Journal of Interventional Medicine最新文献_第3页

Abscess drain migration into the colon following laparoscopic cholecystectomy 腹腔镜胆囊切除术后脓肿引流管转移至结肠。

Journal of Interventional Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.jimed.2023.07.001

Daniel K. Derrick, Noah Fanous, Anne Wells, Jorge Lopera

引用次数: 0

The effects of irreversible electroporation triggering anti-tumor immunity and the value of its combination with immunotherapy 不可逆电穿孔触发抗肿瘤免疫的作用及其与免疫疗法结合的价值。

Journal of Interventional Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.jimed.2023.07.005

Hengyu Li, Yu Zhou, Xiaoxia Guo, Qiwei Zhang, Xiaoyi Ding

引用次数: 0

Application of transmesenteric vein extrahepatic portosystemic shunt in treatment of symptomatic portal hypertension with cavernous transformation of portal vein 经肠系膜静脉肝外门静脉系统分流术在门静脉海绵样变性对症门静脉高压症治疗中的应用

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.04.001

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}

引用次数: 0

Comprehensive classifications for the endovascular recanalization of vertebral artery stump syndrome 椎动脉残端综合征血管内再通的综合分类

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.04.007

Wenbin Zhang , Chao Li , Mingchao Shi, Jie Zhou, Feixue Yue, Kangjia Song, Shouchun Wang

{"title":"Comprehensive classifications for the endovascular recanalization of vertebral artery stump syndrome","authors":"Wenbin Zhang , Chao Li , Mingchao Shi, Jie Zhou, Feixue Yue, Kangjia Song, Shouchun Wang","doi":"10.1016/j.jimed.2023.04.007","DOIUrl":"10.1016/j.jimed.2023.04.007","url":null,"abstract":"<div><h3>Background</h3><p>and purpose: To share our single-center vertebral artery stump syndrome (VASS) treatment experience and assess the role of comprehensive classification based on anatomic development, proximal conditions, and distal conditions (PAD).</p></div><div><h3>Materials and methods</h3><p>Data were retrospectively collected from patients who underwent endovascular thrombectomy (EVT) at the Stroke Center of the First Hospital of Jilin University between January 2016 and December 2021. Among patients with acute ischemic stroke in the posterior circulation, those with acute occlusion of the intracranial arteries and occlusion at the origin of the vertebral artery confirmed by digital subtraction angiography were selected. The clinical data were summarized and analyzed.</p></div><div><h3>Results</h3><p>Fifteen patients with VASS were enrolled in the study. The overall success rate of surgical recanalization was 80%. The successful proximal recanalization rate was 70.6%, and the recanalization rates for P1, P2, P3, and P4 were 100%, 71.4%, 50%, and 66.67%, respectively. The mean operation times for the A1 and A2 types were 124 and 120 min, respectively. The successful distal recanalization rate was 91.7%, and the recanalization rates for types D1, D2, D3, and D4 were 100%, 83.3%, 100%, and 100%, respectively. Five patients experienced perioperative complications (incidence rate: 33.3%). Distal embolism occurred in three patients (incidence rate: 20%). No dissection or subarachnoid hemorrhage occurred in any patient.</p></div><div><h3>Conclusion</h3><p>EVT is a technically feasible treatment for VASS, and comprehensive PAD classification can, to a certain extent, help initially estimate the difficulty of surgery and provide guidance for interventional procedures.</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/d3/1e/main.PMC10318328.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807846","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}

引用次数: 0

Isolated superior mesenteric artery dissection: An updated review of the literature 孤立性肠系膜上动脉夹层:最新文献综述

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.04.006

Junhao Mei, Zhongzhi Jia

引用次数: 0

Fracture of inferior vena cava stent after endovascular treatment for Budd-Chiari syndrome: A case series and literature review Budd-Chiari综合征血管内治疗后下腔静脉支架骨折:一个病例系列和文献复习

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.04.004

Pengxu Ding , Wen Zhou , Jiayin Ding , Shaofeng Shui , Luo Xu , Edward Wolfgang Lee

{"title":"Fracture of inferior vena cava stent after endovascular treatment for Budd-Chiari syndrome: A case series and literature review","authors":"Pengxu Ding , Wen Zhou , Jiayin Ding , Shaofeng Shui , Luo Xu , Edward Wolfgang Lee","doi":"10.1016/j.jimed.2023.04.004","DOIUrl":"10.1016/j.jimed.2023.04.004","url":null,"abstract":"<div><p>Budd-Chiari syndrome (BCS) is a rare condition characterized by hepatic venous outflow obstruction. Balloon angioplasty, with or without stenting, is the recommended first-line treatment modality in Asian countries. As a supplement to balloon angioplasty, expandable metallic Z-stent deployment can effectively improve long-term inferior vena cava (IVC) patency. Although stent placement is a standard and frequently performed treatment, very few IVC stent-related complications, such as stent fractures, have been reported. Here we present a case series and a comprehensive review of IVC stent fractures in patients with BCS. The most common characteristic of IVC stent fractures is a protrusion of the proximal segment of the IVC stent into the right atrium and its systolic and diastolic movements along with heart rhythms. Accurate stent deployment, large-diameter balloon dilation, patient breath-holding training, preferential selection of a triple stent, and the use of an internal jugular vein approach to stent deployment may ensure precise stent localization and avoid postoperative complications.</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/e0/12/main.PMC10318319.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9801137","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}

