Journal of Vascular and Interventional Radiology最新文献

Celiac Plexus Neurolysis Combined with Intratumoral Injection Improves Pain Control Compared with Neurolysis Alone in Patients with Cancer-Related Upper Abdominal Pain Due to Celiac Plexus Invasion: A Retrospective Study. 腹腔丛神经松解联合瘤内注射比单纯神经松解能改善腹腔丛浸润癌性上腹痛患者的疼痛控制：一项回顾性研究。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-16 DOI: 10.1016/j.jvir.2026.109148

Dapeng Guo, Jiaojiao Suo, Guanhong Wu, Chang Liu, Hao Chen, Guanglun Xie

引用次数: 0

Selective Embolization for Recalcitrant Plastic Bronchitis Secondary to a Hepatopulmonary Lymphatic Channel While on VA-ECMO. VA-ECMO对继发于肝肺淋巴通道的顽固性可塑性支气管炎的选择性栓塞治疗。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-16 DOI: 10.1016/j.jvir.2026.109147

Cagla Kutukcu, Joseph Miller, Darren Berman, Neil D Patel

引用次数: 0

Multi-Institutional Review of Inferior Vena Cava Filter Use in Pediatric Patients. 下腔静脉过滤器在儿科患者中使用的多机构综述。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-15 DOI: 10.1016/j.jvir.2026.109146

Michael J Temple, Eric Monroe, Anne Marie Cahill, Gulraiz Chaudry, Aparna Annam, Patricia Ladd, Sabri Yilmaz, Neil Fernandes, Sergio Sierre, Matthew Lungren, Victoria Ann Young, Jared Green, Kamlesh Kukreja, João Amaral, Afsaneh Amirabadi, Andrew J Gunn

{"title":"Multi-Institutional Review of Inferior Vena Cava Filter Use in Pediatric Patients.","authors":"Michael J Temple, Eric Monroe, Anne Marie Cahill, Gulraiz Chaudry, Aparna Annam, Patricia Ladd, Sabri Yilmaz, Neil Fernandes, Sergio Sierre, Matthew Lungren, Victoria Ann Young, Jared Green, Kamlesh Kukreja, João Amaral, Afsaneh Amirabadi, Andrew J Gunn","doi":"10.1016/j.jvir.2026.109146","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109146","url":null,"abstract":"Purpose: Children at risk for pulmonary embolism (PE) may be treated with inferior vena cava (IVC) filter insertion when anticoagulation is impossible or ineffective. The purpose of this multi-institutional retrospective review is to better understand the indications and technical and clinical outcomes related to IVC filter placement and removal in pediatric patients.Materials and methods: This study was open to all institutions that placed IVC filters in pediatric patients. Data collected included demographics, indications, procedural details of filter insertion and/or removal, and clinical follow-up. Univariate analysis was performed.Results: A total of 250 filters were placed in 242 pediatric patients (135 male) at 12 participating hospitals between October 1994 and June 2020. Thrombosis was present in 82.8% of patients, PE in 34.8%, and anticoagulation adverse events (AEs) or contraindications in 45.9%. Most filter insertions were technically successful (99.1%); 3.1% were associated with minor AEs, and 0.4% with moderate AEs. Breakthrough pulmonary embolism occurred in 1.4% following filter placement. Filter retrieval rate was 76%. Removal was technically successful in 88% of attempts and resulted in minor AEs in 1.1% and severe AEs in 6.5%. Minor, moderate, and severe device-associated AEs occurred in 8%, 1.6%, and 3.2% of filters, respectively. There was no correlation between age or weight and outcomes, including breakthrough PE, AEs, or mortality.Conclusion: IVC filter insertion in pediatric patients is feasible and associated with a high retrieval rate.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109146"},"PeriodicalIF":3.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single-Session Ablative Radioembolization for Small Hepatocellular Carcinoma Is Associated with Lower Treatment-Episode Charges, Shorter Time to Treatment, and Reduced Travel Burden. 小肝细胞癌的单次消融放射栓塞治疗与较低的治疗费用、较短的治疗时间和减轻的旅行负担相关。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-15 DOI: 10.1016/j.jvir.2026.109145

Shawn Thomas, Breanna Collins, Jeet Minocha, Jonas Will Redmond, Raunak Sandu, Tyler Clark Mandt, Zachary Tyler Berman

