CVIR Endovascular最新文献

{"title":"Correction: Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare","authors":"Hasan Alaeddin, Amr Elsaadany, Mohammad Rashid Akhtar","doi":"10.1186/s42155-023-00419-1","DOIUrl":"https://doi.org/10.1186/s42155-023-00419-1","url":null,"abstract":"<p>Correction: <i>CVIR Endovasc </i><b>6</b>, 59 (2023)</p><p>https://doi.org/10.1186/s42155-023-00407-5.</p><p>Following the publication of the original article [1], the authors would like to update the corresponding author’s affiliation to “Royal Derby Hospital, Derby, UK.”.</p><ol data-track-component=\"outbound reference\"><li data-counter=\"1.\"><p>Alaeddin H, Elsaadany A, Rashid Akhtar M. Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare. CVIR Endovasc. 2023;6:59. https://doi.org/10.1186/s42155-023-00407-5.</p><p>Article PubMed PubMed Central Google Scholar </p></li></ol><p>Download references<svg aria-hidden=\"true\" focusable=\"false\" height=\"16\" role=\"img\" width=\"16\"><use xlink:href=\"#icon-eds-i-download-medium\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"></use></svg></p><h3>Authors and Affiliations</h3><ol><li><p>Royal Derby Hospital, 14 Prothero Gardens, London, NW4 3SL, UK</p><p>Hasan Alaeddin</p></li><li><p>Royal London Hospital, London, UK</p><p>Amr Elsaadany &amp; Mohammad Rashid Akhtar</p></li></ol><span>Authors</span><ol><li><span>Hasan Alaeddin</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Amr Elsaadany</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Mohammad Rashid Akhtar</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li></ol><h3>Corresponding author</h3><p>Correspondence to Hasan Alaeddin.</p><h3>Publisher’s Note</h3><p>Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p><p>The online version of the original article can be found at https://doi.org/10.1186/s42155-023-00407-5.</p><p><b>Open Access</b> This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.</p>\u0000<p>Reprints and permissions</p><img alt=\"Check for updates. Verify currency and authenticity via CrossMark\" height=\"81\" src=\"data:image/svg+xml;base64,PHN2ZyBoZWlnaHQ9IjgxIiB3aWR0aD0iNTciIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyI+PGcgZmlsbD0ibm9","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"27 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139084592","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":"Avoiding adverse events in interventional radiology – a systematic review on the instruments","authors":"Sophia Freya Ulrike Blum, Ralf-Thorsten Hoffmann","doi":"10.1186/s42155-023-00413-7","DOIUrl":"https://doi.org/10.1186/s42155-023-00413-7","url":null,"abstract":"Avoiding AEs is a pivotal fundament for high patient safety in an efficient interventional radiology (IR) department. Although IR procedures are considered to have a lower risk than their surgical alternatives, they account for one third of all radiological adverse events (AEs) and in general, the number of AEs is increasing. Thus, measures to prevent AEs in IR are of interest. A systematic literature search was conducted via handsearch and Ovid. A structured data extraction was performed with all included studies and their quality of evidence was evaluated. Finally, data were aggregated for further statistical analysis. After screening 1,899 records, 25 full-text publications were screened for eligibility. Nine studies were included in the review. Of those, four studies investigated in simulator training, one in team training, three in checklists, and one in team time-out. Eight were monocenter studies, and five were conducted in a non-clinical context. Study quality was low. Aggregation and analysis of data was only possible for the studies about checklists with an overall reduction of the median error per procedure from 0.35 to 0.06, observed in a total of 20,399 and 58,963 procedures, respectively. The evidence on the instruments to avoid AEs in IR is low. Further research should be conducted to elaborate the most powerful safety tools to improve patient outcomes in IR by avoiding AEs.","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"13 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139083937","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":"Combined genicular artery embolization and genicular nerve block to treat chronic pain following total knee arthroplasty","authors":"Wenhui Zhou, Eric Bultman, Lisa A. Mandl, Nicholas J. Giori, Sirish A. Kishore","doi":"10.1186/s42155-023-00409-3","DOIUrl":"https://doi.org/10.1186/s42155-023-00409-3","url":null,"abstract":"Chronic knee pain after total knee arthroplasty (TKA) is a common complication that is difficult to treat. This report aims to highlight the benefit of combining embolotherapy and neurolysis intervention for symptomatic relief of post-TKA pain in a patient with long-standing pain refractory to conservative management. A 77-year-old man who had previously undergone left knee arthroplasty has been grappling with worsening knee effusion and debilitating