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Crossword Puzzle: Answer Key 填字游戏：回答关键

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-23 DOI: 10.1016/j.jvir.2025.07.002

引用次数: 0

Contents in Brief 简要目录

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-23 DOI: 10.1016/S1051-0443(25)00547-0

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Lessons in IR: Chylothorax as an Adverse Event of Thoracic Duct Embolization IR的教训：乳糜胸是胸导管栓塞的不良事件

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-23 DOI: 10.1016/j.jvir.2025.06.015

Sean P. Duminie MD , Courtney E. Morgan MD , Sean K. Golden MD

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Pulmonary Arteriovenous Malformation embolization: The role of Contrast-Enhanced Computed Tomography and Standardized Outcome Measures. 肺动静脉畸形栓塞：对比增强计算机断层扫描和标准化结果测量的作用。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-20 DOI: 10.1016/j.jvir.2025.09.024

D A F van den Heuvel, S Klompmaker, J Hessels, A D Diederik, J J Mager, J C van den Berg, M C Post

{"title":"Pulmonary Arteriovenous Malformation embolization: The role of Contrast-Enhanced Computed Tomography and Standardized Outcome Measures.","authors":"D A F van den Heuvel, S Klompmaker, J Hessels, A D Diederik, J J Mager, J C van den Berg, M C Post","doi":"10.1016/j.jvir.2025.09.024","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.09.024","url":null,"abstract":"Purpose: To determine the pulmonary arteriovenous malformation (PAVM) persistence rate in patients treated with microcoils, vascular plugs, or a combination of these, and to propose standardized outcome criteria using contrast-enhanced computed tomography (CECT).Materials and methods: This retrospective study included all adult patients undergoing embolization of de novo PAVMs using micro-coils and/or Amplatzer type I vascular plugs (AVP-I), between 2005 and 2012. PAVM persistence was assessed at 6 months using CECT, focussing on vein enhancement vs shrinkage rates. Endpoints were overall persistence and persistence in technically successful treated de novo PAVMs. This was defined as confirmed occlusion of all embolized feeding arteries, embolization ≤10 mm of the sac and without missed feeding arteries.Results: The study included 113 patients (mean age 42±18 years, 63 female) representing 292 PAVMs for analysis. Persistence was observed in 82 of 292 (28%) PAVMs and was angiographically confirmed in all cases. Of the persistent PAVMs, 16% showed >70% sac shrinkage on CECT. Among 108 technically successful treated simple PAVMs, overall persistence was 11% (7% for AVP-I and 21% for coils).Conclusion: Based on CECT and with angiographical confirmation, overall PAVM persistence at 6 months after embolization with coils or AVPs was 28%. A suspected high sensitivity of CECT for detecting PAVM persistence may partially account for outcome differences compared to previous studies and underscores the need for standardized imaging and reporting protocols.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126374","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 Cryoablation of T1b Renal Tumors: A Retrospective Evaluation of Local Tumor Control, Renal Function Preservation, Adverse Events and Ablation Margins in 80 Patients. 经皮冷冻消融治疗T1b肾肿瘤：80例患者局部肿瘤控制、肾功能保存、不良事件和消融范围的回顾性评价

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-20 DOI: 10.1016/j.jvir.2025.09.025

Antonios Michailidis, Panagiotis Kosmoliaptsis, Danae Makri, George Dimou, Evangelos N Symeonidis, Andreas Andreou, Stylianos Tegos, Apostolos Papalakis, Panagiotis Mpalaksis, Georgios Moustakas, Christos Giankoulof, Evangelos Petsatodis

{"title":"Percutaneous Cryoablation of T1b Renal Tumors: A Retrospective Evaluation of Local Tumor Control, Renal Function Preservation, Adverse Events and Ablation Margins in 80 Patients.","authors":"Antonios Michailidis, Panagiotis Kosmoliaptsis, Danae Makri, George Dimou, Evangelos N Symeonidis, Andreas Andreou, Stylianos Tegos, Apostolos Papalakis, Panagiotis Mpalaksis, Georgios Moustakas, Christos Giankoulof, Evangelos Petsatodis","doi":"10.1016/j.jvir.2025.09.025","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.09.025","url":null,"abstract":"Purpose: This retrospective study investigates the long-term efficacy and safety of percutaneous cryoablation (PCA) for the treatment of clinical T1b renal masses (RMs) over a minimum follow-up of two years. The primary hypothesis is that achieving an intraprocedural ice-ball margin of ≥8 mm during PCA of T1b renal cell carcinoma (RCC) results in superior local tumor control without increasing adverse events.Materials and methods: Eighty consecutive patients with biopsy-proven T1b RCC (tumor size 4.1-7.0 cm) were treated with CT-guided PCA between 2019 and 2023 at a single center. Outcomes assessed included local tumor progression-free survival (LTPFS), change in renal function (eGFR), and adverse events per Society of Interventional Radiology (SIR) criteria. Ice-ball margins were categorized as <8 mm versus ≥8 mm. Kaplan-Meier survival curves and log-rank tests were used for statistical analysis, with significance set at p < 0.05.Results: Primary efficacy was 95% (76/80), while secondary efficacy reached 98.8% (79/80) after retreatment of four local recurrences. The 24-month LTPFS was 98.8%. Patients with an ice-ball margin ≥8 mm showed superior 24-month local control (100%) compared to those with 5-<8 mm margins (57% at 6 months; p = 0.002). Mean eGFR declined slightly by -2 mL/min/1.73 m2 (p = 0.125). No SIR Grade 3 or higher adverse events reported.Conclusion: PCA is a safe, effective, and nephron-sparing treatment for T1b RCC. Achieving an ice-ball margin ≥8 mm significantly reduces residual disease and early recurrence.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126411","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

