Journal of Vascular and Interventional Radiology最新文献

{"title":"Percutaneous cholecystocutaneous stent-graft placement for large-bore gallbladder access to facilitate cholecystolithotomy: initial experience in 17 patients.","authors":"Harika Barri, Charles Hua, Grace Laidlaw, James Jeffries, Matthew Abad-Santos, Avik Som, Ethan Hua, Hugh McGregor","doi":"10.1016/j.jvir.2026.108981","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108981","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108981"},"PeriodicalIF":3.1,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580980","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":"SCAI/ASE/HRS/SIR/SVS Expert Consensus Statement on Enhanced Radiation Protection: Time for Mandatory and Urgent Action.","authors":"David G Rizik, Nadia R Sutton, Alexandra J Lansky, Mirvat Alasnag, Gabriel Bartal, Mary Beth Brady, Megan Coylewright, James A Goldstein, Scott M Firestone, Andrew M Goldsweig, Dean J Kereiakes, Melissa Kirkwood, Ryan D Madder, Roxana Mehran, William J Nicholson, Graciano Paulo, Sunil V Rao, Kenneth Rosenfield, Cheryl C Schultz, Kamala P Tamirisa, Kristin A Tuozzo, Poonam Velagapudi, Amit N Vora, Celina M Yong, James B Hermiller","doi":"10.1016/j.jvir.2026.108927","DOIUrl":"10.1016/j.jvir.2026.108927","url":null,"abstract":"<p><p>Health care professionals in fluoroscopic laboratories face significant occupational hazards, including cancer, cataracts, and reproductive concerns due to prolonged exposure to iodizing radiation, and orthopedic injuries stemming from long-term use of heavy aprons as protection from radiation. Despite substantial advancements in radiation protection technology, adoption of these advancements has been slow, hindered by the high upfront costs of implementation and the lag in revising institutional and regulatory radiation exposure thresholds to reflect the capabilities of contemporary enhanced radiation protection devices (ERPDs). This multisociety statement, endorsed by the Society for Cardiovascular Angiography & Interventions, American College of Cardiology, the American Society of Echocardiography, the Heart Rhythm Society, the Society of Interventional Radiology, and the Society for Vascular Surgery, calls for mandatory implementation of ERPDs to meet as low as reasonably achievable standards. This expert consensus statement outlines the ethical and legal responsibilities of government, fluoroscopy laboratory manufacturers, and health care institutions to protect all health care professionals from avoidable workplace hazards and the urgent need to implement ERPDs. The document does not promote or recommend any single ERPD system, and the choice of protection technology is left to department preference. It also addresses the importance of training, monitoring, and continuous research to optimize radiation safety practices. The document advocates for updated regulations and standardized practices across states to ensure comprehensive protection for all fluoroscopy laboratory personnel.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108927"},"PeriodicalIF":3.1,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438536","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":"Geometric Concordance of Deterministic Tract Planning With Operator-Selected Skin Entry Sites in CT-Guided Lung Biopsy.","authors":"Saner Esmer, Mustafa Reşorlu, Şule Özer","doi":"10.1016/j.jvir.2026.108944","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.108944","url":null,"abstract":"<p><strong>Purpose: </strong>To test the hypothesis that a deterministic tract-planning framework generates anatomically feasible skin entry locations spatially concordant with operator-selected entry sites during CT-guided lung biopsy.</p><p><strong>Materials and methods: </strong>This single-center retrospective study included 199 consecutive CT-guided lung biopsies performed between January 2022 and June 2025 (mean age, 66.6 ± 9.5 years; 20.6% female). Procedural CT images were analyzed using a deterministic tract-planning system implemented in 3D Slicer with AI-assisted whole-thorax segmentation (TotalSegmentator) and predefined anatomic and geometric constraints. Literature-reported odds ratios for pneumothorax and pulmonary hemorrhage were encoded as fixed coefficients to characterize procedural burden across feasible trajectories. No model training, outcome-based fitting, or patient-specific adverse-event prediction was performed. Operator-used skin entry sites were identified on procedural CT images and compared with system-derived feasible entry locations under identical geometric assumptions. Concordance was assessed using Euclidean distance and patient-position agreement.