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Seminars in Interventional Radiology最新文献

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With Gratitude, Farewell. 带着感激，告别。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2026-03-31 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1811717
Charles E Ray
{"title":"With Gratitude, Farewell.","authors":"Charles E Ray","doi":"10.1055/s-0045-1811717","DOIUrl":"https://doi.org/10.1055/s-0045-1811717","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 6","pages":"571"},"PeriodicalIF":1.3,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Idiopathic Intracranial Hypotension and Cerebrospinal Fluid Leaks: Advances in Imaging and Procedural Management. 特发性颅内低血压和脑脊液漏：影像学和手术治疗的进展。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2026-03-16 eCollection Date: 2025-12-01 DOI: 10.1055/a-2817-1699
Jorge Arturo Larco, B Bersu Ozcan, Heather Early, Fabricio Feltrin
{"title":"Idiopathic Intracranial Hypotension and Cerebrospinal Fluid Leaks: Advances in Imaging and Procedural Management.","authors":"Jorge Arturo Larco, B Bersu Ozcan, Heather Early, Fabricio Feltrin","doi":"10.1055/a-2817-1699","DOIUrl":"https://doi.org/10.1055/a-2817-1699","url":null,"abstract":"<p><strong>Background and purpose: </strong>Idiopathic intracranial hypotension (IIH) and cerebrospinal fluid (CSF) leaks are increasingly recognized causes of debilitating headaches and neurological dysfunction. Accurate diagnosis and timely management are essential to prevent long-term disability. This review aims to synthesize the current knowledge surrounding the pathophysiology of IIH and CSF leaks, with a particular focus on diagnostic imaging strategies and emerging treatment approaches.</p><p><strong>Materials and methods: </strong>A comprehensive review of recent literature was performed, focusing on the pathophysiology, imaging modalities, and treatment strategies for IIH and spontaneous CSF leaks. Emphasis was placed on the role of dynamic myelography, digital subtraction myelography, high-resolution CT myelography, MRI, and interventional radiology techniques in the diagnosis and management of these conditions.</p><p><strong>Results: </strong>Recent advances in neuroimaging, particularly digital subtraction myelography and high-resolution CT, have significantly improved the detection and localization of CSF leaks. Classification systems based on imaging findings guide the selection of treatment strategies, ranging from conservative management and epidural blood patches to minimally invasive embolization and surgical repair. Endovascular embolization for CSF-venous fistulas has demonstrated high rates of symptom resolution and radiological improvement, albeit with a risk of rebound intracranial hypertension.</p><p><strong>Conclusion: </strong>With improved imaging techniques and growing awareness, IIH and CSF leaks can now be accurately diagnosed and effectively managed. A structured, imaging-centered diagnostic algorithm is essential for directing individualized therapy and optimizing clinical outcomes.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 6","pages":"666-673"},"PeriodicalIF":1.3,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic Subdural Hematomas in the Era of Middle Meningeal Artery Embolization. 脑膜中动脉栓塞时代的慢性硬膜下血肿。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2026-02-10 eCollection Date: 2025-12-01 DOI: 10.1055/a-2770-6246
Ansaar T Rai
{"title":"Chronic Subdural Hematomas in the Era of Middle Meningeal Artery Embolization.","authors":"Ansaar T Rai","doi":"10.1055/a-2770-6246","DOIUrl":"https://doi.org/10.1055/a-2770-6246","url":null,"abstract":"<p><p>Chronic subdural hematoma (cSDH) is a common, age-associated condition driven largely by ground-level falls and the widespread use of antithrombotic agents. Its burden is rising with aging population, and a substantial subset of patients meet practical criteria for middle meningeal artery embolization (MMAE). Contemporary understanding frames cSDH as a vascular-inflammatory disorder with recurrent microhemorrhage from fragile neovessels, largely supplied by branches of the middle meningeal artery. Standard care has traditionally relied on surgical evacuation, yet recurrence and reintervention remain frequent in high-risk cohorts. Over the last several years, randomized trials have evaluated MMAE as an adjunct or alternative to usual care. Three trials-EMBOLISE, STEM, and MEMBRANE-demonstrated reduced treatment failure or reoperation with adjunctive MMAE. These findings, coupled with rapid real-world adoption of MMAE, support embolization as an effective strategy to lower recurrence, especially when used with indicated surgery. Remaining questions include optimal patient selection, choice of embolic agent, target depth and laterality (distal vs. proximal, unilateral vs. bilateral), anesthesia strategy, and standardized angiographic workflows that mitigate anastomotic risks. Addressing these evidence gaps, along with health-system planning for rising volumes, will refine algorithms and improve outcomes in this growing population.