Journal of Vascular and Interventional Radiology最新文献

{"title":"Gastroduodenal Artery Embolization with Shear-Thinning Conformable Embolic Resulting in Pancreatic and Duodenal Necrosis.","authors":"Jason S Kim, R Peter Lokken, Alexander Lam, Neslihan Kayraklioglu, K Pallav Kolli","doi":"10.1016/j.jvir.2025.02.017","DOIUrl":"10.1016/j.jvir.2025.02.017","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525152","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":"Expanding Global IR Outreach to Address Postpartum Hemorrhage in Kenya Using Geospatial Analytic Mapping.","authors":"Ryan W England, Jayati Anand, Emily Yanoshak, Michaela Sidloski, Jasper Muruka, Felister Wangari Maina, Daniel Mollura, Robert Dixon, Tayyab Ikram Shah, Kevin Anton","doi":"10.1016/j.jvir.2025.02.019","DOIUrl":"10.1016/j.jvir.2025.02.019","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate postpartum hemorrhage (PPH) and IR service landscapes in Kenya using geospatial analytic mapping for outreach planning.</p><p><strong>Materials and methods: </strong>Geographic information system (GIS) analysis of Kenya was performed using open-source data sets. Data at the regional and county levels from 2014 to 2018 were collected to evaluate demographics and variables related to PPH and healthcare access. Population risk indices were created based on these data. Detailed multilayered GIS mapping was performed to produce visual data representations of the findings for outreach planning.</p><p><strong>Results: </strong>From 2014 to 2018, the incidence of maternal hemorrhage in Kenya increased by 38%. Six hospitals in Kenya offer IR services that are required to treat PPH, all located in Nairobi. Relative to other counties, maternal mortality ratios (MMRs) in Nairobi were near the median, falling within standard deviations (SDs) of -0.5 to 0.5. MMRs were highest in the southeastern and northwestern regions of the country, with an increase in SD of 1.5-2.3 and 0.5-1.5, respectively. Risk index and population maps identified high-impact hospitals for IR outreach.</p><p><strong>Conclusions: </strong>GIS analysis demonstrated disproportionate rates of maternal morbidity and mortality due to PPH in areas without IR capabilities. It proved to be a valuable tool to understand population health and can be leveraged to target global IR services strategically.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525151","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 Image-Guided Percutaneous Drainage versus Other Management Strategies for Infected Post-Cesarean Section Bladder Flap Hematoma.","authors":"Om Biju Panta, Michael Samuel, Hadiseh Kavandi, Scott A Shainker, Olga R Brook","doi":"10.1016/j.jvir.2025.02.018","DOIUrl":"10.1016/j.jvir.2025.02.018","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the safety and effectiveness of percutaneous drainage in the management of infected post-cesarean section (CS) bladder flap hematomas (BFHs).</p><p><strong>Materials and methods: </strong>This retrospective cohort study examined all post-CS imaging examinations performed between January 1, 1999, and April 1, 2022. Of 90,462 CSs performed, 255 patients underwent postpartum pelvic imaging. Images were assessed for BFH and features of infection. Infected BFH was defined by the presence of the systemic inflammatory response syndrome criteria for sepsis, with or without imaging features of infection. Data on treatment approach, outcomes, hospitalization duration, and readmission were obtained when available. The t-test was used for parametric data and Mann-Whitney U test was used for nonparametric data.</p><p><strong>Results: </strong>BFH was diagnosed in 56 (22%) of 255 patients, with a median age of 31 years (interquartile range, 26.8-35.0 years). Forty-five (80%) of 56 patients presented with infection and were treated either with antibiotics alone (26/45, 58%) or drainage procedures (19/45, 42%) combined with antibiotics (surgical [3/19, 16%] and percutaneous drainage [16/19, 84%]). Percutaneous drainage had a success rate of 94% (15/16). Conservative management with antibiotics alone also had a high success rate of 96% (25/26); however, 1 (4%) of 26 developed uterine scar dehiscence. The median lengths of hospital stay were 4 days (range, 1-12 days) for the antibiotic-only group and 6 days (range, 3-39 days) for the drainage group (P < .01). Readmission within 30 days occurred in 7 (27%) of 26 patients in the antibiotic group compared with 3 (19%) of 16 in the drainage group.