CVIR Endovascular最新文献

{"title":"Iatrogenic injury to an unusual anatomic variant of the internal thoracic artery: lateral costal artery.","authors":"Zhonghao Cui, David S Shin, Jonathan C Giang, Jeffrey Forris Beecham Chick, Ben Varughese, John Weaver, Mina S Makary","doi":"10.1186/s42155-026-00685-9","DOIUrl":"https://doi.org/10.1186/s42155-026-00685-9","url":null,"abstract":"","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846066","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}

{"title":"Unity makes strength: multi-wire technique for bailout sheath upsizing during endovascular revascularisations.","authors":"Lorenzo Patrone, Gianmarco Falcone, Emiliano Chisci, Azzurra Guidotti, Isabelle Van Herzeele, Stefano Michelagnoli","doi":"10.1186/s42155-025-00643-x","DOIUrl":"10.1186/s42155-025-00643-x","url":null,"abstract":"<p><p>The use of a 4-F platform is increasingly used during peripheral arterial interventions, with most of the devices now being compatible with 0.018″ and 0.014″ wires. Unexpected complications/procedural steps during such procedures can require sudden sheath upsize. In this occasion, to maintain the original low-profile guidewire(s), usually positioned across the target lesion(s), can be extremely important. Hereby we describe a technique to safely allow bailout sheath upsizing without losing access to the target lesion(s), which can be applied in a various number of clinical scenarios.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of catheter sizing on pressure gradient measurements in a model of vessel stenosis.","authors":"Duygu Harmankaya, Kay Pieterman, Eline van der Hoek, Maryam Hussain, Fleur van den Bogaert, Kirsten Henken, Marco Bruno, Desirée van Noord","doi":"10.1186/s42155-026-00681-z","DOIUrl":"10.1186/s42155-026-00681-z","url":null,"abstract":"","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse event severity in weekend and after-hours interventional radiology: a multi-institutional quality review.","authors":"Gavin Wu, Jeffrey Forris Beecham Chick, Adlai Grayson, Arthie Jeyakumar, Andrew G Kim, David S Shin, Eric J Monroe, Mina S Makary","doi":"10.1186/s42155-026-00690-y","DOIUrl":"https://doi.org/10.1186/s42155-026-00690-y","url":null,"abstract":"<p><strong>Background: </strong>Procedures performed after-hours have been associated with worse outcomes in several procedural specialties. Data examining the relationship between procedure timing and adverse event severity in interventional radiology remain limited. This study retrospectively evaluated adverse events reviewed at interventional radiology morbidity and mortality conferences to assess whether procedure timing was associated with differences in adverse event severity and quality-of-care assessment.</p><p><strong>Results: </strong>A total of 547 adverse events occurring across four affiliated hospital sites were included. The cohort comprised 341 males and 206 females with a mean age of 56.2 years. Vascular procedures accounted for 369 events (67.5%), and non-vascular procedures accounted for 178 events (32.5%). Most adverse events occurred during weekday daytime hours (n = 459, 83.9%), followed by weekday after-hours (n = 50, 9.1%) and weekend periods (n = 38, 6.9%). Compared with weekday daytime procedures, a greater proportion of adverse events resulting in death occurred during weekday after-hours and on weekends, as reflected by a higher proportion of Society of Interventional Radiology class F events and Harm Score 9 outcomes (p < 0.001). In contrast, no significant difference in Quality Control System scores was observed across procedure timing categories (p = 0.73).</p><p><strong>Conclusions: </strong>Among adverse events reviewed at interventional radiology morbidity and mortality conferences, procedures performed during weekday after-hours and weekend periods were associated with greater adverse event severity, while quality-of-care assessments did not differ by procedure timing. These findings describe patterns within morbidity and mortality-reviewed complications and do not estimate complication rates or population-level risk by procedure timing. The absence of variation in Quality Control System scores supports the hypothesis that observed differences in severity may reflect patient acuity and procedural urgency rather than differences in procedural quality.