Safety and Effectiveness of Adrenal Cryoablation for Patients with Melanoma Metastases on Concurrent Targeted Therapy or Immunotherapy. 肾上腺冷冻消融治疗黑色素瘤转移患者同步靶向治疗或免疫治疗的安全性和有效性。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-19 DOI: 10.1016/j.jvir.2025.09.022

William M Kamp, Maggie X Xiong, Mohammad Khavandi, Rahul Sheth, Mohammad Abdelsalam, Nariman Nezami, Alda Tam, Steven Huang, Peiman Habibollahi

引用次数: 0

Authors' Reply: Histopathologic Outcomes after TACE and TARE. 作者回复：TACE和TARE后的组织病理学结果。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-19 DOI: 10.1016/j.jvir.2025.09.023

Alex Sher, Edward Kim

引用次数: 0

Histopathologic Response and Oncologic Outcomes after TACE and TARE for HCC: Selection Bias and Suboptimal Technique Are Better Explanations. 肝癌TACE和TARE后的组织病理反应和肿瘤预后：选择偏差和次优技术是更好的解释。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-18 DOI: 10.1016/j.jvir.2025.08.046

Sameer Bhatia

引用次数: 0

Cost-effectiveness of Preventive Transarterial Embolization for Splenic Artery Aneurysm Below the Guideline-Recommended Size Threshold: A Japanese Claims-Based Study. 预防经动脉栓塞治疗低于指南推荐大小阈值的脾动脉瘤的成本-效果：一项基于日本索赔的研究。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-18 DOI: 10.1016/j.jvir.2025.09.021

Go Shirota, So Sato, Hideo Yasunaga, Yuichiro Matsuo, Masaaki Akahane, Daisuke Itoh, Osamu Abe

{"title":"Cost-effectiveness of Preventive Transarterial Embolization for Splenic Artery Aneurysm Below the Guideline-Recommended Size Threshold: A Japanese Claims-Based Study.","authors":"Go Shirota, So Sato, Hideo Yasunaga, Yuichiro Matsuo, Masaaki Akahane, Daisuke Itoh, Osamu Abe","doi":"10.1016/j.jvir.2025.09.021","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.09.021","url":null,"abstract":"Purpose: Preventive transarterial embolization (TAE) for splenic artery aneurysm (SAA) is recommended in high-risk cases owing to the high mortality after rupture. This study evaluated the cost-effectiveness of preventive TAE for SAAs smaller than guideline-recommended threshold of 30 mm.Materials and methods: A Markov model with six states (well without treatment, well after treatment, TAE for aneurysm growth, recanalization, rupture, and death) was developed to compare preventive TAE with the watch-and-wait strategy using 1-year cycles over a lifetime. Model parameters were derived from prior studies and a national administrative claims database in Japan. The base case was a 60-year-old female with SAA measuring 20 mm. The incremental cost-effectiveness ratio (ICER) was evaluated against Japan's willingness-to-pay threshold of 5 million yen per quality-adjusted life year (QALY). Deterministic and probabilistic sensitivity analyses incorporated scenarios varying multiple parameters.Results: Analysis of 2,870 patients undergoing preventive TAE for SAAs from the database revealed an ICER of 3,522,204 yen/QALY (22,724 USD/QALY) in the base case, below the threshold. The ICER exceeded the threshold at 71.4 years in females and 65.9 in males. Quality-of-Life (QOL) improvement by treatment (12 to 24 months and longer), time to QOL difference resolution, age at discovery and costs of preventive TAE were the key ICER influencers. Without QOL improvement, preventive TAE was not cost-effective.Conclusion: Preventive TAE for SAA may be cost-effective, but only when treatment leads to improvements in QOL. These findings highlight the importance of patient selection and can guide cost-conscious clinical decision-making and reimbursement policy.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102771","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

Drainage of Subphrenic Abscess with Computed Tomography Fluoroscopy-Guided Z-axis Puncture Technique. 计算机断层透视引导下z轴穿刺技术引流膈下脓肿。

IF 2.6 3区医学

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-12 DOI: 10.1016/j.jvir.2025.09.015

Hiroki Yoshikawa, Masashi Tamura, Jitsuro Tsukada, Yuji Furukawa, Masahiro Jinzaki, Seishi Nakatsuka

引用次数: 0