Journal of Vascular and Interventional Radiology最新文献

{"title":"Drug-Coated Balloon Angioplasty for Femoropopliteal In-Stent Restenosis: Predictors and Outcomes from a Multicenter Study.","authors":"Ye Du, Zhimin Chen, Youpeng Zhu, Wenbo Yang, Meng Ye, Ziheng Wu, Zibo Feng","doi":"10.1016/j.jvir.2026.108836","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108836","url":null,"abstract":"<p><strong>Purpose: </strong>To test the hypothesis that procedural technique factors, particularly vessel preparation, would predict outcomes more strongly than anatomic complexity in patients with femoropopliteal in-stent restenosis (FP-ISR) treated with drug-coated balloons (DCB).</p><p><strong>Materials and methods: </strong>From the PROMISING registry, 281 patients with FP-ISR underwent DCB treatment at 9 centers in China (2021-2023). The cohort had complex disease: 68.0% Tosaka grade III total in-stent occlusions; mean total treated segment length 26.0±11.4 cm; 85.1% TASC C/D classification of the overall femoropopliteal segment; and 47.3% critical limb-threatening ischemia (CLTI). Primary endpoints were clinically driven target lesion revascularization (CD-TLR) and major adverse limb events (MALE) at 12 months. Multivariable Cox regression analysis identified independent predictors.</p><p><strong>Results: </strong>At 12 months, cumulative incidence was 12.6% for CD-TLR and 14.1% for MALE. Major amputation occurred in 0.7%, and amputation-free survival was 92.9%. Quality of life improved substantially (VascuQoL: 2.6±0.9 to 5.3±1.2, P<0.001). Pre-dilation was the strongest independent predictor of favorable outcomes (CD-TLR: hazard ratio [HR]=0.28, 95% confidence interval [CI] 0.14-0.59, P<0.001; MALE: HR=0.28, 95% CI 0.14-0.58, P<0.001), whereas CLTI predicted worse outcomes (CD-TLR: HR=2.44, P=0.008; MALE: HR=2.25, P=0.015). Lesion length ≥250 mm and Tosaka grade III occlusion patterns were not significant predictors.</p><p><strong>Conclusions: </strong>In complex FP-ISR, adequate vessel preparation through pre-dilation before DCB deployment was the strongest predictor of success, superseding anatomic complexity factors. These findings support routine pre-dilation as a modifiable technical factor to optimize DCB outcomes in clinical practice.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108836"},"PeriodicalIF":2.6,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857181","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}

{"title":"Functional Aortic Stenosis Caused by an Ascending Aortic Pseudoaneurysm Leading to Acute Heart Failure: A Case Report.","authors":"Nathan C Gilmore, Cristobal Ducaud, Brian Schiro, Mehrdad Ghoreishi","doi":"10.1016/j.jvir.2026.108835","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108835","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108835"},"PeriodicalIF":2.6,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845518","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}

{"title":"In Memoriam: Dr. Darren Postoak.","authors":"Hector Ferral, Scott W Peterson, Aaron Montgomery, Peter Kvamme, Jeffrey D Vogel","doi":"10.1016/j.jvir.2026.108561","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108561","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 5","pages":"108561"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787536","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}

{"title":"An Innovated Combination of Screws with Photodynamic Nails for Fixating Pathologic Pubic Ring Fractures: A Case Report.","authors":"James R Dowd, Brandon M Key, David M King","doi":"10.1016/j.jvir.2026.108834","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108834","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108834"},"PeriodicalIF":2.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823018","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}