引用次数: 0

Expert consensus on the clinical application of totally implantable venous access devices in the upper arm (2022 Edition) 上臂全植入式静脉通路装置临床应用专家共识(2022版)

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.04.005

Xiaoxia Qiu , Guangxin Jin , Xuebin Zhang , Lichao Xu , Jinxia Ding , Weisong Li , Lejing Yu , Yapeng Wang , Yanfang Shen , Hongzhi Wang , Jue Wang , Haiping Xu , Weiwei Kong , Lin Yuan , Xuming Bai , Ye Liu , Hong Liu , Ming Cai , Feng Luo , Yiqun Yang , Lili Wei

{"title":"Expert consensus on the clinical application of totally implantable venous access devices in the upper arm (2022 Edition)","authors":"Xiaoxia Qiu , Guangxin Jin , Xuebin Zhang , Lichao Xu , Jinxia Ding , Weisong Li , Lejing Yu , Yapeng Wang , Yanfang Shen , Hongzhi Wang , Jue Wang , Haiping Xu , Weiwei Kong , Lin Yuan , Xuming Bai , Ye Liu , Hong Liu , Ming Cai , Feng Luo , Yiqun Yang , Lili Wei","doi":"10.1016/j.jimed.2023.04.005","DOIUrl":"10.1016/j.jimed.2023.04.005","url":null,"abstract":"<div><p>With the widespread adoption of ultrasound guidance, Seldinger puncture techniques, and intracardiac electrical positioning technology for the placement of peripherally inserted central catheters in recent years, an increasing number of medical staff and patients now accept peripheral placement of totally implantable venous access devices (TIVADs) in the upper arm. This approach has the advantage of completely avoiding the risks of hemothorax, pneumothorax, and neck and chest scarring. Medical specialties presently engaged in this study in China include internal medicine, surgery, anesthesiology, and interventional departments. However, command over implantation techniques, treatment of complications, and proper use and maintenance of TIVAD remain uneven among different medical units. Moreover, currently, there are no established quality control standards for implantation techniques or specifications for handling complications. Thus, this expert consensus is proposed to improve the success rate of TIVAD implantation via the upper-arm approach, reduce complication rates, and ensure patient safety. This consensus elaborates on the technical indications and contraindications, procedures and technical points, treatment of complications, and the use and maintenance of upper-arm TIVAD, thus providing a practical reference for medical staff.</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/45/15/main.PMC10318320.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9794881","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}

引用次数: 0

Minimally invasive interventional therapy for pain 微创介入治疗疼痛

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.03.003

Yingjie Hua , Dan Wu , Tian Gao , Lu Liu , Yanyu He , Yiming Ding , Qiaoying Rao , Qiaohong Wu , Zhongwei Zhao

引用次数: 0

Mid-term outcomes of left subclavian artery revascularization with Castor stent graft in treatment of type B aortic dissection in left subclavian artery 左锁骨下动脉血管重建术治疗左锁骨下动脉B型夹层中期疗效观察

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.04.002

Yu Tian , Chengjie Wang , Peng Xie

{"title":"Mid-term outcomes of left subclavian artery revascularization with Castor stent graft in treatment of type B aortic dissection in left subclavian artery","authors":"Yu Tian , Chengjie Wang , Peng Xie","doi":"10.1016/j.jimed.2023.04.002","DOIUrl":"10.1016/j.jimed.2023.04.002","url":null,"abstract":"<div><h3>Background</h3><p>Here we analyzed mid-term data of thoracic endovascular aneurysm repair (TEVAR) surgery with Castor single-branched stent graft placement for the management of Stanford type B aortic dissection (STBAD) involving the left subclavian artery (LSA).</p></div><div><h3>Methods</h3><p>Between April 2014 and February 2019, 32 patients with STBAD involving a Castor single-branched stent graft were included. We analyzed their outcomes, including technical success rate (TSR), surgical duration (SD), presence of ischemia, perioperative complications, LSA patency, and survival rate (SR), using computed tomography angiography and clinical evaluation during mid-term follow-up.</p></div><div><h3>Results</h3><p>The mean patient age was 54.63 ± 12.37 years (range, 36–83 years). The TSR was 96.88% (n = 31/32). The mean SD was 87.44 ± 10.89 with a mean contrast volume of 125.31 ± 19.30 mL. No neurological complications or deaths occurred during the study period. The patients had a mean hospital stay of 7.84 ± 3.20 days. At a mean follow-up of 68.78 ± 11.26 months, four non-aortic deaths (12.5%) were observed. The LSA patency rate was 100% (n = 28/28). There was only one case of type I endoleak immediately after surgery (3.12%) (type I from LSA). However, none of the patients experienced type II endoleaks, and there were no cases of retrograde type A aortic dissection or stent graft-driven new distal entry. Finally, all patients exhibited good LSA patency.</p></div><div><h3>Conclusion</h3><p>TEVAR using a Castor single-branched stent graft may be a highly feasible and efficient procedure for the management of STBAD involving the LSA.</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/59/55/main.PMC10318335.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807848","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}

引用次数: 0

Willis covered stent in the treatment of a recurrent blood blister-like aneurysm after pipeline implementation: A case report Willis覆膜支架治疗管道置入后复发性血泡样动脉瘤1例报告

Journal of Interventional Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.jimed.2023.03.002

Yu Fu , Feng Fan , Jing Li , Sheng Guan

引用次数: 0