pain, resulting in limited mobility and progressive musculature deconditioning over a 20-year period. Diagnostic arteriography showed marked diffuse periarticular hyperemia around the medial and lateral joint spaces of the left knee, along with capsular distention. The patient initially underwent microsphere embolization to selectively target multiple branches of the genicular arteries, achieving a 50% reduction in pain at the one-month follow-up. Subsequently, the patient underwent image-guided genicular nerve neurolysis, targeting multiple branches of the genicular nerves, which led to further pain reduction (80% compared to the initial presentation or 60% compared to post-embolization) at the one-month follow-up. This improvement facilitated weight-bearing and enabled participation in physical therapy, with sustained pain relief over the 10-month follow-up period. The combination of genicular artery embolization and genicular nerve block may be a technically safe and effective option for alleviating chronic pain after total knee arthroplasty.","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139083939","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":"Getting it right is better than being right, right?","authors":"Jim A. Reekers","doi":"10.1186/s42155-023-00420-8","DOIUrl":"https://doi.org/10.1186/s42155-023-00420-8","url":null,"abstract":"<p>The dilemma of interventional radiology is that being right does not automatically translate into getting it right. I found out, amid the turmoil following the publication of my book <i>The Medical Omerta</i> (published in Dutch) that there was a significant interest not only on social media but also in newspapers, radio, and television about uterine fibroid embolization. It seemed that all our efforts during the last 15 years to give this topic more public attention had completely failed, as the message about UFE being a proven alternative to hysterectomy came totally out of the blue for many women. A paper in 2019 about implementation of UFE in the Netherlands, less than 6%, was already a predictor of the bad news [1]. Here there is some similarity with other women-related IR procedure, which we have highlighted in our CVIR Endovascular special issue on women’s health [2].</p><p>My personal story about the failure to get UFE implemented in the Netherlands after our EMMY trial is only one chapter out of fourteen in my book, but the discussions about this chapter overshadowed all the other chapters. After the release of my book, women posted their personal, and always bad, experiences with hysterectomy on social media. It was interesting to see that the focus was on two aspects of the UFE saga. First was the complete absence of any information on UFE by the gynaecologists during consultation and second was the importance for many women to preserve their uterus to maintain fertility and as a crucial part of their femininity [3]. The fact that gynaecologists do not tell patients about UFE is well known worldwide and supported by many papers [4], but the high focus for women to preserve their uterus as a crucial part of their femininity came also to me as a total surprise. During the aftermath of my book release, the discussions with gynaecologists were mostly personal attacks on me in newspapers and on social media. One gynaecologist wrote in a newspaper interview that women were always very relieved, in his personal experience, to have their uterus removed which has given them so much trouble. He said that more than 80% of women in his practice choose to have their uterus removed instead of undergoing UFE. Of course, this was his personal male experience without any science to back it up.</p><p>What we have been showing with level 1 evidence and a 10-year follow-up is that UFE is a true alternative to hysterectomy for the endpoint quality of life. This is what I mean with Being Right based on scientific data, but unfortunately, we have not been able to Get it Right for the patients. In most European countries the number of UFE is between 0 and 6%, at the most. We have been following the endpoints of the gynaecologists by focusing on avoiding major surgery and shorter hospital stay, which is countered by gynaecologists with the argument that laparoscopic hysterectomy is also not major surgery and also requires only a one-day hospital stay. But w","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"39 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139083997","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":"Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding","authors":"Mari Tanaka, Kei Yamada, Sanjeeva Kalva","doi":"10.1186/s42155-023-00377-8","DOIUrl":"https://doi.org/10.1186/s42155-023-00377-8","url":null,"abstract":"Transmesenteric access for portal vein reconstruction and transjugular intrahepatic portosystemic shunt allows for intervention in patients with unfavorable anatomy and can be performed via multiple methods but may be difficult to obtain in patients