{"title":"Single-Session Ablative Radioembolization for Small Hepatocellular Carcinoma Is Associated with Lower Treatment-Episode Charges, Shorter Time to Treatment, and Reduced Travel Burden.","authors":"Shawn Thomas, Breanna Collins, Jeet Minocha, Jonas Will Redmond, Raunak Sandu, Tyler Clark Mandt, Zachary Tyler Berman","doi":"10.1016/j.jvir.2026.109145","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109145","url":null,"abstract":"Purpose: To test the hypothesis that, compared with conventional two-session transarterial radioembolization (TARE), single-session TARE (ssTARE) is associated with lower hospital charges, fewer modeled interventional radiology (IR) physician work relative value units (wRVUs), shorter consultation-to-treatment intervals, and less procedure-related travel in selected patients undergoing ablative TARE for hepatocellular carcinoma (HCC).Materials and methods: This single-institution retrospective review included 312 treatment episodes in 255 patients between January 2022 and April 2026, comprising 96 single-session ablative TARE episodes and 216 conventional TARE episodes. Conventional TARE was defined as mapping angiography with Tc-99m MAA administration, SPECT/CT, and lung shunt fraction calculation followed by Y-90 administration during a separate encounter.Results: Ninety-three of 96 ssTARE attempts (96.9%) had successful Y-90 delivery. All treatments used glass microspheres. Mean recorded hospital charges were $118,656 for conventional TARE (n=202) and $86,193 for ssTARE (n=51), a 27.4% reduction (p < 0.001). Lower charges persisted in sensitivity analyses. ssTARE was associated with 17.9% fewer modeled IR physician wRVUs and 42.6% fewer modeled driving miles (p < 0.01). The primary consultation-to-treatment interval was 15 days shorter (p < 0.01).Conclusion: In selected patients with HCC, ssTARE was associated with lower recorded institutional charges, fewer modeled procedure-related travel miles, and a shorter consultation-to-treatment interval.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109145"},"PeriodicalIF":3.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of Radiofrequency Combined with Chemical Sympatholysis in the Treatment of Primary Palmar Hyperhidrosis: A Retrospective Cohort Study. 射频联合化学交感神经溶解治疗原发性手心多汗症的疗效：一项回顾性队列研究。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-14 DOI: 10.1016/j.jvir.2026.109135

Yue Wu, QianQian Xing, Hua Huang, SuMing Tian, FeiFang He, Gang Chen

{"title":"Efficacy of Radiofrequency Combined with Chemical Sympatholysis in the Treatment of Primary Palmar Hyperhidrosis: A Retrospective Cohort Study.","authors":"Yue Wu, QianQian Xing, Hua Huang, SuMing Tian, FeiFang He, Gang Chen","doi":"10.1016/j.jvir.2026.109135","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109135","url":null,"abstract":"Purpose: To investigate and compare the efficacy and safety of radiofrequency thermocoagulation (RFT) and combined with chemical sympatholysis (RFT-CS) for the treatment of primary palmar hyperhidrosis (PPH) (Hyperhidrosis Disease Severity Scale [HDSS] grade III or IV).Materials and methods: Patients who underwent computed tomography-guided percutaneous thoracic sympathetic neurolysis (TSN) for PPH were retrospectively analyzed and divided into two treatment regimens: RFT (group RFT, N = 60, 120 sides) and RFT combined with CS (group RFT-CS, N = 58, 116 sides).Results: At 1, 3, 6, 12, and 24 months, the number of sides with HDSS III/IV in the RFT group was 29, 32, 41, 47, and 56, respectively; in the RFT-CS group, 25, 31, 36, 40, and 45, with no statistically significant intergroup differences at any time point (all P ≥ .05). Overall recurrence rates rose from 3.0% at 1 month to 19.5% at 24 months, with no significant differences between groups at any time point (all P ≥ .05). The RFT-CS group had significantly higher compensatory hyperhidrosis (CH) rates at 12 months (62.1% vs. 56.7%; P = .012) and 24 months (58.6% vs. 50.0%; P = .014), and a higher incidence of thoracic neuralgia at 1 month (P = .023) and 3 months (P = .011).Conclusion: Both of the TSN treatment modes are effective for the treatment of severe PPH. Compared with RFT alone, RFT combined with CS does not seem to show better efficacy but increases the occurrence of CH and thoracic neuralgia.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109135"},"PeriodicalIF":3.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intra-Articular Injection Use and Total Knee Arthroplasty After Genicular Artery Embolization for Knee Osteoarthritis: A Matched National Claims Analysis. 膝关节动脉栓塞后使用关节内注射和全膝关节置换术治疗膝骨关节炎：一项匹配的国家索赔分析。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-14 DOI: 10.1016/j.jvir.2026.109144