{"title":"Lipiodol-based balloon-occluded transcatheter arterial chemoembolization can be a curative treatment option for hepatocellular carcinoma.","authors":"Dong Il Gwon, Jin Hyoung Kim, Hee Ho Chu, Gun Ha Kim, Jihoon Kim, Byung Soo Im, Gi-Young Ko, Hyun-Ki Yoon","doi":"10.1016/j.jvir.2026.108826","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108826","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether lipiodol-based balloon-occluded transcatheter arterial chemoembolization (B-TACE) could be a curative treatment option for hepatocellular carcinoma (HCC) on the basis of pathological evaluation and clinical follow-up results.</p><p><strong>Materials and methods: </strong>Eighty-two patients who presented with treatment-naive HCC between September 2018 and January 2024 were included in this single-center retrospective study. Radiological evaluations of oily subsegmentectomy, defined as necrotic area that includes the entire lipiodol-laden HCC and peritumoral liver parenchyma with absent perfusion on arterial and portal venous image, were performed.</p><p><strong>Results: </strong>Subsegmental B-TACE was technically successful in all 82 patients with a single HCC (mean diameter, 36 mm; range, 18-65 mm). A complete response (CR) and oily subsegmentectomy on first follow-up computed tomography (CT) were observed in 81 (98.8%) and 33 (40.2%) patients, respectively. Curative response, including pathological complete necrosis (36 of 39) and CR without local recurrence (LR) (28 of 43), was achieved during follow-up in 64 (78%) of 82 patients. During the median follow-up of 39.1 months, 14 HCCs (32.6%) demonstrated LR. All 33 patients with oily subsegmentectomy showed pathological complete necrosis (n=19) and none demonstrated any LR (n=14). Univariate log-rank analysis showed that the oily subsegmentectomy-positive group had a significantly lower LR rate than the oily subsegmentectomy-negative group (p=0.013).</p><p><strong>Conclusion: </strong>Lipiodol-based subsegmental B-TACE is an effective method with a high initial CR rate in patients with a single HCC. Oily subsegmentectomy on first follow-up CT is a good predictor of complete necrosis of HCC. Therefore, lipiodol-based B-TACE can be considered a curative treatment option in selected patients showing oily subsegmentectomy.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108826"},"PeriodicalIF":2.6,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787462","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}

{"title":"Comparison of Functional Outcomes and Safety of Acute Carotid Stenting versus Thrombectomy alone in the treatment of patients with Tandem Occlusions in acute ischemic stroke.","authors":"Jonnatan Camilo Beltrán-Guaquetá, C Alejandro Luzardo-Neira, Camilo Alvarado-Bedoya, María F Estevez, Sergio Serrano, Adriana Reyes, Andrés F Ortiz, Oliverio Vargas, Carlos A Ferreira, Daniel Mantilla","doi":"10.1016/j.jvir.2026.108822","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108822","url":null,"abstract":"<p><strong>Background and purpose: </strong>To compare functional outcomes and procedure-related complication rates between patients with tandem occlusions treated with endovascular thrombectomy plus extracranial internal carotid artery stenting (ES) and those treated with endovascular thrombectomy alone (E).</p><p><strong>Materials and methods: </strong>Retrospective cohort study conducted between October 2016 and June 2025. All patients with tandem occlusions treated with endovascular therapy were included. Data were obtained from an anonymized clinical database of the Interventional Radiology Service at a high-complexity referral center in Colombia.</p><p><strong>Results: </strong>A total of 66 patients with tandem occlusions were identified, 21 underwent CAS and 45 were treated with EVT alone. CAS (ES) group achieved higher rates of excellent reperfusion (TICI 2c-3: 76% vs 47%, P=0.024). mRS 0-2 was more frequent with CAS (42.9% vs 17.8%, p=0.03), with significantly lower mortality (19% vs 51%, P=0.013). CAS was associated with higher odds of successful reperfusion ( OR: 3.65; 95% CI, 1.14-11.69; P= 0.029), while baseline higher NIHSS was negatively associated with functional independence (adjusted OR: 0.82; 95% CI, 0.73-0.92; P= 0.002). The crude association between carotid ES group and functional outcome was not maintained in the multivariable analysis (adjusted OR: 2.07; 95% CI, 0.58-11.62; P = 0.211) Safety analysis without increase in hemorrhagic complications.</p><p><strong>Conclusions: </strong>Extracranial CAS was associated with higher rates of successful reperfusion without an increased risk of hemorrhagic complications. Associations with functional outcomes observed in crude analyses were not maintained after multivariable adjustment. This provide novel real-world evidence from an Latin American cohort, supporting CAS as a safe and effective strategy.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108822"},"PeriodicalIF":2.6,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787473","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}

{"title":"Tandem Occlusions in acute ischemic stroke - a clinical conundrum.","authors":"Martin G Radvany","doi":"10.1016/j.jvir.2026.108821","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108821","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108821"},"PeriodicalIF":2.6,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787524","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}

