Journal of Vascular and Interventional Radiology最新文献

{"title":"Magnetic Resonance-Digital Subtraction Angiography as a Preprocedural Imaging Modality before Transcatheter Arterial Microembolization for Chronic Musculoskeletal Pain.","authors":"Katsutoshi Horiuchi, Shinichi Iwakoshi, Akio Tamura, Masatoshi Ikeno, Takeshi Sato, Kouzou Shimizu, Kenji Kawamura, Yasuhito Tanaka, Toshihiro Tanaka","doi":"10.1016/j.jvir.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.03.008","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study evaluated the potential utility and accuracy of magnetic resonance digital subtraction angiography (MR-DSA) as a preoperative imaging modality for transcatheter arterial microembolization (TAME) in musculoskeletal pain management, compared to conventional digital subtraction angiography (DSA).</p><p><strong>Materials and methods: </strong>Eleven patients with various musculoskeletal conditions underwent MR-DSA and DSA before TAME. Image evaluation was performed on 33 regions of interest (ROIs) across 11 patients. Three experienced readers evaluated abnormal stains using a 4-point scale (0-3). Inter-observer agreements were analyzed using kappa statistics. Sensitivity and specificity of MR-DSA were calculated using DSA as the reference standard. Pain scores (NRS) were obtained pre-TAME and 1 month post-TAME.</p><p><strong>Results: </strong>Inter-observer agreement was substantial for DSA (κ=0.66) and MR-DSA (κ=0.73). MR-DSA showed high sensitivity (1.0) and moderate specificity (0.64) for detecting abnormal stains, with DSA as the reference standard. The pain score decreased by an average of 2.6 on the NRS. Although lesions that were positive on both MR-DSA and DSA tended to show greater pain reduction, this correlation was not statistically significant.</p><p><strong>Conclusion: </strong>MR-DSA is a highly sensitive preoperative imaging modality that can detect abnormal vascular stains associated with musculoskeletal pain. However, its clinical utility remains uncertain, and further large-scale studies are required before drawing definitive conclusions.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639788","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":"Outcomes of Transarterial Hepatic Embolization versus Yttrium-90 Radioembolization for Treatment of Patients with Hepatocellular Carcinoma > 7 cm.","authors":"Sam Y Son, Sara Velayati, Ken Zhao, Brett Marinelli, Ruben Geevarghese, Vlasios S Sotirchos, Anne Covey, James J Harding, Michael I D'Angelica, William R Jarnagin, Alice Wei, Hooman Yarmohammadi","doi":"10.1016/j.jvir.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.03.006","url":null,"abstract":"<p><strong>Purpose: </strong>To assess safety, and outcomes of transarterial hepatic embolization(TAE) and Yttrium-90 radioembolization (TARE) in treating patients with large (>7cm) hepatocellular carcinoma (HCC).</p><p><strong>Methods and materials: </strong>Treatment-naive patients with HCC >7cm who were treated with TAE or TARE between January 2013 to December 2023 were reviewed in this retrospective study. Nearest neighbor 2:1 propensity score matching was utilized for direct comparison. Radiological treatment response was assessed using mRECIST. Kaplan-Meier survival curves were used to estimate progression-free (PFS) and overall survival (OS). Log-rank tests were performed to compare survival curves.</p><p><strong>Results: </strong>A total of 125 patients with HCC>7 cm were treated with TAE (n=103) or TARE (n=22). After propensity score matching, 44 patients who underwent TAE and 22 patients that were treated with TARE were compared. The mean tumor size was 10.4±2.6cm (TAE) and 10.7±2.7cm (TARE) (p>0.695). TAE and TARE exhibited comparable adverse event rates (Grade 1 AE in 22/44 (50%) in TAE and 6/22 (27%) in TARE; p=0.999; One grade 2 (4.5%)AE in TAE. Median OS was 15.2 and 23.6 months in the TAE and TARE groups, respectively (p=0.252). Median local progression-free survival (LPFS; 4.7 vs 21.6 months, p<0.001) and PFS (3.6 vs 10.0 months, p=0.002) were significantly longer after TARE. TAE and TARE had similar objective response rates (TAE=88.6% vs TARE = 77.3%, p=0.364). Systemic therapy after TAE or TARE was a significant positive prognostic factor associated with disease progression and survival (PFS, HR=0.58, p=0.047; OS, HR=0.33, p<0.001).</p><p><strong>Conclusion: </strong>TAE and TARE are both safe transarterial therapies for patients with HCC >7 cm. TARE is associated with a longer time to progression and longer OS.