{"title":"CME TEST QUESTIONS: MAY 2025","authors":"","doi":"10.1016/j.jvir.2025.03.010","DOIUrl":"10.1016/j.jvir.2025.03.010","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 5","pages":"Page 776"},"PeriodicalIF":2.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863856","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":"Crossword Puzzle","authors":"","doi":"10.1016/j.jvir.2025.02.003","DOIUrl":"10.1016/j.jvir.2025.02.003","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 5","pages":"Page 924"},"PeriodicalIF":2.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863410","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":"Subscription Information Page","authors":"","doi":"10.1016/S1051-0443(25)00257-X","DOIUrl":"10.1016/S1051-0443(25)00257-X","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 5","pages":"Page A2"},"PeriodicalIF":2.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863964","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}
Peng-Xu Ding MD, PhD , Lei Li MD , Edward Wolfgang Lee MD, PhD, FSIR
{"title":"Hepatic Congestive Perfusion Abnormality Due to Budd-Chiari Syndrome with Mid–Hepatic Vein Stenosis","authors":"Peng-Xu Ding MD, PhD , Lei Li MD , Edward Wolfgang Lee MD, PhD, FSIR","doi":"10.1016/j.jvir.2025.04.012","DOIUrl":"10.1016/j.jvir.2025.04.012","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 8","pages":"Pages 1358-1360.e1"},"PeriodicalIF":2.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054434","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}
Jonah Sens MD , John Smirniotopoulos MD , Jiling Chou MA , Nora Tabori MD , Saher Sabri MD , Gajan Sivananthan MD
{"title":"Multicenter Analysis of RENAL, mRENAL, and (MC)2 Scoring Systems as Predictors of Outcomes after Percutaneous Cryoablation of Renal Cell Carcinoma","authors":"Jonah Sens MD , John Smirniotopoulos MD , Jiling Chou MA , Nora Tabori MD , Saher Sabri MD , Gajan Sivananthan MD","doi":"10.1016/j.jvir.2025.04.008","DOIUrl":"10.1016/j.jvir.2025.04.008","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the performance of the RENAL, mRENAL, and (MC)<sup>2</sup> scores in predicting outcomes after cryoablation of renal cell carcinoma.</div></div><div><h3>Materials and Methods</h3><div>Retrospective chart review was performed for patients who underwent cryoablation within a hospital system between 2018 and 2023. A total of 103 cryoablation procedures in 103 patients were included. Medical history, demographic information, preprocedural imaging, tumor characteristics, periprocedural hospital course, postprocedural adverse events, and follow-up imaging results were reviewed. Each tumor was assigned a RENAL, mRENAL, and (MC)<sup>2</sup> score and categorized into a low, medium, or high group for each scoring system.</div></div><div><h3>Results</h3><div>Twenty-one patients (20.5%) developed Society of Interventional Radiology (SIR) graded adverse events. Severe adverse events occurred in 9 patients (8.7%). High RENAL (<em>P</em> = .003), mRENAL (<em>P</em> = .047), and (MC)<sup>2</sup> (<em>P</em> = .004) scores were associated with a significant increase in the risk of severe postprocedural adverse events. All 3 scoring systems were equivalent in their ability to predict severe adverse events. Higher RENAL (<em>P</em> = .018 and <em>P</em> = .019) and mRENAL (<em>P</em> = .007 and <em>P</em> = .005) but not (MC)<sup>2</sup> scores were associated with increased likelihood of unplanned hospital admission and longer hospital length of stay (LOS). RENAL, mRENAL, and (MC)<sup>2</sup> scores were not significantly associated with primary technique effectiveness.</div></div><div><h3>Conclusions</h3><div>The RENAL, mRENAL, and (MC)<sup>2</sup> scores performed equally in predicting severe adverse events after cryoablation. The RENAL and mRENAL scores predicted postprocedural hospital admission and hospital LOS more effectively than (MC)<sup>2</sup>. The scoring systems were not predictive of primary technique effectiveness despite a trend toward lower effectiveness in tumors with higher scores.</div></div>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 8","pages":"Pages 1296-1303"},"PeriodicalIF":2.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059426","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}
Dana A. Schaar BS , Philippe Gailloud MD , Alan J. Kim BS , Daniel Lubelski MD , Clifford R. Weiss MD
