Journal of Vascular and Interventional Radiology最新文献_第2页

Utility of Venous Outflow Control Techniques in Low-Flow Vascular Malformation Sclerotherapy: A Case-Based Review. 静脉流出控制技术在低流量血管畸形硬化治疗中的应用：一项基于病例的综述。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-29 DOI: 10.1016/j.jvir.2025.09.034

Margherita Viglione, Andrea Discalzi, Floriana Nardelli, Francesco Mistretta, Andrea Mancini, Mauro Bergui

引用次数: 0

The Effects of Paclitaxel-Eluting Stents on Development of In-Stent Restenosis in the Iliac Vein after Thrombus Removal in a Goat Model. 紫杉醇洗脱支架对山羊模型血栓去除后髂静脉支架内再狭窄的影响。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-29 DOI: 10.1016/j.jvir.2025.09.033

Guanqiang Li, Yuan Sun, Xinyi Yin, Yucheng Shi, Bo Hu, Xianchen Huang, Xiangqiang Pan, Gang Li, Xicheng Zhang

{"title":"The Effects of Paclitaxel-Eluting Stents on Development of In-Stent Restenosis in the Iliac Vein after Thrombus Removal in a Goat Model.","authors":"Guanqiang Li, Yuan Sun, Xinyi Yin, Yucheng Shi, Bo Hu, Xianchen Huang, Xiangqiang Pan, Gang Li, Xicheng Zhang","doi":"10.1016/j.jvir.2025.09.033","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.09.033","url":null,"abstract":"Purpose: To assess whether paclitaxel-drug eluting stent (Paclitaxel-DES) can inhibit in-stent restenosis (ISR) in the iliac vein after thrombectomy.Materials and methods: A bilateral iliac vein thrombosis model was established in 12 goats. Three days after thrombosis induction, percutaneous mechanical thrombectomy (PMT) was performed for bilateral iliac vein thrombosis. A Paclitaxel-DES was placed in one iliac vein, while a bare-metal stent (BMS) was placed in the contralateral vein as a control. ISR and intimal hyperplasia were evaluated using angiography, optical coherence tomography, and histopathological examination at 1, 2, and 6 months after stent implantation.Results: Compared to the BMS group, the Paclitaxel-DES group showed significantly reduced intimal hyperplasia at 1 and 2 months postoperatively and exhibited a lower percent area stenosis (P < 0.01). Fluorescence staining revealed lower smooth muscle cell expression and higher inflammation scores in the Paclitaxel-DES group at 1 month (P < 0.05). However, no significant differences in the percent area stenosis or lumen loss rate were observed between the two groups at 6 months post-implantation (P > 0.05).Conclusion: Paclitaxel-DES significantly inhibited intimal hyperplasia and reduced ISR during the early stages after iliac vein thrombectomy. No significant difference in lumen loss was observed between the Paclitaxel-DES and BMS groups after 6 months, suggesting a potential late catch-up effect in the Paclitaxel-DES group.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208250","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

Material Matters: A Systematic Review and Meta-analysis of the Efficacy of Different Embolic Agents in Middle Meningeal Artery Embolization. 材料问题：不同栓塞剂在脑膜中动脉栓塞疗效的系统回顾和荟萃分析。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-26 DOI: 10.1016/j.jvir.2025.09.030

Mitesh Gupta, Abhisek Saha, Abhishek Gupta, Madan Mohan Gupta, Manish Shaw, Praveen Singhal, Sanjiv Sharma

{"title":"Material Matters: A Systematic Review and Meta-analysis of the Efficacy of Different Embolic Agents in Middle Meningeal Artery Embolization.","authors":"Mitesh Gupta, Abhisek Saha, Abhishek Gupta, Madan Mohan Gupta, Manish Shaw, Praveen Singhal, Sanjiv Sharma","doi":"10.1016/j.jvir.2025.09.030","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.09.030","url":null,"abstract":"Purpose: To compare the efficacy and safety of different embolizing agents used in middle meningeal artery embolization for the treatment of chronic subdural hematoma.Material and methods: A literature search of PubMed, Cochrane Library, Scopus, and Google Scholar (up to 2024) included studies reporting MMAE outcomes for cSDH. Study quality was evaluated using the Joanna Briggs Institute (JBI) and Risk of Bias 2 (RoB 2) tools. Pooled data were analyzed with random-effects models, with heterogeneity assessed via the I2 statistic. Statistical significance was set at p < 0.05.Results: Of 997 articles screened, 33 studies (2013-2024) with 1,818 patients (mean age 74.2 ± 11 years, median follow-up 3 months) were included. The pooled recurrence rate after MMA embolization was 0.07 (95% CI: 0.05-0.10). By embolic agent, recurrence rates were: PVA 0.07, n-BCA 0.05, and EVOH 0.07. Periprocedural complication rates were low: PVA 0.02, n-BCA 0.01, EVOH 0.00; overall rate 0.01. Favourable clinical and radiologic outcomes were observed in 81% and 84% of cases, respectively.Conclusion: MMA embolization is effective for cSDH, offering low recurrence and complication rates with favorable clinical and radiologic outcomes. All embolic agents demonstrated promising efficacy and safety profiles.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187387","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

Outcomes and Risk Factors Following Tunneled Peritoneal Dialysis Catheter Insertion by Interventional Radiologists. 介入放射科医师插入隧道式腹膜透析导管后的结果和危险因素。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-26 DOI: 10.1016/j.jvir.2025.09.031

