CVIR Endovascular最新文献

筛选
英文 中文
Impact of robotic assistance on the learning curve in endovascular interventions: exploring the role of operator experience with the CorPath GRX system.
IF 1.2
CVIR Endovascular Pub Date : 2025-03-03 DOI: 10.1186/s42155-025-00529-y
Tatjana Dell, Marilia B Voigt, Alexander Isaak, Alexander Boehner, Claus Pieper, Narine Mesropyan, Patrick Kupczyk, Julian Luetkens, Daniel Kuetting
{"title":"Impact of robotic assistance on the learning curve in endovascular interventions: exploring the role of operator experience with the CorPath GRX system.","authors":"Tatjana Dell, Marilia B Voigt, Alexander Isaak, Alexander Boehner, Claus Pieper, Narine Mesropyan, Patrick Kupczyk, Julian Luetkens, Daniel Kuetting","doi":"10.1186/s42155-025-00529-y","DOIUrl":"10.1186/s42155-025-00529-y","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates how endovascular interventionalists adapt to using a robotic platform, specifically the CorPath GRX Robotic System, and examines the influence of prior manual catheterization experience.</p><p><strong>Materials and methods: </strong>An in-vitro trial was conducted to assess the adaptation to robot-assisted catheter-guided interventions in comparison to manual catheterization using a neurovascular phantom. Three interventional radiologists (beginner: no manual experience; intermediate: 3 years; expert: 10 years) with varying experience levels performed three corresponding robotic and manual guided superselective catherization tasks with three attempts per position with both approaches. Procedure time and total radiation dose was recorded.</p><p><strong>Results: </strong>For the beginner reduced intervention times were noted using the robot-assisted approach (mean: 123 s) in comparison to manual catheterization (mean: 257 s; p = 0.008), whilst no differences were seen in between procedure durations for the intermediate (mean: 71 s for manual versus 102 s for robotic; p = 0.388) and expert interventionalist (mean: 30 s for manual versus 42 s for robotic; p = 0.479). The beginner also benefited significantly from robot-assisted procedures with lower emitted total radiation doses (mean: 0.007 Gy for manual versus 0.003 Gy for robotic; p = 0.007), while no significant differences are observed for intermediate (mean: 0.002 Gy for manual versus 0.003 Gy for robotic; p = 0.137) and expert practitioners (mean: 0.0008 Gy for manual versus 0.001 Gy for robotic; p = 0.459).</p><p><strong>Conclusion: </strong>Robot-assisted platforms accelerate skill acquisition for beginners while maintaining efficiency for experienced practitioners. However, addressing costs and training requirements is essential for wider adoption and optimized outcomes.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"18"},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11876475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544254","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}
引用次数: 0
The variable use of heparin through intravenous bolus and flush fluid systems during endovascular stroke treatment, a world-wide survey.
IF 1.2
CVIR Endovascular Pub Date : 2025-03-03 DOI: 10.1186/s42155-025-00532-3
Senta Frol, Faysal Benali, Aymeric Rouchaud, Robrecht R M M Knapen, Wim H van Zwam
{"title":"The variable use of heparin through intravenous bolus and flush fluid systems during endovascular stroke treatment, a world-wide survey.","authors":"Senta Frol, Faysal Benali, Aymeric Rouchaud, Robrecht R M M Knapen, Wim H van Zwam","doi":"10.1186/s42155-025-00532-3","DOIUrl":"10.1186/s42155-025-00532-3","url":null,"abstract":"<p><strong>Background: </strong>The total amount of heparin administered through flush fluids in stroke patients is not considered in recent trials, possibly influencing main results. We investigated the use of heparin among treating physicians worldwide.</p><p><strong>Methods: </strong>We conducted a survey from November 2022 to January 2023 to identify the variability of heparin administration during stroke endovascular treatment (EVT). We calculated the total heparin dose per hour (IU/h) by adding the intravenous (IV)-bolus dose to the amount administered through flush fluids, calculated by a multiplication of the number of infusion bags, drip rate[mL/h] and heparin concentration[IU/L].</p><p><strong>Results: </strong>A total of 315 participants from different countries worldwide completed the survey and 231/315(73%) respondents administer heparin during EVT. The majority administered heparin only through flush fluids (168/231; 72.7%), followed by both IV-bolus and flush fluids (36/231; 16%), and those who used only an IV-bolus (27/231; 11.7%). From the participants that administer heparin through flush fluids, the median heparin concentration was 2000 IU/L (range:100 IU/L-10000 IU/L). The total heparin dose (administered through flush fluids and IV-bolus) among 23 respondents showed a median of 4650 IU/h (IQR:3432-5900). Among the respondents who administer heparin through IV-bolus only, the median was 5250 IU (IQR:3750-7500).</p><p><strong>Conclusion: </strong>This survey revealed variable heparin doses administered by physicians worldwide during EVT and reflects the lack of international guidelines. Caution is warranted, specifically during complex/long EVT procedures. Furthermore, heparin flush doses should be considered in future trials regarding periprocedural anticoagulants, since imbalances could potentially confound results.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"17"},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538092","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}
引用次数: 0
Evaluation of a new Everolimus-coated balloon catheter in an in-vivo porcine peripheral venous model.
