Techniques in Vascular and Interventional Radiology最新文献

Medical Management of Peripheral Arterial Disease 外周动脉疾病的医学管理

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.tvir.2026.101100

Anoop Ravilla MD

引用次数: 0

Chronic Total Occlusion Crossing Techniques for Infra-Inguinal Peripheral Artery Disease: A Contemporary Guide for Vascular Specialists 腹股沟下外周动脉疾病的慢性全闭塞交叉技术：血管专家的当代指南

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-10 DOI: 10.1016/j.tvir.2026.101103

Srini Tummala MD, Aakash Neelupalli Reddy

引用次数: 0

Amputation Levels in High-Risk Chronic Limb-Threatening Ischemia Patients 高风险慢性肢体缺血患者的截肢水平

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.tvir.2026.101106

Neil Trivedi DPM , Robin Tsai DPM , Laura Shin DPM , Nallely Saldana-Ruiz MD, MPH , Jakob I. Wepman BA , Robert Stillwell DPM

{"title":"Amputation Levels in High-Risk Chronic Limb-Threatening Ischemia Patients","authors":"Neil Trivedi DPM , Robin Tsai DPM , Laura Shin DPM , Nallely Saldana-Ruiz MD, MPH , Jakob I. Wepman BA , Robert Stillwell DPM","doi":"10.1016/j.tvir.2026.101106","DOIUrl":"10.1016/j.tvir.2026.101106","url":null,"abstract":"<div><div>Lower extremity amputations secondary to diabetes and vascular disease result in huge costs to the healthcare system and have significant psychological effects on patients. Limb salvage has become an important specialty within podiatric medicine, aiming to keep patient's ambulatory and prevent readmissions and repeat amputations. The purpose of this chapter is to describe the different levels of amputation in the foot and ankle and discuss relevant adjunctive surgical procedures to reduce the risk of postoperative complications. A thorough understanding of the biomechanics of the foot and ankle is necessary. Additionally, it is important to utilize any available vascular imaging or non-invasive vascular studies as well as wound stratification systems when planning amputation levels. Outcomes vary widely depending on perfusion and systemic comorbidities. A multidisciplinary team approach is best in limb salvage to treat underlying systemic illnesses which can result in failure of the amputation. Several factors including the current functional status of the patient, should be considered before selecting a surgical procedure for limb salvage.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"29 1","pages":"Article 101106"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

We Must Embrace Peripheral Artery Disease: A Trainee Perspective 我们必须接受外周动脉疾病：实习生的观点

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI: 10.1016/j.tvir.2026.101107

Austin Shinagawa MD , Subhash Gutti MD , Alok Bhatt MD

引用次数: 0

Wound Care Basics in High-Risk Chronic Limb-Threatening Ischemia Patients 高危慢性肢体缺血患者的伤口护理基础

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.tvir.2026.101102

Neil Trivedi DPM , Robin Tsai DPM , Laura Shin DPM , Nallely Saldana-Ruiz MD MPH , Jakob I Wepman BA , Robert Stillwell DPM

{"title":"Wound Care Basics in High-Risk Chronic Limb-Threatening Ischemia Patients","authors":"Neil Trivedi DPM , Robin Tsai DPM , Laura Shin DPM , Nallely Saldana-Ruiz MD MPH , Jakob I Wepman BA , Robert Stillwell DPM","doi":"10.1016/j.tvir.2026.101102","DOIUrl":"10.1016/j.tvir.2026.101102","url":null,"abstract":"<div><div>The purpose of this chapter is to provide a broad summary of the different classes of wound care products and to show their indications for use while providing a list of the products which are most commonly used in the clinical setting. Wound care is a complex specialty and a thorough understanding of the underlying etiology of a wound is essential in determining which wound care products are best to use. Wound care is a large specialty within podiatric medicine and continues to have a significant impact on health-care expenses in the United States (US). Prompt treatment with a multidisciplinary approach is necessary to reduce the burden of healthcare expenses and prevent the detrimental effects caused by chronic wounds on the quality of life of patients. The different types of wounds will be identified and common diagnostic studies ordered for each type of wound will be discussed. Wound care is a dynamic specialty which requires constant evaluation as changes occur, including revascularization procedures and infections. The presence of simultaneous disease processes that interfere with wound healing also adds to the complexity of treatment. The goal of this chapter is to allow healthcare providers in multiple different specialties to learn more about wound care to treat patients with more effectiveness and efficiency.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"29 1","pages":"Article 101102"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Approach to Patients with Peripheral Arterial Disease (PAD) and Keys to Building a Practice 外周动脉疾病（PAD）的治疗方法及建立实践的关键