</p><p><strong>Conclusions: </strong>Percutaneous image-guided drainage is safe and highly effective in managing infected BFHs that do not respond to antibiotics with no increased risk of uterine scar dehiscence.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525185","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":"The Incidence and Consequences of Endovascular Technical Failure in Patients with Chronic Limb-Threatening Ischemia: Results from the Best Endovascular versus Best Surgical Therapy in Patients with Critical Limb-Threatening Ischemia (BEST-CLI) Trial.","authors":"Richard J Powell, Alik Farber, Gheorghe Doros, David Chew, Michael S Conte, Michael D Dake, Sharon Kiang, Matthew T Menard, Kenneth Rosenfield, Peter A Schneider, Jeffrey J Siracuse, Palma Shaw, Michael B Strong, Thomas Todoran, Christopher J White, John A Kaufman","doi":"10.1016/j.jvir.2025.02.020","DOIUrl":"10.1016/j.jvir.2025.02.020","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the causes and clinical impacts of endovascular technical failure (ETF) in the Best Endovascular versus Best Surgical Therapy in Patients with Critical Limb-Threatening Ischemia (BEST-CLI) trial, which compared endovascular therapy with bypass surgery in patients with chronic limb-threatening ischemia (CLTI).</p><p><strong>Materials and methods: </strong>Patients with CLTI were randomized to infrainguinal bypass or endovascular therapy. ETF was defined as the inability to complete the endovascular procedure. Patients with ETF were compared with those without ETF. Causes of ETF and impact on major adverse limb event (MALE), above-ankle amputation, and death were analyzed. ETF occurred in 16% (146 of 896) of endovascular procedures.</p><p><strong>Results: </strong>Patients who experienced ETF were older (69 years [SD ± 10] vs 67 years [SD ± 10], P = .007), were less frequently Hispanic, and had more complex infrainguinal arterial occlusive disease than those without ETF. ETF had more multilevel arterial occlusions involving a combination of both the superficial femoral artery (SFA)/popliteal segments and tibial segments (52% vs 41%, P = .029); Wound, Ischemia, and foot Infection ischemia Grade 3 (70.3% vs 53.1%, P = .002); and occlusion of the proximal SFA (37% vs 19%, P < .001). Causes of ETF included inability to cross the lesion in 82%. Following ETF, 67% underwent bypass surgery within 2 weeks of ETF. ETF was associated with a higher rate of MALE (81% vs 29%, P < .0001) but similar rates of above-ankle amputation (18.7% vs 16.0%, P = .528) and all-cause death (38.6% vs 29.8%, P = .260) at 3 years compared with no ETF.</p><p><strong>Conclusions: </strong>ETF occurred in 16% of patients with CLTI and was associated with multilevel occlusions and proximal SFA occlusion. ETF was due to inability to cross the lesion in 82%. It did not impact long-term above-ankle amputation or death but was associated with increased major revascularization.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525186","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":"Comparative Radiologic Response Assessment after Transarterial Chemoembolization, Percutaneous Ablation, and Multimodal Treatment: Radiologic-Pathologic Correlation in 81 Tumors.","authors":"Wali Badar, Eric G Cooper, Christopher R Florido, Michael Rabaza, Ujalla Sheikh, Grace Guzman, Ron C Gaba","doi":"10.1016/j.jvir.2025.02.016","DOIUrl":"10.1016/j.jvir.2025.02.016","url":null,"abstract":"<p><strong>Purpose: </strong>To compare concordance of radiologic and pathologic response of hepatocellular carcinoma (HCC) to transarterial chemoembolization (TACE), percutaneous ablation, and multimodal treatment using radiologic-pathologic correlation.