</p><p><strong>Results: </strong>Diagnostic samples were obtained in 169 of 199 procedures (84.9%). Any adverse event occurred in 125 procedures (62.8%), including clinically relevant adverse events in 25 (12.6%). The median Euclidean distance between operator-used skin entry sites and the nearest tract among the 10 lowest-burden system-derived trajectories was 15.2 mm (IQR, 6.34-30.85 mm; range, 0.3-181.4 mm). Positioning agreement was moderate (κ = 0.534; 95% CI, 0.432-0.632; p < .001).</p><p><strong>Conclusion: </strong>A deterministic tract-planning framework generated anatomically feasible entry locations spatially concordant with operator-selected skin entry sites. These findings support reproducible visualization of feasible access alternatives within a case-specific decision space for planning review, case review, and operator training.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"108944"},"PeriodicalIF":3.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399897","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":"Abstract No. 305 EMBARGO Early Experience with Thoracic Duct Venous Junction Thrombolysis","authors":"A. Gurevich,&nbsp;M. Wang Qi Wei,&nbsp;G. Nadolski,&nbsp;M. Itkin","doi":"10.1016/j.jvir.2026.108815","DOIUrl":"10.1016/j.jvir.2026.108815","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 7","pages":"Article 108815"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523616","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":"Abstract No. 350 EMBARGO Feasibility of Low-Field (0.55 Tesla) MRI Scanning for Diagnostic MR Lymphangiography and Image-Guided Thoracic Duct Access","authors":"B. Blais,&nbsp;P. Minko,&nbsp;O. Simonetti,&nbsp;Y. Liu,&nbsp;A. Armstrong,&nbsp;L. de Mos,&nbsp;P. Borm,&nbsp;J. Krieger,&nbsp;F. Maier,&nbsp;R. Krishnamurthy,&nbsp;A. Lillis","doi":"10.1016/j.jvir.2026.108816","DOIUrl":"10.1016/j.jvir.2026.108816","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 7","pages":"Article 108816"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523617","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":"Abstract No. 54 EMBARGO ImmunoBone: A Novel Bone Cement Additive for Local Drug Delivery of Immunoadjuvants and to Reduce Adjacent Vertebral Fractures","authors":"C. Marx,&nbsp;D. Gugig,&nbsp;D. Lane,&nbsp;X. Lin,&nbsp;P. Thurlow,&nbsp;W. Vuong,&nbsp;A. Amin,&nbsp;R. Rao,&nbsp;M. Zhang,&nbsp;A. Som","doi":"10.1016/j.jvir.2026.108808","DOIUrl":"10.1016/j.jvir.2026.108808","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 7","pages":"Article 108808"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523713","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":"Abstract No. 175 EMBARGO IVC Angioplasty Alone Strategy in the Management of Combined Budd–Chiari Syndrome","authors":"R. Priyadarshi,&nbsp;M. Aggarwal,&nbsp;R. Kumar","doi":"10.1016/j.jvir.2026.108811","DOIUrl":"10.1016/j.jvir.2026.108811","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 7","pages":"Article 108811"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523612","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":"Abstract No. 301 EMBARGO Percutaneous Cholangioplasty for Posttransplant Benign Biliary Stricture: A Systematic Review and Meta-Analysis","authors":"A. Helmi,&nbsp;P. Bassett,&nbsp;S. Hyon,&nbsp;E. Dhondt,&nbsp;D. DePietro,&nbsp;S. Mafeld,&nbsp;C. O’Leary","doi":"10.1016/j.jvir.2026.108813","DOIUrl":"10.1016/j.jvir.2026.108813","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 7","pages":"Article 108813"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523613","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":"Abstract No. 303 EMBARGO Quantitative Angiographic Segmental Analysis of the WRAPSODY Cell-Impermeable Endoprosthesis","authors":"A. Lansky,&nbsp;E. Cristea,&nbsp;B. Dolmatch,&nbsp;M. Razavi","doi":"10.1016/j.jvir.2026.108814","DOIUrl":"10.1016/j.jvir.2026.108814","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 7","pages":"Article 108814"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523615","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":"Abstract No. 14 EMBARGO The Systemic Immune-Inflammation Index Aids Clinical Parameters in Risk Stratification for Early Recurrence of Hepatocellular Carcinoma Following TACE and Thermal Ablation","authors":"L. Shi,&nbsp;L. Liu","doi":"10.1016/j.jvir.2026.108806","DOIUrl":"10.1016/j.jvir.2026.108806","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"37 7","pages":"Article 108806"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148523316","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}