{"title":"Paradoxical Embolization in Untreated Recurrent Pulmonary Arteriovenous Malformations: Incidence and Risk Factors.","authors":"Lucas Bitsko, Qian Yu, Rajangad Gurtatta, Elizabeth Knight, Quyen Nguyen, Adam Fish","doi":"10.1016/j.jvir.2026.108823","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108823","url":null,"abstract":"<p><p>This study estimated the incidence of paradoxical embolization (PDE) in patients with untreated pulmonary arteriovenous malformation (PAVM) recurrence after embolotherapy and explored potential lesion- and patient-level associations. Fifteen patients with 25 recurrent PAVMs were identified; all lesions remained untreated for ≥1 year, often in the setting of fragmented care. Over 65.1 patient-years of follow-up, six patients (40%; 95% CI, 16-68%) experienced PDE, corresponding to an annualized rate of 9.2 events per 100 patient-years (95% CI, 3.4-20.0). Lesions in patients with PDE were larger and recurrence burden was greater, although differences were not statistically significant. Follow-up intervals were heterogeneous, and among patients without events, median follow-up from recurrence was 48.7 months. These findings suggest a persistent risk of PDE in untreated recurrent PAVMs and support ongoing surveillance and consideration of reintervention, while underscoring the need for larger studies.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108823"},"PeriodicalIF":2.6,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787509","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}

{"title":"Impact of Genetic Mutations on Response and Time to Progression After Radioembolization of Breast Cancer Liver Metastases.","authors":"Bajnauth Daana, Deipolyi Amy, Annie Frank, Bryce Yolanda","doi":"10.1016/j.jvir.2026.108819","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108819","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the association between genetic mutations and clinical outcomes, including response and time to progression, in patients with breast cancer liver metastasis treated with Y-90 radioembolization.</p><p><strong>Materials and methods: </strong>This is a retrospective, single-institution study. 110 female patients with breast cancer liver metastasis who underwent Y-90 radioembolization were included. Genomic profiling was conducted using MSK-IMPACT. Patient demographics and treatment response were collected from electronic medical records and Picture Archiving and Communication System (PACS). Y-90 response was categorized as complete, partial, none, or progression. Time to progression was analyzed in patients with an initial response. Median survival using Kaplan Meier estimation was correlated to genetic mutations. 17 patients died before progression was assessed, and 6 patients were not yet evaluated post-procedure.</p><p><strong>Results: </strong>Overall median survival was 32.8 months (1.3 - 173.0). Patients with the ERBB2 mutation showed the longest median survival (70.2 months [12.5 - 173.0]), while the RAD21 mutation had the shortest median survival (25.5 months [2.4 - 173.0]). KDM5C and CBFB mutations were associated with the highest response rates (100%, p=0.003 and p=0.014, respectively), while the H3C13 mutation was associated with the lowest response rate (0%, p=0.002). Median time to progression was 32.8 months (1.4 - 173.0) in patients with an initial treatment response. The H3F3B mutation was associated with the longest time to progression (105 months [50.2 - 105.0]), while the RUNX1 mutation was associated with the shortest time to progression (1.4 months [1.4 - 36.5]).</p><p><strong>Conclusion: </strong>Specific genetic mutations are associated with survival, response rate, and time to progression after Y-90 radioembolization. This study underscores the potential use of genetic profiling to individualize treatment plans.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108819"},"PeriodicalIF":2.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787482","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}

{"title":"Ultrasound-Guided Anterograde Cervical Thoracic Duct Puncture Facilitating Retrograde Cannulation: An Access Route for Thoracic Duct Endoluminal Interventions.","authors":"Zhichao Yao, Xiaojiang Sun, Dayong Zhou, Zhanao Liu","doi":"10.1016/j.jvir.2026.108820","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108820","url":null,"abstract":"<p><p>We describe an ultrasound-guided anterograde puncture technique for cervical thoracic duct (TD) access to facilitate retrograde endoluminal intervention. Between January 2020 and July 2025, five patients with chylothorax underwent this procedure. Under ultrasound visualization, the cervical TD or its ampulla was punctured antegradely. A microguidewire was advanced and externalized via a femoral venous sheath to establish a through-and-through guidewire pathway. This through-and-through microguidewire allowed for the subsequent retrograde advancement of a guiding catheter and microcatheter into the thoracic segment of the TD. The technical success rate was 100% for both puncture and retrograde cannulation. The mean procedural times for TD access and retrograde cannulation were 9.30 ± 4.27 and 28.00 ± 6.67 minutes, respectively. No complications, such as TD injury or cervical chylous leakage, were encountered. This technique provides a safe, feasible, and effective alternative access route for TD interventions when standard approaches are challenging.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108820"},"PeriodicalIF":2.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787476","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}