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 6","pages":"655-665"},"PeriodicalIF":1.3,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refractory and Challenging Thrombectomy. 难治性和挑战性的血栓切除术。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2026-01-29 eCollection Date: 2025-12-01 DOI: 10.1055/a-2770-6180
Charlotte Y Chung, Maksim Shapiro, Vera Sharashidze, Erez Nossek, Sara Rostanski, Caleb Rutledge, Jacob Baranoski, Koto Ishida, Eytan Raz
{"title":"Refractory and Challenging Thrombectomy.","authors":"Charlotte Y Chung, Maksim Shapiro, Vera Sharashidze, Erez Nossek, Sara Rostanski, Caleb Rutledge, Jacob Baranoski, Koto Ishida, Eytan Raz","doi":"10.1055/a-2770-6180","DOIUrl":"https://doi.org/10.1055/a-2770-6180","url":null,"abstract":"<p><p>Despite continued advancement in thrombectomy devices and techniques, a small proportion, approximately 10%, of thrombectomy attempts result in failed reperfusion due to technical difficulties with reaching the clot or recanalizing the occluded vessel. Technically challenging thrombectomy cases are often longer, with more thrombectomy passes, resulting in poorer clinical outcomes and higher rates of complications. Factors causing difficulty during thrombectomy include tortuous vasculature preventing access, challenging clot location (tandem or distal occlusions), underlying vessel abnormality, and hard-to-retrieve clots. Anticipating potentially challenging or refractory thrombectomy cases allows one to plan appropriate procedural strategies with the goal of maximizing technical success and favorable clinical outcome. We review these challenging situations and discuss specific procedural techniques that can be employed in each scenario to overcome the barriers and achieve fast and successful reperfusion.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 6","pages":"635-645"},"PeriodicalIF":1.3,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Back to the Basics: Thrombectomy Devices. 回到基础：取栓装置。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2026-01-27 eCollection Date: 2025-12-01 DOI: 10.1055/a-2781-4349
Asher Mir, Firas Moussa, Logan Holland, Shamit S Desai
{"title":"Back to the Basics: Thrombectomy Devices.","authors":"Asher Mir, Firas Moussa, Logan Holland, Shamit S Desai","doi":"10.1055/a-2781-4349","DOIUrl":"https://doi.org/10.1055/a-2781-4349","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 6","pages":"674-678"},"PeriodicalIF":1.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancements in Devices for the Treatment of Acute Ischemic Stroke: A Comprehensive Overview. 急性缺血性脑卒中治疗设备的进展：全面概述。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2026-01-20 eCollection Date: 2025-12-01 DOI: 10.1055/a-2772-6221
Joseph J Gemmete
{"title":"Advancements in Devices for the Treatment of Acute Ischemic Stroke: A Comprehensive Overview.","authors":"Joseph J Gemmete","doi":"10.1055/a-2772-6221","DOIUrl":"https://doi.org/10.1055/a-2772-6221","url":null,"abstract":"<p><p>Acute ischemic stroke is a critical medical emergency that requires prompt restoration of cerebral blood flow. This comprehensive review discusses the latest technological advances in endovascular stroke therapy, including innovations in vascular access sheaths, balloon guide catheters, aspiration catheters, and stent retrievers. Emphasis is placed on the management of tandem occlusions using carotid artery stenting, the incorporation of dual-layer stents and integrated stent systems, and the evolving role of neuroimaging and artificial intelligence in guiding therapy. With emerging evidence and continuous device evolution, the scope of endovascular treatment is expanding to include broader patient populations and more complex stroke presentations.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 6","pages":"605-613"},"PeriodicalIF":1.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Primer on Medium Vessel Occlusion Stroke: From Detection to Treatment. 中等血管闭塞性中风：从发现到治疗。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2026-01-13 eCollection Date: 2025-12-01 DOI: 10.1055/a-2772-6265