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.tvir.2026.101099

Brian J. Schiro MD, RPVI, FSIR, Syed Kazmi MD, Constantino Pena MD, FSIR, Alex Powell MD, FSIR, Adam Geronemus MD, FSIR, Ripal Gandhi MD, FSIR, Ronald Mora MD, Daniela Garcia MD

引用次数: 0

Noninvasive imaging in peripheral arterial disease: Techniques, protocols, and clinical applications 外周动脉疾病的无创成像：技术、方案和临床应用

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.tvir.2026.101101

Yolanda Bryce MD , Jill Sommerset RVT , Constantino Peña MD

引用次数: 0

Tools for Plaque Modification in Peripheral Arterial Disease 外周动脉疾病斑块修饰工具

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.tvir.2026.101104

Keith Pereira MD, FSIR

{"title":"Tools for Plaque Modification in Peripheral Arterial Disease","authors":"Keith Pereira MD, FSIR","doi":"10.1016/j.tvir.2026.101104","DOIUrl":"10.1016/j.tvir.2026.101104","url":null,"abstract":"<div><div>Peripheral arterial disease (PAD) continues to pose a major global health challenge, driven by population aging and the growing prevalence of diabetes. Effective management of complex, calcified lesions increasingly relies on targeted plaque-modification strategies that enhance vessel compliance and improve long-term patency. This review summarizes current vessel-preparation tools—including specialty balloons, atherectomy systems, and intravascular lithotripsy—highlighting their mechanisms, indications, limitations, and supporting evidence. While registries and observational studies demonstrate acute advantages such as greater luminal gain, improved drug uptake, and fewer severe dissections requiring bailout stenting, randomized data remain limited and heterogeneous. Key outcomes—including primary patency, distal embolization, and long-term clinical benefit—are inconsistently reported. These evidence gaps underscore the need for standardized endpoints and morphology-specific trials to better define optimal use. Collectively, plaque-modification technologies represent an expanding continuum of vessel-preparation options that complement angioplasty and drug-based therapies, aiming to deliver durable, anatomy-guided, and patient-centered revascularization in peripheral arterial disease.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"29 1","pages":"Article 101104"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DVA: Updated Evidence, Techniques, and Management Post-Intervention DVA：干预后的最新证据、技术和管理

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.tvir.2026.101105

Shivraj Grewal MD , Shaan Haider BS , Sreekumar Madassery MD, FSIR

{"title":"DVA: Updated Evidence, Techniques, and Management Post-Intervention","authors":"Shivraj Grewal MD , Shaan Haider BS , Sreekumar Madassery MD, FSIR","doi":"10.1016/j.tvir.2026.101105","DOIUrl":"10.1016/j.tvir.2026.101105","url":null,"abstract":"<div><div>Deep vein arterialization (DVA) is an evolving revascularization strategy that offers an option for those who classically are considered as no-option critical limb threatening ischemia (CLTI) patients. This patient population, many who may have had multiple revascularization attempts, or sometimes none, face dangerously high rates of amputation and mortality that has been well described in the literature. These patients suffer from small vessel disease and anatomically demonstrate no suitable vessels for endovascular or surgical revascularization (“desert foot”). DVA creation involves a tibial artery-to-vein fistulization, and after additional interventions, enables retrograde delivery of oxygenated blood down the tibial vein towards the pedal venous arch. This article describes the indications and contraindications, pre-operative evaluation, various approaches to arterialization, and postprocedural DVA management. DVA creation can be a technically challenging procedure, particularly in patients with significant arterial inflow disease burden, difficult-to-navigate venous loops, and those with variable venous anatomy. Post-DVA reintervention is quite common, spanning from management of graft occlusion/stenosis, poor maturation, arterial steal, and venous hypertension. Furthermore, these patients require close clinical follow-up involving regular ultrasound surveillance and close collaboration with foot and ankle surgeons for amputation strategy planning. Lastly, there is a continually growing body of evidence demonstrating the efficacy of DVA as well as the benefits of early reintervention; overall, promising results for patients with no-option CLTI.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"29 1","pages":"Article 101105"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

TIPS Revision: Indications, Techniques, and What to Consider When Revision Fails TIPS修订：适应症、技术以及修订失败时应考虑的事项

IF 1.3

Techniques in Vascular and Interventional Radiology Pub Date : 2025-12-01 Epub Date: 2025-10-03 DOI: 10.1016/j.tvir.2025.101083

Nathan Loudon MD , Jonathan Lorenz MD , Ronald Arellano MD , Baljendra Kapoor MD

引用次数: 0