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634856","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":"Resolution of Post-Operative Liver Lymphatic Leakage Following Lipiodol Injection Without Embolization.","authors":"Chanyoung Rhee, Saebeom Hur","doi":"10.1016/j.jvir.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.03.007","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634864","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":"Periprocedural and Long-Term Outcomes of Carotid Stent Placement in Patients with Very Severe Carotid Artery Stenosis vs Carotid Near Occlusion with Full Collapse: A Propensity Score Matching Analysis.","authors":"Zhenyu Zhou, Xiao Tang, Hanfei Tang, Tonglei Han, Fen Yu, Zhenyu Shi, Minhui Li, Jiaqi Zhu, Bin Gao, Yi Si, Changpo Lin, Weiguo Fu, Daqiao Guo","doi":"10.1016/j.jvir.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.03.005","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the periprocedural and 5-year outcomes between patients with very severe stenosis (80%-99% stenosis) and those with carotid near occlusion (CNO) with full collapse.</p><p><strong>Materials and methods: </strong>Data from patients with very severe stenosis and CNO with full collapse who underwent carotid artery stenting (CAS) at our center were retrospectively analyzed from January 2018 to December 2021. Unmatched and propensity score-matched (PSM) comparisons of periprocedural complications and 5-year follow-up rates for in-stent restenosis, ipsilateral ischemic stroke, myocardial infarction (MI), and mortality were conducted between the two groups.</p><p><strong>Results: </strong>A total of 555 patients (481 patients in the very severe stenosis group and 74 in the CNO with full collapse group) were included. PSM resulted in 61 subjects from the CNO group being matched with 183 from the control group. The periprocedural complications did not differ significantly between the two groups after PSM. The 5-year follow-up results demonstrated no significant differences in outcomes between the two groups. Kaplan-Meier curves showed that the 5-year rate of freedom from stroke was 89% (CNO group) versus 92% (control group) (p = 0.5). The 5-year rate of freedom from in-stent restenosis was 89% (CNO group) versus 91% (control group) (p = 0.64), while that from death, myocardial infarction, and stroke incidence was 84% (CNO group) versus 87% (control group) (p = 0.43).</p><p><strong>Conclusions: </strong>Carotid near-occlusion with full collapse showed long-term outcomes comparable to those of very severe carotid stenosis following CAS.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631008","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":"Recurrence Rates of Pediatric Gastrojejunostomy Tube-Related Intussusceptions: Immediate Tube Exchange vs. A Period of Bowel Rest.","authors":"Aisling Carroll Downey, Suhaila Abdelhalim, Jaime Alonso, Afsaneh Amirabadi, Dimitri Parra, Alessandro Gasparetto, Joao Amaral","doi":"10.1016/j.jvir.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.03.001","url":null,"abstract":"<p><p>This study compared the recurrence rate of gastrojejunal (GJ) tube-related intussusceptions managed with temporary tube removal for \"bowel rest\" versus immediate tube exchange. The secondary aim was to compare the time to recurrence between the two management groups. A total of 92 episodes in 56 pediatric patients were analyzed, with demographics, tube characteristics, and interventions recorded. Recurrence rates were compared using the Chi-squared test, and time to recurrence was analyzed with the Kaplan-Meier method. The median age was 23 months (range 2-184 months), the median weight was 10.9kg (range 3-36 kg), and 51.1% of episodes occurred in females. Fifty three percent of recurrences occurred in the bowel rest group, and 47% in the immediate reinsertion group. No statistically significant difference was found in the recurrence rates (p=1.000) or time to recurrence (p=0.364). The findings indicate that immediate tube exchange may be an effective management strategy in clinically stable patients.