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Techniques in Vascular and Interventional Radiology最新文献

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Percutaneous Sclerotherapy of Venous Malformations 静脉畸形的经皮硬化疗法
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100960
{"title":"Percutaneous Sclerotherapy of Venous Malformations","authors":"","doi":"10.1016/j.tvir.2024.100960","DOIUrl":"10.1016/j.tvir.2024.100960","url":null,"abstract":"<div><p><span><span>Venous malformation (VM) stands as the most prevalent form of </span>vascular malformation<span><span>, characterized by its diverse morphology. These lesions can manifest in any part of the body, affecting different tissue planes and giving rise to symptoms such as pain, swelling, or physical dysfunction. In the realm of treatment, direct puncture VM </span>sclerotherapy<span> holds its place as the primary approach. This technique involves the administration of a sclerosing agent into the VM channels during contrast </span></span></span>phlebography<span> while simultaneously managing the outflow veins through different methods. The process of VM sclerotherapy induces endothelial damage, thrombosis, and fibrosis<span>, resulting in symptom relief through lesion shrinkage. It is crucial to exercise caution techniques and sclerosing agents during VM sclerotherapy to minimize procedural complications, enhance clinical outcomes, and ultimately improve the patient's overall quality of life.</span></span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006896","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
Percutaneous Image-Guided Treatment of Pediatric Deep-Vein Occlusions 经皮图像引导治疗小儿深静脉闭塞症
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100963
{"title":"Percutaneous Image-Guided Treatment of Pediatric Deep-Vein Occlusions","authors":"","doi":"10.1016/j.tvir.2024.100963","DOIUrl":"10.1016/j.tvir.2024.100963","url":null,"abstract":"<div><p>Pediatric<span> venous occlusions<span> are a growing cause of morbidity and mortality, especially in hospitalized patients. Catheter-directed recanalization<span> is a safe and effective treatment option in appropriately selected patients. Benefits of catheter directed therapies (CDTs) include the prevention of pulmonary embolism<span> and end organ failure acutely as well as superior vena cava syndrome and post-thrombotic syndrome chronically. Timely diagnosis, recognition of underlying factors for thrombosis, and familiarity with the spectrum of tools and techniques for CDT are essential to optimizing outcomes in the acute setting. Recanalization of chronic venous occlusions can similarly provide symptomatic relief and achieve long term vessel patency. This review will detail the scope, techniques, and outcomes for CDT in the treatment of acquired systemic deep vein occlusions.</span></span></span></span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006898","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
Anticoagulation in Pediatric Patients 儿科患者的抗凝治疗
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100958
{"title":"Anticoagulation in Pediatric Patients","authors":"","doi":"10.1016/j.tvir.2024.100958","DOIUrl":"10.1016/j.tvir.2024.100958","url":null,"abstract":"<div><p>The use of antithrombotic agents is increasing in infants, children and adolescents. The more recent routine inclusion of children in FDA-monitored clinical trials has propelled the rapid accumulation of safety and efficacy data on these agents in pediatric patients. Antithrombotic agents in current use include indirect or antithrombin-dependent anticoagulants, intravenous direct thrombin inhibitors, direct oral anticoagulants (DOACs) targeting thrombin or factor Xa, antiplatelet agents and thrombolytic therapies. Each class of antithrombotic agent has distinct mechanisms of action, clearance routes, half-lives, safety and dosing. Anticoagulant efficacy is dependent upon the specific clinical indication and stability of the pediatric patient. Duration of anticoagulant course is also dependent upon the clinical indication as well as rate of thrombus resolution. This manuscript reviews the mechanism of action, route of administration, route of clearance and plasma half-life for the antithrombotic agents in current use in children. Use of anticoagulation in the context of thrombolytic therapy is discussed.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006796","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
Venous Anomalies in Overgrowth Syndromes 过度生长综合征中的静脉异常
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100962
{"title":"Venous Anomalies in Overgrowth Syndromes","authors":"","doi":"10.1016/j.tvir.2024.100962","DOIUrl":"10.1016/j.tvir.2024.100962","url":null,"abstract":"<div><p><span>Overgrowth syndromes, particularly within the PIK3CA-related overgrowth syndrome (PROS) spectrum, are commonly associated with venous anomalies. The anomalies include spongiform venous malformations and persistent embryonic veins, such as the lateral marginal vein (of Servelle). The anomalous veins pose a significant risk of </span>thromboembolic disease<span> and should be occluded, preferably earlier in life. A thorough understanding of the conditions, anatomy, and interdisciplinary treatment of these complex anomalies is essential for optimal management. This review explores the clinical and imaging diagnosis of overgrowth syndromes and techniques for assessing and treating associated venous anomalies, particularly the endovenous closure of anomalous veins.</span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410329","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
Interventional Treatment of Pediatric Venous Thromboembolic Disease 小儿静脉血栓栓塞性疾病的介入治疗
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100957
{"title":"Interventional Treatment of Pediatric Venous Thromboembolic Disease","authors":"","doi":"10.1016/j.tvir.2024.100957","DOIUrl":"10.1016/j.tvir.2024.100957","url":null,"abstract":"<div><p><span><span>This review explores the clinical presentation of lower extremity DVT and pulmonary embolism (PE), treatment strategies, and outcomes for </span>venous thromboembolism<span> (VTE) in the pediatric<span><span> population. Traditional therapy for pediatric VTE was anticoagulation alone with </span>thrombolysis and surgery reserved only in life or limb-threatening cases. Catheter-directed thrombolysis (CDT), </span></span></span>pharmacomechanical thrombectomy (PMT) and mechanical thrombectomy (MT) have emerged as effective and safe treatment options for VTE management. Although most data are from adult studies, early pediatric studies suggest that these interventional procedures can be effective in children. The significant clinical impact of post-thrombotic syndrome (PTS) is also discussed, as PTS can lead to lifelong physical symptoms and psychosocial damage.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393996","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
