu , Min Liu , Wanmu Xie , Xincao Tao , Qiang Huang , Zhenguo Zhai","doi":"10.1016/j.jimed.2023.10.003","DOIUrl":"10.1016/j.jimed.2023.10.003","url":null,"abstract":"<div><p>Takayasu arteritis (TA) is a rare systemic vasculitis of the aorta and its primary branches, which usually occurs in young women. Due to its insidious onset and lack of specific symptoms, this disease can be easily misdiagnosed or missed. Approximately 50 % of the patients having TA with pulmonary artery involvement develop pulmonary hypertension (PH). The 3-year survival rate among patients with TA-related PH is lower than that among patients with TA alone. Early balloon pulmonary angioplasty (BPA) can improve the clinical symptoms and survival of patients with stable TA. To the best of our knowledge, this is the first case reported in the English literature in which a “Guidezilla” catheter was used during BPA to treat stenosis and occlusion of the pulmonary artery caused by Takayasu arteritis (TA).</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2096360223000522/pdfft?md5=9a2881f012e2d6c3b51fab3370c34fce&pid=1-s2.0-S2096360223000522-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pan Hu , Jianwen Huang , Yanling Zhang , Huanqing Guo , Guanyu Chen , Fujun Zhang
{"title":"Iodine-125 seed implantation in the treatment of malignant tumors","authors":"Pan Hu , Jianwen Huang , Yanling Zhang , Huanqing Guo , Guanyu Chen , Fujun Zhang","doi":"10.1016/j.jimed.2023.07.006","DOIUrl":"10.1016/j.jimed.2023.07.006","url":null,"abstract":"<div><p>Malignant tumors are major causes of morbidity and mortality in China. Despite advances in surgical, radiological, chemotherapeutic, molecular targeting, and immunotherapeutic treatments, patients with malignant tumors still have poor prognoses. Low-dose-rate brachytherapy, specifically <sup>125</sup>I seed implantation, is beneficial because of its high local delivery dose and minimal damage to surrounding tissues. Consequently, it has gained increasing acceptance as a treatment modality for various malignant tumors. In this study, we explored the fundamental principles, clinical applications, and new technologies associated with <sup>125</sup>I radioactive seed implantation.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/e4/main.PMC10577067.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical and interventional therapy of Kasabach-Merritt phenomenon associated with Kaposiform hemangioendothelioma: A case report","authors":"Yan Zhao , Ji Cheng","doi":"10.1016/j.jimed.2023.03.004","DOIUrl":"10.1016/j.jimed.2023.03.004","url":null,"abstract":"<div><p>An infant with Kasabach-Merritt Phenomenon (KMP) presented with a giant subcutaneous mass in the right lower limb, severe hypofibrinogenemia, and thrombocytopenia. Glucocorticoids, along with supportive treatments including transfusion of blood products and clotting factors, were administered to reverse fatal disseminated intravascular coagulation and acute hemolysis. The glucocorticoid dose was tapered slowly, and sirolimus was added to treat the hemangiomas. The patient subsequently underwent interventional therapy. After 6 months of medical and interventional therapy, the patient was doing well with a normal platelet count, the tumor volume was markedly reduced, and the primary cutaneous lesion became pale pink. Currently, the patient remains on sirolimus, and no recurrence of thrombocytopenia or further growth of the mass was observed after six months of follow-up.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liang Yang , Hongdong Xu , Shibin Hu , Shuangling Yao
{"title":"A case of duplicated inferior vena cava with bilateral iliac vein compression","authors":"Liang Yang , Hongdong Xu , Shibin Hu , Shuangling Yao","doi":"10.1016/j.jimed.2023.07.003","DOIUrl":"10.1016/j.jimed.2023.07.003","url":null,"abstract":"<div><p>Duplicated inferior vena cava with bilateral iliac vein compression is extremely rare. We report a case of an 87-year-old man presented with bilateral lower extremity swelling, who was noted to have duplicated inferior vena cava, as revealed by computed tomography angiography (CTA). This revealed bilateral iliac vein compression caused by surrounding structures. Anticoagulant treatment combined with stent implantation completely alleviated this chronic debilitating condition during the follow-up of 2 months with no recurrence.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6c/08/main.PMC10577052.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhengyu Wang, Zhiqing Peng, Liang Chen, Wanbin Li, Yongli Wang