Aryaman Singh, Manav Shah, Rohan Vij, Chandler Fountain, J David Prologo

{"title":"Intra-Articular Injection Use and Total Knee Arthroplasty After Genicular Artery Embolization for Knee Osteoarthritis: A Matched National Claims Analysis.","authors":"Aryaman Singh, Manav Shah, Rohan Vij, Chandler Fountain, J David Prologo","doi":"10.1016/j.jvir.2026.109144","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109144","url":null,"abstract":"Purpose: To characterize intra-articular injection use before and after genicular artery embolization (GAE) for knee osteoarthritis (OA) and to compare progression to total knee arthroplasty (TKA) with matched knee OA patients.Materials and methods: This retrospective cohort study used the Merative MarketScan Commercial and Medicare Supplemental databases, 2014-2024. Patients undergoing GAE for knee OA were identified by CPT code 37242 with a knee OA diagnosis within 7 days, excluding non-OA indications. Annualized steroid and any intra-articular injection use was compared for the 12 months before and 6 months after GAE. Progression to TKA at 6 and 12 months was analyzed against non-GAE knee OA patients matched 10:1 on age, sex, region, index year, and baseline injection frequency.Results: Of 436 patients with GAE for knee OA, 126 met enrollment criteria for the injection analysis (mean age, 64.2 years; 57.9% female). Mean annualized steroid injection use decreased from 0.96 to 0.48 per patient-year (-50.4%; P = .004) and any intra-articular injection from 2.88 to 1.60 (-44.4%; P < .001). Among 52 baseline steroid injection users, 36 (69.2%) stopped and 46 (88.5%) had fewer injections. TKA did not differ from matched comparators at 6 months (5.8% vs 6.8%; P = .858) or 12 months (13.1% vs 12.8%; P = 1.000).Conclusion: Steroid injection use decreased after GAE, while early progression to TKA did not differ from matched comparators. Prospective studies with longer follow-up and clinical outcomes are needed to determine whether GAE reduces the need for injections or affects long-term TKA rates.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109144"},"PeriodicalIF":3.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Percutaneous Deep Venous Arterialization Using the Boomerang® Catheter System. 使用Boomerang®导管系统经皮深静脉动脉化。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-12 DOI: 10.1016/j.jvir.2026.109138

Jeffrey Hull, Jill Sommerset Rvt, Guillermo Elizondo-Riojas, Joseph R Steele, John H Rundback

引用次数: 0

Patient-Defined Experience in Venous-Origin Chronic Pelvic Pain: Conceptual Foundation for a Disease-Specific Patient-Reported Outcome Measure. 静脉源性慢性骨盆疼痛的患者定义经验：疾病特异性患者报告结果测量的概念基础。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-12 DOI: 10.1016/j.jvir.2026.109142

Neil M Khilnani, Gabriel E Vallejos-Penaloza, Robin M Pokrzywinski, Richard P Marvel, Sara R Till, Howard T Sharp, Emily Von Bargen, Kenneth I Barron, Katelyn Cutts, Mark H Meissner, Ashley L Gubbels

{"title":"Patient-Defined Experience in Venous-Origin Chronic Pelvic Pain: Conceptual Foundation for a Disease-Specific Patient-Reported Outcome Measure.","authors":"Neil M Khilnani, Gabriel E Vallejos-Penaloza, Robin M Pokrzywinski, Richard P Marvel, Sara R Till, Howard T Sharp, Emily Von Bargen, Kenneth I Barron, Katelyn Cutts, Mark H Meissner, Ashley L Gubbels","doi":"10.1016/j.jvir.2026.109142","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109142","url":null,"abstract":"Purpose: To characterize the symptoms, daily life impacts, and patient-defined meaningful treatment benefits of women with venous-origin chronic pelvic pain (VO-CPP), and to establish the conceptual basis for a disease-specific patient-reported outcome measure (PROM).Materials and methods: Twenty-one adult women with gynecologic pain specialist-confirmed VO-CPP underwent semi-structured concept elicitation interviews at seven U.S.Centers: Interviews explored symptoms, daily life impacts, and patient-defined meaningful treatment benefits. Transcripts were analyzed using thematic analysis to develop a patient-centered conceptual model.Results: No new impact concepts emerged after five interviews and no new symptom concepts after sixteen; five additional interviews confirmed saturation of symptom and impact concepts. Participants reported a broad symptom burden, with 76% describing ≥10 symptoms, and all reported impacts across at least three daily life domains. Although pelvic pain reduction was the most frequently identified meaningful treatment benefit, participants consistently defined meaningful improvement as restoration of daily functioning and valued activities rather than pain reduction alone.Conclusion: Women with VO-CPP experience a multidimensional disease burden extending well beyond pain intensity alone. Treatment outcomes assessment should incorporate patient-defined symptoms, daily life impacts, and meaningful benefits. These findings provide a patient-centered conceptual foundation for development of a VO-CPP PROM.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109142"},"PeriodicalIF":3.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Balloon-occluded pulmonary arteriography and n-butyl cyanoacrylate embolization of angiographically occult pulmonary artery pseudoaneurysms. 球囊闭塞肺动脉造影及氰基丙烯酸丁酯栓塞术治疗肺动脉隐匿性假性动脉瘤。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-12 DOI: 10.1016/j.jvir.2026.109141