{"title":"Thoracic Wall Venous Malformation with Epidural Drainage","authors":"Dana A. Schaar BS , Philippe Gailloud MD , Alan J. Kim BS , Daniel Lubelski MD , Clifford R. Weiss MD","doi":"10.1016/j.jvir.2025.04.003","DOIUrl":"10.1016/j.jvir.2025.04.003","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 7","pages":"Pages 1221-1224"},"PeriodicalIF":2.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003345","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}
Matthew L. Hung MD , Victoria Arendt MD , Tarub Mabud MSc, MD , William T. Kuo MD , Lawrence.V. Hofmann MD
{"title":"Long-Term Outcomes following Inferior Vena Cava Stent Placement across the Renal Veins","authors":"Matthew L. Hung MD , Victoria Arendt MD , Tarub Mabud MSc, MD , William T. Kuo MD , Lawrence.V. Hofmann MD","doi":"10.1016/j.jvir.2025.04.001","DOIUrl":"10.1016/j.jvir.2025.04.001","url":null,"abstract":"<div><div>This study examined the impact of inferior vena cava (IVC) stent placement across the renal veins (RenVs) on renal function and RenV patency. The study cohort consisted of 48 patients who underwent IVC stent placement across the RenVs (RenV+ group) and 96 patients who underwent IVC stent placement sparing the RenVs (RenV− group). Changes in estimated glomerular filtration rate (RenV+ vs RenV−, mL/min/1.73 m<sup>2</sup>) at 1–7 days (−0.8 vs −0.7; <em>P</em> = .979), 8–30 days (1.9 vs 0; <em>P</em> = .658), 31–180 days (0.3 vs −2.1; <em>P</em> = .547), and beyond 180 days (5.8 vs −1.9; <em>P</em> = .058) from IVC stent placement were similar between the 2 groups. There was 1 instance of RenV thrombosis in the RenV+ group (2%) after a mean follow-up of 4.3 years (SD ± 3.1). In conclusion, IVC stent placement across the RenVs does not significantly impact renal function and rarely results in RenV thrombosis.</div></div>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 7","pages":"Pages 1196-1200"},"PeriodicalIF":2.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028787","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":"Optimal Timing of Percutaneous Cholecystostomy across Different Grades of Acute Cholecystitis: A Retrospective Cohort Study","authors":"Min-Han Lin MD , Cheng-Fu Ni MD , Hsein-Jar Chiang MD , Yi-Tzu Chen MD , Cheng-Chieh Tsai MD , Yu-chun Chen MD , Shen-wen Huang MD , Yueh-Ting Chen MD , Jen-Chung Wu MD , Sho-Jen Cheng MD , Ruei-Je Tsai MD , Kai-I Chuang MD , Yung-Chieh Chen MD, PhD , Yu Chiang MD , Kevin Li-Chun Hsieh MD","doi":"10.1016/j.jvir.2025.04.002","DOIUrl":"10.1016/j.jvir.2025.04.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the effect of percutaneous cholecystostomy (PC) tube placement timing on clinical outcomes in patients with Grade I–III acute cholecystitis (AC) who did not undergo surgery.</div></div><div><h3>Materials and Methods</h3><div>This retrospective single-center cohort study included patients with AC who initially underwent PC between October 2018 and December 2022. The following outcomes were analyzed: (<em>a</em>) rate of all-cause in-hospital mortality (IHM), (<em>b</em>) length of hospital stay (LOS), (<em>c</em>) duration of intensive care unit stay, and (<em>d</em>) rate of recurrence, which were correlated with clinical and procedural characteristics, disease severity, and PC timing. Subgroup analysis was then performed to investigate the effects of drainage timing across different severity grades.</div></div><div><h3>Results</h3><div>This study included 183 patients. Severity grade, drainage timing, age, and Charlson Comorbidity Index score significantly influenced LOS (<em>P</em> < .001, <em>P</em> = .002, <em>P</em> = .001, and <em>P</em> = .010, respectively). In the subgroup analysis, PC performed within 24 hours in patients with Grade II AC significantly shortened LOS (median, 7.0 vs 10.0 days; <em>P</em> = .028). In patients with Grade III AC, PC performed after 6 hours significantly extended LOS (median, 19.0 vs 9.0 days; <em>P</em> = .010). Multivariate analysis indicated that IHM was associated with severity grade and age (<em>P</em> = .009 and <em>P</em> = .008, respectively) but not drainage timing.</div></div><div><h3>Conclusions</h3><div>Urgent drainage may be unnecessary for patients with Grade I or II AC. However, a reduction in LOS was observed for patients with Grade III AC who underwent PC within 6 hours and those with Grade II AC who underwent PC within 24 hours after admission.</div></div>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 7","pages":"Pages 1105-1112.e2"},"PeriodicalIF":2.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005182","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}