Techniques in Vascular and Interventional Radiology最新文献

Focused Cardiac Ultrasound for Rapid Hemodynamic Assessment: A Primer for Vascular and Interventional Radiologists 聚焦心脏超声快速血流动力学评估：血管和介入放射科医师入门

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI: 10.1016/j.tvir.2025.101025

Khanant M. Desai MD, RPVI

引用次数: 0

Fluid Status Assessment and the Role of the Venous Excess Ultrasound (VExUS) Score 静脉超声（VExUS）评分对液体状态的评估和作用

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI: 10.1016/j.tvir.2025.101026

Andrew R. Ahn MD, Khanant M. Desai MD, RPVI

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Corrigendum to Image guided percutaneous robotic interventions for solid organs Techn Vasc Intervent Radiol (TVIR). 2024, 27: 101006 图像引导的实体器官经皮机器人介入技术血管介入放射（TVIR）的勘误表。2024, 27: 101006

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI: 10.1016/j.tvir.2025.101019

Govindarajan Narayanan MD , Ripal T. Gandhi MD , Matheus A. Dabus , Bente A.T. van den Bemd MD

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Central Venous Recanalization and Right Atrial Thrombectomy Using IVUS 中心静脉再通及右房血栓取栓术

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI: 10.1016/j.tvir.2025.101024

Rehan Syed Quadri MD

{"title":"Central Venous Recanalization and Right Atrial Thrombectomy Using IVUS","authors":"Rehan Syed Quadri MD","doi":"10.1016/j.tvir.2025.101024","DOIUrl":"10.1016/j.tvir.2025.101024","url":null,"abstract":"<div><div>Central venous occlusions (CVOs) of the systemic circulation are highly morbid, causing significant symptoms from venous congestion, venous thromboembolism (VTE) and impaired vascular access. Endovascular recanalization (EVR) has emerged as the treatment of choice for medically refractory nonthrombotic and thrombotic CVOs with Intravascular Ultrasound (IVUS) playing a pivotal role. Radial and side-firing IVUS catheters are used during central venous recanalization in the chest, abdomen and pelvis. The intraluminal ultrasonic view of a CVO shows dynamic details of pathology not obtained with conventional venography or cone-beam CT, allowing for a more accurate evaluation of clot burden, wall integrity, tumor invasion, occlusion length and luminal caliber. IVUS is also superb for guiding treatment of CVOs involving blunt and sharp recanalization, stenting, and mechanical thromboembolectomy (MTE) of VTE, especially high-risk free-floating thrombi (FFT) and clot in-transit (CIT) in the right atrium (RA). It most accurately assesses procedural endpoints, including successful intravascular traversal across an occlusion, adequate luminal gain after venoplasty and stenting, and complete clot extraction during thrombectomy. Moreover, this is all done without added contrast or radiation, which is paramount to reduce exposure during a challenging recanalization, especially in the aging hemodialysis population. Long-term data is now available that shows IVUS can enhance technical and clinical success and reduce complications during EVR. To achieve these benefits with IVUS interventionalists must be familiar with the available catheters and how to optimize and interpret the intraluminal images obtained. This paper will review the patient evaluation, indications, equipment, steps, challenges, complications, and outcomes for central venous recanalization (CVR) and RA thrombectomy with IVUS.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"28 1","pages":"Article 101024"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870864","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

Transvenous biopsy of abdominal-pelvic lesions with no safe percutaneous access: How we do it 无安全经皮通路的腹盆腔病变的经静脉活检：我们如何做

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI: 10.1016/j.tvir.2025.101022

Akhilesh Pillai , Achintya A. Patel MD , Ankit Mehta MD , Moaz M. Choudhary MD

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Intravascular Ultrasound: A Review of Radial and Side Firing IVUS 血管内超声：桡骨和侧射IVUS的回顾

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI: 10.1016/j.tvir.2025.101021

Aria Nazeri MD , Alexander Ushinsky MD , Sanjeeva P. Kalva MD , Moaz M. Choudhary MD

引用次数: 0

Transcaval endoleak embolization using intravascular ultrasound: A step-by-step guide 经颅腔腔内漏栓塞血管内超声：一步一步的指导

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2025-03-01 DOI: 10.1016/j.tvir.2025.101023