IF 1.2
CVIR Endovascular Pub Date : 2025-02-27 DOI: 10.1186/s42155-025-00530-5
Stavros Spiliopoulos, Lazaros Reppas, Nikolaos Giannikas, Panagiotis Kitrou, Michail Theofanis, Michail Karpetas, Anargyros N Moulas, Ioannis Paraskevopoulos, Amalia I Moula, Kechagias Ioannis, Dimitrios Karnabatidis
{"title":"Evaluation of a new Everolimus-coated balloon catheter in an in-vivo porcine peripheral venous model.","authors":"Stavros Spiliopoulos, Lazaros Reppas, Nikolaos Giannikas, Panagiotis Kitrou, Michail Theofanis, Michail Karpetas, Anargyros N Moulas, Ioannis Paraskevopoulos, Amalia I Moula, Kechagias Ioannis, Dimitrios Karnabatidis","doi":"10.1186/s42155-025-00530-5","DOIUrl":"10.1186/s42155-025-00530-5","url":null,"abstract":"<p><strong>Background: </strong>The venous uptake following the application of Everolimus-coated balloons is under reported. We evaluated the feasibility, safety, and Everolimus (EVR) deliverability of a novel non-commercially available Everolimus-Coated Balloon (ECB) catheter in a swine healthy peripheral vein model.</p><p><strong>Methods: </strong>In total 12 ECBs (5.0 μg/mm<sup>2</sup>) were inflated in 12 venous segments. The primary feasibility endpoint was the successful application of the ECB at the target venous sites. The primary efficacy endpoint was the successful drug uptake by the target venous tissue at 24 h and 7 days, assessed by High Performance Liquid Chromatography combined with tandem mass spectrometry. The primary safety endpoint was freedom from major adverse events.</p><p><strong>Results: </strong>Everolimus was detected in 10 out of 12 (83.33%) tissue samples (all six tissue samples at 24 h post-intervention and in four out of six samples at 7 days). The mean weight of the examined tissue was 0.20604 ± 0.29822 g (range: 0.37475-0.02229 g). The average EVR tissue content detected at 24 h (135.67 ± 204.95 μg/g) was numerically superior, but non-statistically significant to the that detected 7 days post-procedure (96.85 ± 110.89 μg/g). The average quantity of EVR on the balloon after retrieval was 33.9% of the initial drug dose. No adverse events were recorded, and no abnormalities were noted during autopsy.</p><p><strong>Conclusions: </strong>The newly developed ECB successfully delivered Everolimus within the healthy venous wall. No adverse events were noted at a short-term follow-up.</p><p><strong>Relevance statement: </strong>These safety and feasibility results justify further experimental and clinical research to demonstrate the safety efficacy the specific balloon catheter.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"16"},"PeriodicalIF":1.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517272","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}
引用次数: 0
FEMOSEAL CLOSE: multi-centre observational study with FemoSeal™ vascular closure device following peripheral percutaneous endovascular procedures.