Hideki Ishimaru, Maki Hirao, Shuto Miyamura, Satomi Yoshimi, Taiga Oka, Chika Somagawa, Takahiro Kagimoto, Tomoki Minami, Kenji Nagaoki, Ryo Toya

{"title":"Balloon-occluded pulmonary arteriography and n-butyl cyanoacrylate embolization of angiographically occult pulmonary artery pseudoaneurysms.","authors":"Hideki Ishimaru, Maki Hirao, Shuto Miyamura, Satomi Yoshimi, Taiga Oka, Chika Somagawa, Takahiro Kagimoto, Tomoki Minami, Kenji Nagaoki, Ryo Toya","doi":"10.1016/j.jvir.2026.109141","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109141","url":null,"abstract":"Angiographically occult pulmonary artery pseudoaneurysms - suspected on computed tomography but not shown at selective pulmonary angiography - have been presumed to have an occluded parent artery, and systemic-feeder embolization alone is often not curative. Three consecutive men with infection-related pseudoaneurysms presenting with massive hemoptysis were treated. In each, selective pulmonary angiography without occlusion showed proximal washout of injected contrast, consistent with reversed flow in the parent branch. The branch was occluded immediately proximal to the sac with a 4.0-mm microballoon - or, initially in one patient, a fortuitously wedged 5-F catheter - and hand injection under occlusion opacified the previously occult sac, which was then embolized with 25% n-butyl cyanoacrylate through a microballoon, without same-session systemic-artery embolization. All three achieved technical and clinical success, without recurrent hemoptysis over 17-22 months. Occultness does not equate to an occluded parent artery.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109141"},"PeriodicalIF":3.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ex Vivo Histopathological Validation of Optical Frequency Domain Imaging for Diagnosing Intimal and Medial Calcification in a Single Femoropopliteal Lesion. 光频域成像诊断单个股腘动脉内膜和内侧钙化的离体组织病理学验证。

IF 3.1 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2026-10-12 DOI: 10.1016/j.jvir.2026.109139

Haruya Yamane, Sho Torii, Norihito Nakamura, Yasunori Ueda

{"title":"Ex Vivo Histopathological Validation of Optical Frequency Domain Imaging for Diagnosing Intimal and Medial Calcification in a Single Femoropopliteal Lesion.","authors":"Haruya Yamane, Sho Torii, Norihito Nakamura, Yasunori Ueda","doi":"10.1016/j.jvir.2026.109139","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109139","url":null,"abstract":"Optical frequency domain imaging (OFDI) is available to guide atherectomy for severely calcified femoropopliteal lesions in patients with lower extremity artery disease, although its diagnostic accuracy has not been histologically validated. We evaluated the diagnostic capability of OFDI through histopathological co-registration. A total of 38 OFDI cross-sectional images from a single vessel in one patient were successfully co-registered with corresponding histological sections and analyzed. The internal elastic lamina was not identified in 52.6% of images. OFDI detected 60.2% of all calcifications identified histologically, with substantially higher detection rates for intimal than medial calcification (72.3% vs 30.8%). These findings indicate that OFDI provides acceptable assessment of intimal calcification but has limited capability for visualizing the medial layer in severely calcified femoropopliteal lesions. Recognition of these limitations may facilitate more appropriate pre-procedural planning for atherectomy in patients with severely calcified femoropopliteal disease.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109139"},"PeriodicalIF":3.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0