Achintya A. Patel MD, Michael J. Miller MD

{"title":"Transcaval endoleak embolization using intravascular ultrasound: A step-by-step guide","authors":"Achintya A. Patel MD, Michael J. Miller MD","doi":"10.1016/j.tvir.2025.101023","DOIUrl":"10.1016/j.tvir.2025.101023","url":null,"abstract":"<div><div>Type II endoleaks are common benign complications that occur following endovascular aneurysm repair (EVAR). When traditional transarterial embolization fails in the management of these endoleaks, alternative approaches such as the transcaval approach can be attempted. The transcaval approach can be performed from either right internal jugular or common femoral vein access sites. The technique utilizes intravascular ultrasound or landmark fluoroscopy to visualize direct needle access into the aneurysm sac. Once access is obtained, the source of the endoleak can be embolized with either coils, liquid embolics, or thrombin. The technique is well tolerated by the vast majority of patients. Technical challenges include the need for a capable assistant and approach vectors. Possible complications include iatrogenic type III endoleaks, graft and/or coil pack infections, and persistent or recurrent type II endoleaks. This article will review indications and evaluation of patients for transcaval endoleak embolization, describe the procedure in a step-by-step fashion, and discuss potential technical challenges and complications.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"28 1","pages":"Article 101023"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870863","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

Tracking and Navigation Technologies for Image-Guided Trans-Arterial Interventions 图像引导下经动脉介入治疗的跟踪和导航技术。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101010

William D. Denton , Nicholas Meredith , Merve Ozen MD

{"title":"Tracking and Navigation Technologies for Image-Guided Trans-Arterial Interventions","authors":"William D. Denton , Nicholas Meredith , Merve Ozen MD","doi":"10.1016/j.tvir.2024.101010","DOIUrl":"10.1016/j.tvir.2024.101010","url":null,"abstract":"<div><div>Trans-arterial interventions are an increasingly utilized approach for diagnosing and treating a wide range of pathologies, providing superior patient outcomes compared to traditional open surgical methods. Recent advancements in tracking and navigation technologies have significantly refined these interventions, enhancing procedural precision and success. Advanced imaging modalities, such as fluoroscopy, cone beam computed tomography (CBCT), and intravascular ultrasound (IVUS), are frequently used strategies offering critical real-time guidance. Although fluoroscopy remains the primary choice for many procedures, advancements in CBCT and IVUS have enabled the delivery of detailed volumetric and intravascular imaging while reducing radiation exposure. Aiming to enhance imaging capabilities further, image fusion and augmented reality technologies show substantial potential for integrating multiple datasets into cohesive models, improving instrument tracking and spatial orientation during interventions. Innovations in navigation systems, including electromagnetic, fiberoptic, and robotic navigation, provide additional tracking capabilities for enhanced intra-arterial navigation. This article will review the current advancements in imaging, tracking, navigation, and image fusion technologies and explore their utility in enhancing trans-arterial interventions.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 4","pages":"Article 101010"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016052","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

Image-Guided Percutaneous Robotic Interventions for Lung 图像引导的经皮肺部机器人介入治疗。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101002

Ruben Geevarghese MBBS , Sylvain Bodard MD , Afareen Jaleel M.Eng , Stephen B. Solomon MD , Hooman Yarmohammadi MD , Francois H. Cornelis MD, PhD

引用次数: 0

The Transformative Impact of AI, Extended Reality, and Robotics in Interventional Radiology: Current Trends and Applications 人工智能、扩展现实和机器人技术在介入放射学中的变革性影响：当前趋势和应用。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101003

Katelyn Vlastaris , Annabelle Alrez , Samantha Friedland , Antonina Randazzo , Rayan Abboud MD, MS , Charles Martin III, MD, MBA, FSIR

{"title":"The Transformative Impact of AI, Extended Reality, and Robotics in Interventional Radiology: Current Trends and Applications","authors":"Katelyn Vlastaris , Annabelle Alrez , Samantha Friedland , Antonina Randazzo , Rayan Abboud MD, MS , Charles Martin III, MD, MBA, FSIR","doi":"10.1016/j.tvir.2024.101003","DOIUrl":"10.1016/j.tvir.2024.101003","url":null,"abstract":"<div><div>Interventional Radiology is at the forefront of integrating advanced imaging techniques and minimally-invasive procedures to enhance patient care. The advent of Digital Health Technologies (DHTs), including artificial intelligence (AI), robotics, and extended reality (XR), is revolutionizing healthcare, particularly in IR due to its reliance on innovative technology and advanced imaging. Since 2016, the proportion of these DHT-related publications in IR has consistently increased. The proportion of AI-related studies published in IR was 69% higher than in surgery, XR-related studies were 94% higher, and robotics studies were 192% higher, indicating a more rapid growth rate in IR compared to surgery. This article explores the transformative impact of these technologies on IR, emphasizing their potential to enhance precision, efficiency, and patient outcomes. Despite the promising advancements, there is a lack of standardization and clinical consensus on the optimal use of DHTs in IR. The variability in IR procedures and imaging systems across hospitals complicates the standardization of workflows and comparison of studies. This underscores the importance of integrating DHTs as aids to IR practitioners rather than replacement, ensuring that these technologies enhance both clinical and procedural practice.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 4","pages":"Article 101003"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016051","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