IF 1.2
CVIR Endovascular Pub Date : 2025-02-22 DOI: 10.1186/s42155-025-00522-5
Yann Gouëffic, Koen Deloose, Maxime Dubosq, Thomas Zeller
{"title":"FEMOSEAL CLOSE: multi-centre observational study with FemoSeal™ vascular closure device following peripheral percutaneous endovascular procedures.","authors":"Yann Gouëffic, Koen Deloose, Maxime Dubosq, Thomas Zeller","doi":"10.1186/s42155-025-00522-5","DOIUrl":"10.1186/s42155-025-00522-5","url":null,"abstract":"<p><strong>Background: </strong>The purpose of the FEMOSEAL CLOSE study was to assess the safety and effectiveness of FemoSeal™ vascular closure device in achieving haemostasis following transfemoral peripheral procedures in routine clinical practice.</p><p><strong>Materials and methods: </strong>This prospective, European, multi-centre, single-arm, post-market clinical follow-up study enrolled patients undergoing diagnostic or interventional peripheral endovascular procedures with FemoSeal™ vascular closure device in inpatient or outpatient settings. The primary endpoint was a composite of safety and effectiveness, with effectiveness defined as cessation of arterial bleeding without adjunctive treatment, and safety as freedom from major vascular complications in the first 6 h. Secondary endpoints included: minor access-site complications and major complications 6 h to 30 days post-procedure, and time to haemostasis, ambulation and discharge. Quality of life was assessed at baseline, discharge and 30-day follow-up. Device usability was also surveyed.</p><p><strong>Results: </strong>Between December 2021 and July 2022, 230 patients were enrolled in three European centres. The primary composite endpoint was achieved in 95.1% (215/226) [95% confidence interval: 91.46-97.55] of patients. The effectiveness component was achieved in 96.9% (219/226) [95% confidence interval: 93.70-98.70], and the safety component in 95.2% (220/230) [95% confidence interval: 92.15-97.90] of patients. FemoSeal™ vascular closure device deployment failure occurred in 1.6% (4/230) of cases, with subsequent manual compression achieving haemostasis. The median time to haemostasis was 0.42 min.</p><p><strong>Conclusions: </strong>The study device provides effective haemostasis and low rates of access-site complications up to 30 days post-procedure for patients undergoing peripheral endovascular interventions. It demonstrates good performance with rapid haemostasis.</p><p><strong>Trial registration: </strong>The study is registered at clinicaltrials.gov. (ClinicalTrials identifier: NCT05027698).</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"15"},"PeriodicalIF":1.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477248","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}
引用次数: 0
Intermittent Echocardiographic Monitoring During Superior Vena Cava Recanalization: A Protocol for Early Recognition and Management of Hemopericardium.
IF 1.2
CVIR Endovascular Pub Date : 2025-02-20 DOI: 10.1186/s42155-025-00524-3
Kara M Fitzgerald, David S Shin, Eric J Monroe, Matthew Abad Santos, Ethan Hua, Jeffrey Forris Beecham Chick
{"title":"Intermittent Echocardiographic Monitoring During Superior Vena Cava Recanalization: A Protocol for Early Recognition and Management of Hemopericardium.","authors":"Kara M Fitzgerald, David S Shin, Eric J Monroe, Matthew Abad Santos, Ethan Hua, Jeffrey Forris Beecham Chick","doi":"10.1186/s42155-025-00524-3","DOIUrl":"10.1186/s42155-025-00524-3","url":null,"abstract":"<p><strong>Purpose: </strong>Endovascular recanalization and stent reconstruction constitute an effective and safe treatment option for symptomatic thoracic central venous obstruction (TCVO). Rare life-threatening adverse events are possible during or immediately following the procedure, with the most feared one being hemopericardium with cardiac tamponade. A technique to improve efficiency in detection and treatment of cardiac tamponade is described.</p><p><strong>Materials and methods: </strong>An institutional protocol was established for intraprocedural transthoracic echocardiographic monitoring during the TCVO recanalization procedures. The lower chest and upper abdomen were prepared within the sterile field. A separate stand was set up with unopened supplies needed for pericardial drain placement. Intermittent echocardiographic monitoring was performed throughout the TCVO procedure using a dedicated curvilinear probe prepared on the field. If indicated, an image guided pericardial drain was placed expeditiously.</p><p><strong>Results: </strong>Four cases of cardiac tamponade were encountered during or immediately post-procedure. All cases demonstrated technically successful and prompt pericardial drain placement with immediate reversal of the tamponade physiology.</p><p><strong>Conclusion: </strong>Echocardiographic monitoring during TCVO reconstruction by interventional radiologists is a useful technique which may aid in early diagnosis and management of cardiac tamponade.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"14"},"PeriodicalIF":1.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460589","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}
引用次数: 0
Treatment rationale in nutcracker syndrome with concurrent pelvic congestion syndrome.
IF 1.2
CVIR Endovascular Pub Date : 2025-02-14 DOI: 10.1186/s42155-025-00527-0
Dominik A Steffen, Arash Najafi, Georgios Festas, Christoph A Binkert
{"title":"Treatment rationale in nutcracker syndrome with concurrent pelvic congestion syndrome.","authors":"Dominik A Steffen, Arash Najafi, Georgios Festas, Christoph A Binkert","doi":"10.1186/s42155-025-00527-0","DOIUrl":"10.1186/s42155-025-00527-0","url":null,"abstract":"<p><p>The optimal management strategy of nutcracker syndrome is debated, especially in the setting of concurrent pelvic congestion syndrome. In this article, we describe our treatment algorithm as illustrated by four different case scenarios. In our experience, renocaval pressure gradients are often inconclusive, but evaluation of the left renal vein waveform as well as a \"test PTA\" with evidence of a waist in the balloon can be helpful in unmasking a relevant stenosis. We consider nutcracker syndrome not to be a contraindication for ovarian vein embolization. Decision for simultaneous or sequential stenting should be based on angiographic findings and clinical course.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"13"},"PeriodicalIF":1.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426593","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}
引用次数: 0
Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI).