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617669","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":"TEMPORARY REMOVAL: Interventional Radiology Checklist for Artificial Intelligence Research Evaluation.","authors":"James T Anibal, Hannah B Huth, Tom Boeken, Dania Daye, Judy Gichoya, Fernando Gómez Muñoz, Julius Chapiro, Bradford J Wood, Daniel Y Sze, Klaus Hausegger","doi":"10.1016/j.jvir.2024.12.585","DOIUrl":"https://doi.org/10.1016/j.jvir.2024.12.585","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631009","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":"Percutaneous Needle Aspiration of an Air Embolus in the Descending Aorta After Lung Microwave Ablation.","authors":"Vlasios S Sotirchos, Ken Zhao, Erica S Alexander, Constantinos T Sofocleous, Stephen B Solomon, Francois H Cornelis","doi":"10.1016/j.jvir.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.03.002","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598179","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 the Effectiveness of Inguinal Lymphangiography and Transjugular Intrahepatic Portosystemic Shunt (TIPS) Creation in Cirrhosis-Related Chylous Ascites.","authors":"Zhengqiang Yang, Yukang Li, Haihua Chen, Han Bao, Jizhou Geng, Jingui Li, Xitong Zhang, Xiangjun Han","doi":"10.1016/j.jvir.2025.02.034","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.02.034","url":null,"abstract":"<p><p>To investigate the effectiveness of ethiodized oil lymphangiography and TIPS creation in cirrhosis-related chylous ascites, ten patients were included between January 2019 and December 2023. After the failure of conservative treatment, patients received ethiodized oil lymphangiography to identify and embolize the chylous leakage first, and then the TIPS procedure was conducted. Symptoms of chylous leakage were not controlled after ethiodized oil lymphangiography, including patients' weight increase, abdominal circumference increase, and serum albumin level decrease. After undergoing TIPS procedure one week later, chylous ascites gradually alleviated, including patients' weight decrease, abdominal circumference decrease, and serum albumin level maintenance. In the follow-up of 15.6 ± 11.6 months, all chylous ascites were relieved without recurrence. In summary, ethiodized oil inguinal node lymphangiography was not capable of identifying and controlling lymphatic leakage, but TIPS creation is an effective method to control chylous ascites in patients with cirrhosis.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587758","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":"Portal and Hepatic Vein Embolization vs Portal Venous Embolization Alone in Cirrhotic and Non-cirrhotic Swine: A Pilot Study.","authors":"Jonathan Tefera, Tom N Kuhn, Nickolai J Matuschewski, Ellen Meister, Jana Nguyenová, Tabea Kao, Martin Mutonga, Ryan Bitar, Vinzent Kahl, Xuchen Zhang, Annabella Shewarega, Julius Chapiro, David C Madoff","doi":"10.1016/j.jvir.2025.02.028","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.02.028","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of PVE and HVE compared to PVE in cirrhotic and non-cirrhotic swine.</p><p><strong>Methods: </strong>Sixteen Yorkshire pigs were included in this study. In the cirrhotic group (n = 8) and non-cirrhotic group (n = 8), subjects underwent embolization according to established protocols. CT scans were acquired before and at two- and four-week intervals following the embolization. Liver volumes were segmented in the portal venous phase. Student's t-test with a significance level at p<0.05 was used.</p><p><strong>Results: </strong>Across all swine, the FLR was significantly larger after PVE + HVE to PVE at two weeks (24.12% [95% CI: 15.36%, 32.88%] vs. 12.75% [95% CI: 7.43%, 18.07%], p = 0.021) and four weeks (23.23% [95% CI: 15.79%, 33.47%] vs. 15.08% [95% CI: 9.98%, 20.87%], p = 0.043) post-embolization. In the cirrhotic group, the FLR increase was greater following PVE + HVE compared to PVE at two weeks (20.85% [95% CI: 14.40%, 27.30%] vs. 8.66% [95% CI: 6.47%, 10.86%], p = 0.0089) and four weeks (19.27% [95% CI: 17.87%, 20.67%] vs. 13.33% [95% CI: 9.23%, 13.33%], p = 0.0003) post-embolization.</p><p><strong>Conclusions: </strong>PVE + HVE resulted in greater FLR hypertrophy than PVE alone indicating that cirrhotic livers may benefit from the addition of HVE.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568614","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":"Management of Aortic Arch Aneurysms Using a Single Side Branch Endograft in Landing Zone 0.","authors":"Ryan G McQueen, Robert A Hieb, William S Rilling, Peter J Rossi","doi":"10.1016/j.jvir.2025.02.029","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.02.029","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544246","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}