with complex anatomy. We present a case report describing a method of obtaining transmesenteric access in the porta hepatis to facilitate direct intrahepatic portosystemic shunt creation in a young patient with recurrent variceal bleeding. This patient anatomy was unfavorable, and initially he was thought to be a poor candidate for any intervention, but this technique allowed for successful decompression of the varices safely and effectively. This is a technique to consider in similar complex cases and expands treatment for those who previously would not have been considered for intrahepatic shunt formation. ","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"56 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138743525","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":"A systematic review assessing incorporation of prophylactic splenic artery embolisation (pSAE) into trauma guidelines for the management of high-grade splenic injury","authors":"Warren Clements, Mark Fitzgerald, S. Murthy Chennapragada, Joseph Mathew, Christopher Groombridge, Ee Jun Ban, Matthew W. Lukies","doi":"10.1186/s42155-023-00414-6","DOIUrl":"https://doi.org/10.1186/s42155-023-00414-6","url":null,"abstract":"Splenic artery embolisation (SAE) has become a vital strategy in the modern landscape of multidisciplinary trauma care, improving splenic salvage rates in patients with high-grade injury. However, due to a lack of prospective data there remains contention amongst stakeholders as to whether SAE should be performed at the time of presentation (prophylactic or pSAE), or whether patients should be observed, and SAE only used only if a patient re-bleeds. This systematic review aimed to assess published practice management guidelines which recommend pSAE, stratified according to their quality. The study was registered and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Medline, PubMed, Cochrane, Embase, and Google Scholar were searched by the study authors. Identified guidelines were graded according to the Appraisal of Guidelines Research and Evaluation II (AGREE-II) instrument. Database and internet searches identified 1006 results. After applying exclusion criteria, 28 guidelines were included. The use of pSAE was recommended in 15 guidelines (54%). This included 6 out of 9 guidelines that were high quality (66.7%), 4 out of 9 guidelines that were moderate quality (44.4%), and 3 out of 10 (30%) guidelines that were low quality, p = 0.275. This systematic review showed that recommendation of pSAE is more common in guidelines which are of high quality. However, there is vast heterogeneity of recommended practice guidelines, likely based on individual trauma systems rather than the available evidence. This reflects biases with interpretation of data and lack of multidisciplinary system inputs, including from interventional radiologists.","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138689491","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":"Revascularization with BYCROSS atherectomy device- protocol of a prospective multicenter observational study.","authors":"Dominik Liebetrau, Joerg Teßarek, Florian Elger, Sebastian Zerwes, Viktoria Peters, Christian Scheurig-Münkler, Alexander Hyhlik-Dürr","doi":"10.1186/s42155-023-00404-8","DOIUrl":"10.1186/s42155-023-00404-8","url":null,"abstract":"<p><strong>Background: </strong>The BYCROSS™ device is a novel device intended for use in atherectomy of the peripheral arterial disease (PAD). With the BYCROSS™ atherectomy system, also prolonged calcifying lesions can be treated in a minimally invasive manner, which was previously reserved for bypass surgery. The aim of this study is to collect additional clinical data on safety and performance of the BYCROSS™ from patients undergoing revascularization of severely stenotic or occluded peripheral arterial vessels with the BYCROSS™.</p><p><strong>Methods and design: </strong>This is an investigator-initiated national prospective multicenter observational study in patients with PAD. Sixty patients (20 per center) with PAD with stenosis higher than 80% or complete occlusion (de novo or recurrent stenosis) of vessels below the aortic bifurcation (min 3 mm vessel diameter) will be recruited. Three vascular surgery centers are participating in the study. The primary efficacy endpoint is procedural success, defined as passage of the occlusion through the BYCROSS device, and safety outcomes, explicated as freedom from device-related serious adverse events (SADEs). Secondary endpoints include primary and secondary patency rates, change in Rutherford classification, and freedom from amputation at 3 and 12 months.</p><p><strong>Discussion: </strong>The BYCROSS atherectomy system may be a novel device for the minimally invasive treatment of prolonged calcified lesions previously reserved for bypass surgery. This national prospective multicenter observational study could represent another step in demonstrating the efficancy and safety of this device for treatment of PAD.