IF 1.2
CVIR Endovascular Pub Date : 2025-02-08 DOI: 10.1186/s42155-025-00523-4
T Engelen, R Hoogervorst, K DeLoose, L C van Dijk, R S van Eps, R B van Tongeren, H T Veger, L Maene, W Stomp, O R Wikkeling, S J C Klink, W van den Eynde, J J Wever, H van Overhagen
{"title":"Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI).","authors":"T Engelen, R Hoogervorst, K DeLoose, L C van Dijk, R S van Eps, R B van Tongeren, H T Veger, L Maene, W Stomp, O R Wikkeling, S J C Klink, W van den Eynde, J J Wever, H van Overhagen","doi":"10.1186/s42155-025-00523-4","DOIUrl":"10.1186/s42155-025-00523-4","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous endovascular repair (PEVAR) of infra-renal abdominal aortic aneurysms (AAA) is increasingly being performed due to the development of low profile endografts and the use of percutaneous closure devices. The feasibility and safety of the use of the INCRAFT AAA Stentgraft System and the ProGlide vascular closure system was assessed.</p><p><strong>Methods: </strong>The PUCCINI trial prospectively enrolled patients undergoing elective repair of infrarenal AAA at 3 centres in the Netherlands and 3 centres in Belgium. Patients underwent PEVAR with endograft implantation followed by closure using the ProGlide closure device. Procedural success rates, complications and 30-day follow-up outcomes were collected.</p><p><strong>Results: </strong>A total of 93 patients, 87% male, were enrolled. The mean aneurysmal diameter was 53.9 ± 10.2 mm. Successful ProGlide placement was achieved in 97.2% in the right and 89.8% in the left groin. Successful closure was achieved in 92.4% of right and 90% of left groins. One patient required surgical access and two surgical closure. Average blood loss was 155.6 ± 175.5ml. Blood transfusion was not required. Average length of hospital stay was 2.1 ± 1.3 days. Post-implantation endoleaks were present in 37 (40.2%) patients (type 1: 12, type 2: 25). At 30-days there was no aneurysmal growth and no deaths. Follow-up imaging showed endoleaks in 39 (41.9%) patients. (type 1:8, type 2:29, type 3:2).</p><p><strong>Conclusion: </strong>The results from the PUCCINI trial demonstrate that the use of a low profile endoprosthesis for treatment of infrarenal AAA with percutaneous closure has a high rate of technical success and low rates of periprocedural complication.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"11"},"PeriodicalIF":1.2,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374915","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}
引用次数: 0
Axillo-caval extra-anatomic venous bypass creation via direct percutaneous puncture of the superior vena cava.
IF 1.2
CVIR Endovascular Pub Date : 2025-02-08 DOI: 10.1186/s42155-025-00518-1
Stephan S Leung, Patrick Lee, Anthony N Hage, Robert W Ford
{"title":"Axillo-caval extra-anatomic venous bypass creation via direct percutaneous puncture of the superior vena cava.","authors":"Stephan S Leung, Patrick Lee, Anthony N Hage, Robert W Ford","doi":"10.1186/s42155-025-00518-1","DOIUrl":"10.1186/s42155-025-00518-1","url":null,"abstract":"","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"12"},"PeriodicalIF":1.2,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374913","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}
引用次数: 0
Percutaneous large-bore mechanical thrombectomy for macroscopic fat pulmonary embolism: a case report.