</p><p><strong>Materials and methods: </strong>This single-center retrospective study analyzed 56 treatment-naive patients (male, 75%; Barcelona Clinic Liver Cancer Stage A, 63%) with 81 HCC tumors (mean diameter, 2.1 cm [SD ± 0.9]) who underwent locoregional therapy (LRT) (TACE, n = 44; ablation, n = 10; TACE + ablation, n = 27) prior to liver transplantation (LT) between 2010 and 2019. Immediate pre-LT cross-sectional imaging was used to assess modified Response Evaluation Criteria in Solid Tumours (mRECIST) response. Explant liver pathology was reviewed for percent pathologic necrosis (PN). Associations between imaging and pathologic observations were statistically characterized using the chi-square and Kruskal-Wallis tests.</p><p><strong>Results: </strong>Median time from imaging to LT was 37 days (range, 2-191 days). Across all LRT types, 68% (55/81), 19% (15/81), and 13% (11/83) of tumors displayed mRECIST complete response (CR), partial response (PR), and stable disease. The mean percent PN (%PN) in CR tumors (89% [SD ± 21]) was significantly higher than those in PR (68% [SD ± 34], P = .005) and stable disease (67% [SD ± 36], P = .009) tumors. Sixty percent (33/55) of CR tumors showed 100% complete PN (CPN), whereas only 20% (3/15) of PR tumors and 18% (2/11) of stable disease tumors showed CPN (P = .002). There was no association between %PN and CPN across different LRT modalities and radiologic response categories, indicating consistent performance between treatments. Sensitivity and specificity for radiologic CR to predict 100% PN were 87% and 49%, respectively.</p><p><strong>Conclusions: </strong>Herein, radiologic-pathologic outcomes suggest that radiologic response criteria are associated with PN, with no differences across treatment modalities. However, the imperfect predictive capacity of imaging for PN supports surveillance of treated tumors before LT.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477006","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. 4 ▪ ABSTRACT OF THE YEAR Preliminary Results of the FRONTIER Trial: Safety and Feasibility of Yttrium-90 TheraSphere in Recurrent Glioblastoma","authors":"S. Mouli ,&nbsp;D. Rivera-Rodriguez ,&nbsp;S. Ansari ,&nbsp;M. Tate ,&nbsp;R. Lukas ,&nbsp;J. Weinstein ,&nbsp;Y. Serulle ,&nbsp;J. Boockvar ,&nbsp;K. Narsinh ,&nbsp;N. Butowski ,&nbsp;M. Dreher ,&nbsp;R. Stupp ,&nbsp;R. Salem","doi":"10.1016/j.jvir.2024.12.030","DOIUrl":"10.1016/j.jvir.2024.12.030","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 3","pages":"Page S3"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436991","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. 26 Optimal Thermal Ablation Margin Range Model for Liver Malignancies ≤3 cm Based on 979 Cases","authors":"Z. Qiu","doi":"10.1016/j.jvir.2024.12.055","DOIUrl":"10.1016/j.jvir.2024.12.055","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 3","pages":"Page S13"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436743","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. 67 Comparison of Post-procedural Complication Rates in Patients Post Gunsight Transjugular Intrahepatic Portosystemic Shunt (TIPS) Procedure with Propensity Score Matched Randomized Controls Post Conventional TIPS Procedure","authors":"R. Borse ,&nbsp;J. Cornman-Homonoff","doi":"10.1016/j.jvir.2024.12.100","DOIUrl":"10.1016/j.jvir.2024.12.100","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 3","pages":"Page S31"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435804","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":"Immediate Urinary Leak after Renal Tumor Cryoablation","authors":"Lawrence Pupulim MD,&nbsp;Raphael Sandes Solha MD,&nbsp;Maria Rojas Soldado MD,&nbsp;Alexandre Stolz MD","doi":"10.1016/j.jvir.2024.11.023","DOIUrl":"10.1016/j.jvir.2024.11.023","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 3","pages":"Page 547"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436556","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. 15 Comparing Percutaneous Cholecystostomy and Cholecystectomy Outcomes for Emphysematous Cholecystitis: A 10-Year Single-Center Experience","authors":"M. Alzein ,&nbsp;A. Gordon ,&nbsp;A. Nemcek Jr. ,&nbsp;A. Riaz","doi":"10.1016/j.jvir.2024.12.043","DOIUrl":"10.1016/j.jvir.2024.12.043","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 3","pages":"Pages S8-S9"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436810","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}