</p><p><strong>Trial registration: </strong>#DRKS00029947 (who.int). PROTOCOL APPROVAL ID: #22-0047(Ethics Committee at Ludwig-Maximilians-University Munich).</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"6 1","pages":"61"},"PeriodicalIF":1.2,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138489093","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":"Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion.","authors":"Adam Fish, Anne Sailer, Jeffrey Pollak, Todd Schlachter","doi":"10.1186/s42155-023-00411-9","DOIUrl":"10.1186/s42155-023-00411-9","url":null,"abstract":"<p><p>The technique and outcomes of pulmonary artery pseudoaneurysm (PAP) embolization was retrospectively evaluated in 13 patients undergoing 14 PAP embolizations between January 2014 and September 2023. The etiology of the PAP was iatrogenic (4/13), tumor (3/13), chronic lung (2/13), idiopathic (2/13) and mycotic (2/13). Clinical presentation was massive hemorrhage (6/13), incidental (4/13), and non-massive hemoptysis (3/13). The average PAP size was 13.5 mm. Coil embolization of the PAP sac was performed in all but two extenuating cases (11/13). Follow-up of 12 patients over an average 5.3-months showed persistent occlusion in all cases. There were no major adverse events attributed to the embolization. Five out of ten patients with procedures performed at least one year before this study were noted to be deceased after an average seven-month time. PAPs of various etiologies may be safely and effectively treated by occluding the aneurysm inflow, outflow, and sac.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"6 1","pages":"60"},"PeriodicalIF":1.2,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471196","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":"Atrial septal defect occluder combined with stent graft for the management of post-dissection aortic aneurysm previously treated with unsuccessful coils: a case report.","authors":"Qiqi Wang, Haijun Wei, Chunshui He, Yang Liu","doi":"10.1186/s42155-023-00405-7","DOIUrl":"10.1186/s42155-023-00405-7","url":null,"abstract":"<p><strong>Background: </strong>Although the candy-plug technique has been reported to be useful for the treatment of post-dissection aortic aneurysm, the stent graft needs be to customized to accommodate the size of vascular occluders.</p><p><strong>Case presentation: </strong>We present a case of a persistent false lumen successfully treated with endovascular stent-graft and atrial septal defect occluder in a patient with Stanford Type B dissection. A covered stent graft was implanted into the false cavity through a distal rupture, and an atrial septal defect occluder was inserted into the covered stent to seal of the false cavity. Decreased aneurysmal diameter and false lumen thrombosis were noted by CT scan at 6-month follow-up.</p><p><strong>Conclusions: </strong>Our case showed that combined use of a stent graft and atrial septal defect occluder is safe, technically feasible and effective in sealing of the false lumen in post-dissection aortic aneurysm patients with previously failed false lumen thrombosis.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"6 1","pages":"58"},"PeriodicalIF":1.2,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453021","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":"Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare.","authors":"Hasan Alaeddin, Amr Elsaadany, Mohammad Rashid Akhtar","doi":"10.1186/s42155-023-00407-5","DOIUrl":"10.1186/s42155-023-00407-5","url":null,"abstract":"<p><p>Radial arterial lines are inserted in critically ill patients admitted to hospital intensive care units for continuous monitoring of their blood pressure. On removal the line can rarely become transected, potentially leading to thrombosis of the radial artery. Retrieval of the broken fragment can be achieved by open surgery, however other retrieval methods using ultrasound-guidance have been performed as they are considered safer and less invasive. We describe our technique of ultrasound-guided percutaneous retrieval of a broken non-radioopaque radial line in one patient, which involved the use of a microsnare. Under local anaesthesia and ultrasound guidance, a 6 Fr 5.5 cm short brite tip sheath was introduced into the radial artery, followed by a microsnare which was used to capture the arterial line, track the line back into the sheath and remove it uneventfully. The use of a microsnare under ultrasound-guidance is only one method to retrieve transected radial lines, with other interventional methods described in the literature. It enables a minimally invasive and safer approach to this potentially critical challenge and can help affected patients avoid open surgery to achieve the same management outcome.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"6 1","pages":"59"},"PeriodicalIF":1.2,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453023","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}