IF 1.2
CVIR Endovascular Pub Date : 2025-02-06 DOI: 10.1186/s42155-025-00521-6
James M Chan, Zeyad Aljeboori, Angajendra Ghosh, Benjamin Peake, Moira N Rush, Alexandra Du Guesclin, Hui Yin Lim, Miranda Siemienowicz, Hong Kuan Kok, Goran Mitreski
{"title":"Percutaneous large-bore mechanical thrombectomy for macroscopic fat pulmonary embolism: a case report.","authors":"James M Chan, Zeyad Aljeboori, Angajendra Ghosh, Benjamin Peake, Moira N Rush, Alexandra Du Guesclin, Hui Yin Lim, Miranda Siemienowicz, Hong Kuan Kok, Goran Mitreski","doi":"10.1186/s42155-025-00521-6","DOIUrl":"10.1186/s42155-025-00521-6","url":null,"abstract":"<p><strong>Background: </strong>Macroscopic fat pulmonary embolism is extremely uncommon. Most cases occur in the context of fat grafting or long bone fractures. Macroscopic fat pulmonary embolism may be associated with cardiopulmonary compromise and is associated with high mortality. Mechanical thrombectomy is an emerging technique in interventional radiology, primarily investigated as a therapeutic approach for thrombotic pulmonary embolism.</p><p><strong>Case presentation: </strong>We present a case report of a 73-year-old woman with macroscopic fat pulmonary embolism after a neck of femur fracture. Initially, she had severe circulatory shock, requiring multiple vasopressors and admission to the Intensive Care Unit. A percutaneous large-bore mechanical thrombectomy was performed, after which notable improvements to haemodynamic function and overall clinical trajectory were observed.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first report of mechanical thrombectomy in macroscopic fat pulmonary embolism. Further research is required to better delineate the role of mechanical thrombectomy in this rare condition.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"10"},"PeriodicalIF":1.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257164","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}
引用次数: 0
Postoperative symptom changes following uterine artery embolization for uterine fibroid based on FIGO classification.
IF 1.2
CVIR Endovascular Pub Date : 2025-01-29 DOI: 10.1186/s42155-025-00520-7
Yoshimi Nozaki, Shiori Takeuchi, Masafumi Arai, Yoshiki Kuwatsuru, Hiroshi Toei, Shingo Okada, Hitomi Kato, Naoko Saito, Takamichi Nobushima, Keisuke Murakami, Mari Kitade, Ryohei Kuwatsuru
{"title":"Postoperative symptom changes following uterine artery embolization for uterine fibroid based on FIGO classification.","authors":"Yoshimi Nozaki, Shiori Takeuchi, Masafumi Arai, Yoshiki Kuwatsuru, Hiroshi Toei, Shingo Okada, Hitomi Kato, Naoko Saito, Takamichi Nobushima, Keisuke Murakami, Mari Kitade, Ryohei Kuwatsuru","doi":"10.1186/s42155-025-00520-7","DOIUrl":"10.1186/s42155-025-00520-7","url":null,"abstract":"<p><strong>Background: </strong>Classifying uterine fibroid using the International Federation of Gynecology and Obstetrics (FIGO) classification system assists treatment decision-making and planning. This study aimed to study whether different fibroid locations influence clinical outcomes following uterine artery embolization (UAE).</p><p><strong>Methods: </strong>This is a retrospective cohort study of patients who underwent UAE for symptomatic uterine fibroid between December 2016 and January 2023 at our hospital. Changes in mean fibroid volume were compared based on MR images. Menstrual pain, excessive flow symptoms, and treatment satisfaction before UAE and 6 months after UAE were compared.</p><p><strong>Results: </strong>A total of 149 premenopausal patients (mean age 45.7 ± 2.7 years) were included for analysis (FIGO 2/3, n = 57; FIGO 4-7, n = 92). Baseline menstrual pain, fibroid, and uterine volume before UAE were comparable between the two FIGO groups (p > 0.05). The menstrual flow index was higher for the FIGO 2/3 group (mean ± SD [min-max]: 9.4 ± 1.4 [4-10] vs 8.0 ± 2.3 [0-10], p < 0.001). Six months after UAE, the improvements in menstrual flow index (mean ± SD]: -3.7 ± 2.6 vs -2.6 ± 2.2, p = 0.035), fibroid volume (mean ± SD: -54.7 ± 21.7% vs -39.8 ± 16.2%, p < 0.001), and uterine volume (mean ± SD: -38.2 ± 16.3% vs -31.1 ± 11.6%, p = 0.008) in the FIGO 2/3 group were significantly higher than the FIGO 4-7 group. Both groups had comparable improvements in menstrual pain index (-2.1 ± 2.6 vs -1.8 ± 2.5, p = 0.008) and 88% of the patients were satisfied or very satisfied overall.</p><p><strong>Conclusion: </strong>UAE treatment satisfaction was high for patients with fibroids at different FIGO stages. UAE treatment outcomes were better for patients with fibroids affecting the endometrium (FIGO 2/3).</p><p><strong>Level of evidence: </strong>3B, Retrospective observational study.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"9"},"PeriodicalIF":1.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061446","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信