Portal Venous Disease 门静脉疾病
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100959
{"title":"Portal Venous Disease","authors":"","doi":"10.1016/j.tvir.2024.100959","DOIUrl":"10.1016/j.tvir.2024.100959","url":null,"abstract":"<div><p><span>Portal interventions in pediatric patients present unique difficulties when compared to adult procedures. In addition, children who need a portal intervention require a different workup and clinical management. Based on these elements, the clinical decisions for the study and treatment of these pathologies are different. This review is intended to present a summary of the interventional radiologist's role in treating pediatric </span>portal venous diseases<span>. Focus is placed on the technical elements, patient management and procedural indications while discussing different interventions involving the portal vein, providing some recommendations supported by recent research and the authors' experience.</span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404803","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
Fibroadipose Vascular Anomaly: Diagnosis and Treatment 纤维脂肪血管异常：诊断与治疗
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100961
{"title":"Fibroadipose Vascular Anomaly: Diagnosis and Treatment","authors":"","doi":"10.1016/j.tvir.2024.100961","DOIUrl":"10.1016/j.tvir.2024.100961","url":null,"abstract":"<div><p><span><span>Fibro-Adipose Vascular Anomaly (FAVA) is a recently identified type of vascular malformation predominantly affecting adolescent females. Comprising abnormal adipose and vascular components, FAVA is frequently misdiagnosed as other vascular anomalies. It primarily manifests with pain, functional impairment, and </span>musculoskeletal symptoms<span>, particularly in the lower extremities. Accurate diagnosis requires a combination of clinical, radiologic, and histopathologic evaluation, with MRI and ultrasound being the primary imaging tools. Management of FAVA is multidisciplinary and tailored to individual patients. Interventional radiology procedures, such as percutaneous </span></span>cryoablation<span>, sclerotherapy<span><span>, and embolization, are effective in long term control of symptoms. Cryoablation is particularly successful in alleviating pain and improving function. Surgical resection is reserved for specific cases with extensive lesions involving joints or when there is severe muscle or joint dysfunction. Additionally, </span>sirolimus<span>, an mTOR inhibitor<span>, has shown promise in symptom relief, although further research is needed to confirm its long-term efficacy. Early diagnosis and treatment are essential for improving the quality of life in FAVA patients. Advances in imaging and treatment strategies have enhanced the ability to manage this complex and rare condition effectively.</span></span></span></span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006897","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
Venous Compressive Disorders 静脉压迫性疾病
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-06-01 DOI: 10.1016/j.tvir.2024.100964
{"title":"Venous Compressive Disorders","authors":"","doi":"10.1016/j.tvir.2024.100964","DOIUrl":"10.1016/j.tvir.2024.100964","url":null,"abstract":"<div><p><span><span>Venous compressive disorders are a heterogenous group of vascular syndromes characterized by extrinsic venous compression that can lead to complications of venous hypertension or venous thrombosis. Endovascular damage secondary to </span>deep venous thrombosis (DVT) can result in post-thrombotic syndrome (PTS), a potentially debilitating condition that can be associated with significant morbidity in the </span>pediatric<span><span><span> population. Here we discuss 4 venous compressive disorders: iliac vein compression (May-Thurner syndrome [MTS]); </span>subclavian vein compression at the venous thoracic inlet (Paget-Schroetter syndrome); left </span>renal vein compression<span> (nutcracker syndrome); and popliteal vein<span> compression (popliteal entrapment syndrome) with a focus on clinical evaluation and diagnostic methods. Where endovascular therapy is appropriate, specific procedural considerations including procedure indications, equipment, procedural steps, technical challenges, complications, clinical follow-up and expected outcomes are discussed.</span></span></span></p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412024","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
Transitioning from Hospital-based to Office-Based Practice 从医院执业过渡到办公室执业
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-03-01 DOI: 10.1016/j.tvir.2024.100948
{"title":"Transitioning from Hospital-based to Office-Based Practice","authors":"","doi":"10.1016/j.tvir.2024.100948","DOIUrl":"10.1016/j.tvir.2024.100948","url":null,"abstract":"<div><p>The decision to change your career path from a hospital-based practice, whether it's from being a hospital employee or a member of a private practice, can be an emotionally draining choice that is complex and overwhelming to say the least. There are many factors to consider before making this switch, but most importantly, one must realize it may be the hardest but most rewarding work in your career. While the physical, emotional and financial stresses placed on you while developing a practice can be rather demanding, on the flip side, if done correctly and the practice thrives, it can be a change that will bring you great pride and satisfaction, as well as personal reward and freedom.</p></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780823","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
Introduction to the Office-based Lab Issue TVIR 简介
IF 1.4
Techniques in Vascular and Interventional Radiology Pub Date : 2024-03-01 DOI: 10.1016/j.tvir.2024.100945
{"title":"Introduction to the Office-based Lab Issue","authors":"","doi":"10.1016/j.tvir.2024.100945","DOIUrl":"10.1016/j.tvir.2024.100945","url":null,"abstract":"","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041171","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
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