{"title":"Mechanical compression management of the right middle cerebral artery inferior trunk using a stent during coil embolization of middle cerebral artery aneurysms: A case report and literature review","authors":"Zhengyu Wang, Zhiqing Peng, Liang Chen, Wanbin Li, Yongli Wang","doi":"10.1016/j.jimed.2022.10.004","DOIUrl":"10.1016/j.jimed.2022.10.004","url":null,"abstract":"<div><p>Endovascular coil embolization is a minimally invasive, rapid, and effective method for the treatment of intracranial aneurysms. However, complications associated with coil embolization, such as intraoperative aneurysm rupture or arterial occlusion, should be promptly managed during the procedure to avoid catastrophic consequences. This study presents a case of mechanical compression management of the right middle cerebral artery (MCA) inferior trunk during coil embolization for bilateral MCA aneurysms. The inferior trunk of the right MCA was abruptly occluded due to mechanical compression during coil embolization of the right MCA bifurcation aneurysm. A Solitaire AB stent (4 × 20 mm, Covidien/Medtronic, Dublin, Ireland) was implanted in the inferior trunk of the right MCA after tirofiban was injected via a microcatheter, and the right inferior trunk was recanalized. The patient also underwent coil embolization of the left MCA bifurcation aneurysm, without any complications. It is crucial to recognize compressive occlusion of adjacent aneurysm branches to avoid severe complications during intracranial aneurysm embolization. Stent placement is a rescue treatment option for recanalization of an occluded artery.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/35/main.PMC10577055.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wenquan Gu , Geng Zhou , Aizada Aldiyarova , Tengyue Liu , Yi Zhang , Weidong Liu , Lingping Meng , Binxian Gu , MingHua Li , Ming Su , Chen Su , Aihua Liu , Wu Wang
{"title":"Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center","authors":"Wenquan Gu , Geng Zhou , Aizada Aldiyarova , Tengyue Liu , Yi Zhang , Weidong Liu , Lingping Meng , Binxian Gu , MingHua Li , Ming Su , Chen Su , Aihua Liu , Wu Wang","doi":"10.1016/j.jimed.2023.07.004","DOIUrl":"10.1016/j.jimed.2023.07.004","url":null,"abstract":"<div><h3>Background</h3><p>To evaluate the efficacy of stent-assisted coiling (SAC) for the treatment of carotid ophthalmic segment aneurysm segment aneurysms (OSAs) of the internal carotid artery (ICA) through detailed long-term follow-up of a large patient cohort.</p></div><div><h3>Methods</h3><p>We retrospectively analyzed 88 consecutive patients with OSAs between January 2009 and January 2020 at our center. Angiographic results were evaluated using the modified Raymond grading system and clinical outcomes were evaluated using the mRS scale. The primary endpoints were major aneurysm recurrence and poor clinical outcomes for at least 18 months of follow-up. The patients were asked to attend clinical follow-up assessments and possibly undergo DSA or MR via telephone.</p></div><div><h3>Results</h3><p>We enrolled 88 patients with 99 OSAs treated with coiling, of whom 76 were treated with SAC. The coiling procedures were successful in all 88 patients. Overall, complications occurred in 8 patients (9.1%). No procedure-related mortality was observed. 67 (76.1%) experienced immediate aneurysm occlusion at the end of the procedure. Long-term angiographic follow-up (18 months) was available in 45/88 aneurysms (51%) (average 18.7 ± 5.2 months). Four patients continued their follow-up for 5 years after initial aneurysm treatment. After a clinical follow-up time of 28.7 months (range, 12–51 months), 85 patients (95.5%) achieved favorable clinical outcomes (mRS scores of 0–2).</p></div><div><h3>Conclusions</h3><p>This study indicates that SAC treatment is a safe and effective therapeutic alternative for ruptured and unruptured OSAs. The procedural risks are low with relatively long-term effectiveness.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/67/main.PMC10577061.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel K. Derrick, Noah Fanous, Anne Wells, Jorge Lopera