Gunjan Jindal, Antonio Ciacciarelli, Umberto Pensato, Alexander Stebner, Johanna M Ospel
{"title":"A Primer on Medium Vessel Occlusion Stroke: From Detection to Treatment.","authors":"Gunjan Jindal, Antonio Ciacciarelli, Umberto Pensato, Alexander Stebner, Johanna M Ospel","doi":"10.1055/a-2772-6265","DOIUrl":"https://doi.org/10.1055/a-2772-6265","url":null,"abstract":"<p><p>Acute ischemic stroke due to medium vessel occlusion (MeVO) is now recognized as a distinct ischemic stroke entity. Radiologists are often the first to diagnose a MeVO on neuroimaging, which has implications for acute management, patient prognostication, and secondary stroke prevention. In this review, we discuss the anatomical definition, clinical presentation, and neuroimaging characteristics of MeVO stroke. We also critically revise the evidence behind available treatment options and provide a brief outlook on future directions in MeVO stroke imaging and treatment.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 6","pages":"614-621"},"PeriodicalIF":1.3,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention of Venous Thromboembolic Events. 预防静脉血栓栓塞事件。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-12-19 eCollection Date: 2025-10-01 DOI: 10.1055/s-0045-1814099
Kenneth S Cohen
{"title":"Prevention of Venous Thromboembolic Events.","authors":"Kenneth S Cohen","doi":"10.1055/s-0045-1814099","DOIUrl":"10.1055/s-0045-1814099","url":null,"abstract":"<p><p>Venous thromboembolic events increase the risk of chronic morbidity as well as acute mortality. While the incidence of thrombotic disorders is low, intrinsic as well as transient patient risk factors can lead to increased risk of events. Preventive strategies can reduce these risks, but also expose patients to bleeding and other complications. Therefore, preventive strategies should balance the reduction in thrombotic risks with increased bleeding risks. This study will review factors that influence thrombotic risks, medical thromboprophylaxis strategies, and the use of IVC filters to prevent pulmonary emboli.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 5","pages":"563-565"},"PeriodicalIF":1.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum: Interventional Radiology Management of Genitourinary Trauma: Literature, Current Practice, and Strategies for the Future. 误误：泌尿生殖系统创伤的介入放射学管理：文献、当前实践和未来策略。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-12-12 eCollection Date: 2025-08-01 DOI: 10.1055/s-0045-1814100
Grace L Laidlaw, Matthew Abad-Santos, David S Shin, Ethan W Hua, Charles Hua, James Jeffries, Karim Valji, Eric J Monroe, Jeffrey F B Chick
{"title":"Erratum: Interventional Radiology Management of Genitourinary Trauma: Literature, Current Practice, and Strategies for the Future.","authors":"Grace L Laidlaw, Matthew Abad-Santos, David S Shin, Ethan W Hua, Charles Hua, James Jeffries, Karim Valji, Eric J Monroe, Jeffrey F B Chick","doi":"10.1055/s-0045-1814100","DOIUrl":"https://doi.org/10.1055/s-0045-1814100","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0045-1809957.].</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 4","pages":"e1"},"PeriodicalIF":1.3,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum: Interventional Radiology Management of Vascular Trauma in the Pelvis: Literature, Current Practice, and Strategies for the Future. 骨盆血管创伤的介入放射学治疗：文献、当前实践和未来策略。
IF 1.3 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-12-12 eCollection Date: 2025-08-01 DOI: 10.1055/s-0045-1814101
Grace L Laidlaw, David S Shin, Matthew Abad-Santos, Ethan W Hua, Karim Valji, Matthew J Kogut, Eric J Monroe, Avik Som, Jeffrey F B Chick
{"title":"Erratum: Interventional Radiology Management of Vascular Trauma in the Pelvis: Literature, Current Practice, and Strategies for the Future.","authors":"Grace L Laidlaw, David S Shin, Matthew Abad-Santos, Ethan W Hua, Karim Valji, Matthew J Kogut, Eric J Monroe, Avik Som, Jeffrey F B Chick","doi":"10.1055/s-0045-1814101","DOIUrl":"https://doi.org/10.1055/s-0045-1814101","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0045-1809995.].</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"42 4","pages":"e2"},"PeriodicalIF":1.3,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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