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardized angiographic workflow and technique for genicular artery embolization.","authors":"Seyed A Astani, Amanda Oliveira, Brandon Matty, Jafar Golzarian","doi":"10.1186/s42155-026-00694-8","DOIUrl":"https://doi.org/10.1186/s42155-026-00694-8","url":null,"abstract":"<p><p>Genicular artery embolization (GAE) has emerged as a safe and encouraging minimally invasive treatment option for patients with chronic knee osteoarthritis (OA) who have failed conventional therapies. This technical report describes a standardized imaging and embolization protocol developed at a single institution, based on over 250 procedures. The technique integrates sheathless femoral access, routine use of cone-beam computed tomography (CBCT) with advanced embolization planning and guidance software, and a selective embolization strategy using resorbable or permanent agents. Procedures are performed in an outpatient setting, with same-day discharge and routine post-procedural physical therapy. The method described emphasizes safety, reproducibility, and precision, and provides a potential framework for broader standardization in GAE.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A low-cost triangular water-filled stand-off pad to improve needle visibility in ultrasound-guided procedures.","authors":"Yuji Kumakura, Takayuki Asao, Makoto Sakai, Kengo Kuriyama, Takuhisa Okada, Takuya Shiraishi, Akiharu Kimura, Akihiko Sano, Ken Shirabe, Hiroshi Saeki","doi":"10.1186/s42155-026-00692-w","DOIUrl":"https://doi.org/10.1186/s42155-026-00692-w","url":null,"abstract":"","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant proximal pulmonary pseudoaneurysm treated with stenting and Cyanoacrylate glue: a technical case report.","authors":"Nicolas Stacoffe, Théo Bourdeyroux, Farouk Tradi, Romain L'Huillier","doi":"10.1186/s42155-024-00461-7","DOIUrl":"https://doi.org/10.1186/s42155-024-00461-7","url":null,"abstract":"<p><p>Pulmonary artery pseudoaneurysms pose a therapeutic challenge due to their lack of a defined wall, making the choice of endovascular therapy crucial. The added complexity arises from their proximal location, often necessitating endovascular stenting for effective treatment. Our case highlights a successful therapeutic intervention involving stenting and glue embolization to address a sizable proximal pseudoaneurysm in the right pulmonary artery. This approach demonstrates the efficacy of combining these techniques in managing such challenging cases. The utilization of endovascular stenting, coupled with glue embolization, could be a therapeutic option in the context of giant pseudoaneurysms located proximally within the pulmonary artery.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-year outcomes of the TCD-17187 (Kanshas) drug-coated balloon for the treatment of atherosclerotic lesions in the superficial femoral and proximal popliteal artery.","authors":"Shu-Ichi Seki, Yoshimitsu Soga, Osamu Iida, Daizo Kawasaki, Hitoshi Anzai, Hiroshi Ando, Tatsuya Nakama, Norihiko Shinozaki, Amane Kozuki, Masaharu Ishihara, Kazushi Urasawa, Fumiyuki Hayashi, Hiroaki Tsujita, Kazuki Tobita, Kenji Ogata, Kazunori Horie, Naoki Hayakawa, Shinsuke Mori, Masahiko Fujihara, Takao Ohki, Kenichiro Yuba, Toshiaki Mano, Masato Nakamura","doi":"10.1186/s42155-026-00695-7","DOIUrl":"https://doi.org/10.1186/s42155-026-00695-7","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the safety and effectiveness of the Kanshas drug-coated balloon (DCB) with paclitaxel for the treatment of atherosclerotic lesions in the superficial femoral artery (SFA) and/or proximal popliteal artery (PA) over a 3-year period.</p><p><strong>Results: </strong>A prospective, multicenter, single-arm trial enrolled 121 patients with symptomatic lower extremity artery disease (LEAD). At 3 years, the primary patency rate was 63.4%, and freedom from clinically driven target lesion revascularization (CD-TLR) was 83.2%. Sustained improvements were observed in Rutherford classification, ankle brachial index (ABI), and walking impairment questionnaire (WIQ) scores. No device- or procedure-related deaths or major amputations occurred.