Rithvik Karthikeyan, Ileesha Singh, Satvik Hadigal, Daniel Picus, Naganathan Mani

{"title":"Outcomes and Risk Factors Following Tunneled Peritoneal Dialysis Catheter Insertion by Interventional Radiologists.","authors":"Rithvik Karthikeyan, Ileesha Singh, Satvik Hadigal, Daniel Picus, Naganathan Mani","doi":"10.1016/j.jvir.2025.09.031","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.09.031","url":null,"abstract":"Purpose: To assess whether patient factors, including age, sex, and diabetic involvement, are associated with adverse events during the course of tunneled peritoneal dialysis (PD) catheter placed by Interventional Radiology.Materials and methods: This retrospective cohort study examines patients (n=104) who required kidney replacement and underwent their initial tunneled PD catheter insertion procedure by the interventional radiology team at an academic teaching hospital between July 2021 and May 2024. An adverse event during the course of PD was defined as the first episode of peritonitis, catheter dysfunction, catheter insufficiency, catheter intolerance, or death. Inferential analyses included logistic regression and Cox proportional hazards models to assess potential risk factors.Results: Of the included patients, 32 (30.8%) experienced at least one episode of peritonitis during their PD course, with six patients experiencing multiple episodes. Diabetic involvement had the highest hazard ratio of 1.59, CI 0.92-2.75, p =0.094, suggesting a potential association with the occurrence of adverse events. Staphylococcus infections appeared to be more common in late-onset peritonitis (LOP) (p =0.03).Conclusion: Peritonitis remains a major complication of PD despite current best practices. Moreover, the differences in the causative organism based on the time of episode warrant further attention, especially in terms of its management and empiric antibiotics. Diabetic involvement also remains a significant risk for the occurrence of an adverse event in the course of the inserted catheter. A deeper understanding of the complexities associated with PD is essential to achieving better clinical outcomes.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187358","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

Predictors of Time-Dependent Ascites and Hydrothorax Response after Transjugular Intrahepatic Portosystemic Shunt Creation: A Claims Analysis. 经颈静脉肝内门静脉系统分流术后时间依赖性腹水和胸水反应的预测因素：声明分析。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-26 DOI: 10.1016/j.jvir.2025.09.032

Austin J Triana, Brian P Triana, Charles Y Kim, James Ronald

{"title":"Predictors of Time-Dependent Ascites and Hydrothorax Response after Transjugular Intrahepatic Portosystemic Shunt Creation: A Claims Analysis.","authors":"Austin J Triana, Brian P Triana, Charles Y Kim, James Ronald","doi":"10.1016/j.jvir.2025.09.032","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.09.032","url":null,"abstract":"Purpose: To identify patient factors influencing the time-dependent response of ascites and hydrothorax after TIPS creation using a large claims dataset.Materials and methods: Adult patients from a nationwide claims database with at least 4 paracenteses or thoracenteses within 60 days before TIPS and at least 30 days follow-up were included (paracentesis cohort, n=3,742; diuretic subset, n=1,110; thoracentesis cohort, n=238). Continuous-time hidden Markov models were used to classify patients into underlying response states-non-response, partial response, and complete response (CR)-based on observed paracentesis, diuretic prescription, and thoracentesis claims. Transition intensities between response states were used to quantify how quickly patients responded to TIPS. Covariate effects influencing response time were estimated.Results: In the paracentesis cohort, CR probabilities were 48%, 70%, and 88% at 90, 180, and 365 days post-TIPS, respectively. Male gender, metabolic dysfunction-associated steatohepatitis cirrhosis, and higher pre-TIPS paracentesis rates predicted slower freedom from paracenteses, whereas alcoholic cirrhosis predicted faster response. Among diuretic users, 38% achieved freedom from diuretics at 1 year; younger age and lower pre-TIPS dose predicted faster weaning. In the hydrothorax cohort, CR rates at 90, 180, and 365 days were 54%, 81%, and 94%. Higher pre-TIPS thoracentesis rates predicted slower response.Conclusion: Modeling of nationwide claims data provided quantitative, time-dependent estimates of the changes in paracentesis, diuretic, and thoracentesis requirements after TIPS and identified predictors of slower versus faster response. These findings may help physicians to better counsel patients regarding outcomes after TIPS.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187328","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

Indocyanine Green to Evaluate Tissue Perfusion in an Occluded Deep Vein Arterialization Graft. 吲哚菁绿评价闭塞深静脉动脉化移植物的组织灌注。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-26 DOI: 10.1016/j.jvir.2025.09.028

Ian Matthews, Nil Patel, Keith Pereira, Jesse Martin

引用次数: 0

TIPSitis

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-23 DOI: 10.1016/j.jvir.2025.07.003

Ashwin P. Deshmukh MBBS, Nassir Rostambeigi MD, MPH, Steven Sauk MD

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Crossword Puzzle 纵横字谜游戏

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-23 DOI: 10.1016/j.jvir.2025.07.001

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IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-23 DOI: 10.1016/S1051-0443(25)00546-9

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The Symposium on Clinical Interventional Oncology (CIO) 2025 临床介入肿瘤学研讨会（CIO） 2025

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-23 DOI: 10.1016/j.jvir.2025.08.030

引用次数: 0