{"title":"Abscess drain migration into the colon following laparoscopic cholecystectomy","authors":"Daniel K. Derrick, Noah Fanous, Anne Wells, Jorge Lopera","doi":"10.1016/j.jimed.2023.07.001","DOIUrl":"10.1016/j.jimed.2023.07.001","url":null,"abstract":"<div><p>Percutaneous abscess drainage is a procedure commonly performed by interventional radiologists to provide source control on infections using CT or ultrasound guidance. The interventionalist has many different sizes and shapes of catheters to treat abscesses of varying sizes and locations, but the general approach to each abscess is similar: provide a percutaneous route for purulence, bacteria, necrotic tissue, and other debris to escape the body. While generally considered a low-risk procedure, adverse events can occur due to operator error or other means. We present a unique case of an abscess drain placed into a right upper quadrant abscess that formed following laparoscopic cholecystectomy that perforated and entered the colon. Astute physicians, both in the emergency department and the radiology reading room, were able to rapidly rule out more common post-operative complications and make the correct diagnosis, likely preventing dangerous sequelae from developing in this patient.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of irreversible electroporation triggering anti-tumor immunity and the value of its combination with immunotherapy","authors":"Hengyu Li, Yu Zhou, Xiaoxia Guo, Qiwei Zhang, Xiaoyi Ding","doi":"10.1016/j.jimed.2023.07.005","DOIUrl":"10.1016/j.jimed.2023.07.005","url":null,"abstract":"<div><p>Recently, interventional ablation techniques have gained prominence in tumor treatment guidelines and complement traditional approaches, such as surgery, chemotherapy, and radiotherapy. Conventional ablation techniques, such as microwave, radiofrequency, and cryoablation, have been used; however, they have certain limitations, including the risk of damaging surrounding normal tissues and the heat sink effect caused by tumor blood flow.<sup>1</sup> Irreversible electroporation (IRE), an ablation technology independent of thermal energy, is a promising alternative.<sup>2</sup> Clinical studies have demonstrated IRE's efficacy in treating tumors, such as pancreatic and liver tumors.<sup>3</sup> Recent research has shown that IRE can elicit specific anti-tumor immune responses in the body.<sup>5</sup> IRE also plays a crucial role in eliminating residual tumor cells postoperatively and preventing tumor recurrence.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/b3/main.PMC10577062.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Weixiao Li , Mingzhe Cui , Qiang Li , Kewei Zhang , Shuiting Zhai , Tianxiao Li , Cheshire Nick , Xiuling Li , Heng Wang , Yadong Zhu , Danghui Lu , Jiangbo Chen
{"title":"Application of transmesenteric vein extrahepatic portosystemic shunt in treatment of symptomatic portal hypertension with cavernous transformation of portal vein","authors":"Weixiao Li , Mingzhe Cui , Qiang Li , Kewei Zhang , Shuiting Zhai , Tianxiao Li , Cheshire Nick , Xiuling Li , Heng Wang , Yadong Zhu , Danghui Lu , Jiangbo Chen","doi":"10.1016/j.jimed.2023.04.001","DOIUrl":"10.1016/j.jimed.2023.04.001","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate the feasibility and efficacy of a transmesenteric vein extrahepatic portosystemic shunt (TmEPS) for the treatment of cavernous transformation of the portal vein (CTPV).</p></div><div><h3>Materials and methods</h3><p>The clinical data of 20 patients with CTPV who underwent TmEPS between December 2020 and January 2022 at Henan Provincial People's Hospital were retrospectively collected. The superior mesenteric vein (SMV) trunk was patent or partially occluded in these patients. An extrahepatic portosystemic shunt between the inferior vena cava and the SMV was established using a stent graft through an infraumbilical median longitudinal mini-laparotomy. The technical success, efficacy, and complication rates were evaluated, and the pre- and postoperative SMV pressures were compared. Patients' clinical outcomes and shunt patency were assessed.</p></div><div><h3>Results</h3><p>TmEPS was successfully performed in 20 patients. The initial puncture success rate of the balloon-assisted puncture technique is 95%. The mean SMV pressure decreased from 29.1 ± 2.9 mmHg to 15.6 ± 3.3 mmHg (p < 0.001). All symptoms of portal hypertension resolved. No fatal procedural complications occurred. During the follow-up period, hepatic encephalopathy occurred in two patients. The remaining patients remained asymptomatic. All shunts were patent.</p></div><div><h3>Conclusions</h3><p>TmEPS is a feasible, safe, and effective treatment option for patients with CTPV.</p></div>","PeriodicalId":33533,"journal":{"name":"Journal of Interventional Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/98/main.PMC10318329.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}