</p><p><strong>Conclusions: </strong>The Kanshas DCB showed favorable safety and effectiveness for treating atherosclerotic lesions in the SFA and/or proximal PA over 3 years.</p><p><strong>Trail registration: </strong>Registration ID: UMIN000034122. Registration Date: September 13, 2018. Registration site URL: https://center6.umin.ac.jp/cgi-openbin/ctr/ctr.cgi?function=brows&action=brows&recptno=R000038612&type=summary&language=J .</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current considerations in prostate artery embolisation.","authors":"Peter Mark, Nicholas I Brown, William E L Ormiston","doi":"10.1186/s42155-026-00689-5","DOIUrl":"https://doi.org/10.1186/s42155-026-00689-5","url":null,"abstract":"<p><strong>Background: </strong>Prostate artery embolisation is an increasingly common, minimally invasive procedure performed for lower urinary tract symptoms caused by benign prostatic hyperplasia, with numerous systematic reviews and meta-analyses concluding that PAE is safe and effective. Despite mounting evidence supporting its role in treating BPH, variability and debate exist across various practical and technical factors associated with PAE.</p><p><strong>Main body: </strong>PAE requires the use of a permanent embolic, typically microparticles or a liquid embolic, to induce ischaemia within the transitional zone of the prostate and shrink hyperplastic nodules. Microparticles have a large body of evidence that has established them as safe and effective. Liquid embolics can reduce procedure time and radiation dose but require operator experience with preparation and delivery. Pre-procedural CTA and cone beam CT are useful in defining anatomy and identifying non-target vasculature with the aim to reduce procedure time and risk of non-target embolisation but are associated with increased radiation dose. PAE can be safely performed from either a femoral or radial approach. Femoral access may be associated with higher rates of local complications and radial access is generally preferred by patients, although patient anatomy should be considered when selecting the site of access. There is recent evidence supporting the use of PAE as first-line therapy for BPH or as an adjunct prior to surgical intervention.</p><p><strong>Conclusion: </strong>Prostate artery embolisation is an important treatment option within the algorithm for managing BPH, and has matured into a credible, evidence-based option alongside surgery and medications. While the efficacy and safety of PAE are well established, varied technical considerations exist regarding embolic choice, access route, imaging adjuncts and the procedure's role within the treatment sequence. Current data supports a pragmatic, anatomy-driven approach that prioritises procedural precision, embolic control, and patient-centred decision-making over adherence to a single technique.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced myometrial vascularity: tailored superselective flow-reduction uterine artery embolization for fertility preservation.","authors":"Vinicius Adami Vayego Fornazari, Gloria Maria Salazar, Gustavo Henrique Vieira Andrade, Thiago Franchi Nunes, Joaquim Mauricio Motta-Leal-Filho, Renato Abu Hana, Dherraj Reddy Goppireddy, Grit Armstrong Adler","doi":"10.1186/s42155-026-00679-7","DOIUrl":"10.1186/s42155-026-00679-7","url":null,"abstract":"<p><p>Enhanced myometrial vascularity (EMV) is a rare, pregnancy-related hypervascular condition that can cause persistent uterine bleeding and is frequently misinterpreted as an arteriovenous malformation. Women undergoing assisted reproduction who developed symptomatic EMV after miscarriage or uterine instrumentation. Superselective flow-reduction uterine artery embolization (UAE) was performed using 2.0-2.4 F microcatheters with individualized embolic selection, microspheres for diffuse thin-walled vessels and coils or NBCA for discrete feeders. The goal was targeted flow reduction while preserving global uterine perfusion. All patients experienced complete bleeding resolution, preserved uterine morphology, and subsequently achieved successful conception through assisted reproduction. These findings support tailored, fertilitypreserving UAE as a safe and effective management strategy for symptomatic EMV.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}