CVIR Endovascular最新文献

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Managing an effective system for retrieving IVC filters: outcomes of a prospective patient database, 2012-2023. 管理有效的IVC过滤器检索系统:前瞻性患者数据库的结果,2012-2023。
IF 1.2
CVIR Endovascular Pub Date : 2025-04-28 DOI: 10.1186/s42155-025-00550-1
Monica M Matsumoto, Ann Cun, Corinne DeSanto, Anna Paycardo, S William Stavropoulos, Scott O Trerotola
{"title":"Managing an effective system for retrieving IVC filters: outcomes of a prospective patient database, 2012-2023.","authors":"Monica M Matsumoto, Ann Cun, Corinne DeSanto, Anna Paycardo, S William Stavropoulos, Scott O Trerotola","doi":"10.1186/s42155-025-00550-1","DOIUrl":"https://doi.org/10.1186/s42155-025-00550-1","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate retrievable inferior vena cava (IVC) filter outcomes with a prospectively maintained database and active patient management by interventional radiology (IR).</p><p><strong>Materials & methods: </strong>Patients with retrievable IVC filters placed by IR from 2012 to 2023 at a single, tertiary institution were tracked in a prospective registry, and follow-up was organized by a designated IR physician assistant. Patients were contacted after the filter was placed by IR and a clinic visit arranged; filter removal was scheduled when deemed appropriate. Retrospective review of filter outcomes, including retrieval, patient death, and need for permanent filtration, was performed.</p><p><strong>Results: </strong>Over the 12-year study period, 607 retrievable IVC filters were placed: 516 Denali, 63 Eclipse, 19 Günther Tulip, and 9 Celect Platinum. In total, 43% (260) were retrieved, 12% (75) were adjudicated to be permanent, and 42% (253) died with the filter in place. The remaining 3% (19) comprised patients alive with the filter not yet retrieved at study endpoint, 42% (8/19) of which were placed in 2023. Of this cohort, 8 still needed the filter and were being monitored to determine follow-up timing, 2 needed a follow-up appointment, and 9 were lost to follow-up due to repeated no-shows and/or inability to reach the patient despite multiple attempts. Overall, 1.5% (9/607) of all filters placed were not accounted for.</p><p><strong>Conclusion: </strong>This study demonstrates high accountability (98.5%) of retrievable IVC filters when using a prospective registry actively managed by an IR PA, providing an effective and feasible model for facilitating appropriate follow-up.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"35"},"PeriodicalIF":1.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064629","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
Unilateral embolization of an arterio-cavernous fistula in the treatment of post-traumatic non-ischemic-priapism: permanent coiling after immediate temporary agent failure. 单侧动脉海绵瘘栓塞治疗创伤后非缺血性阴茎勃起:即刻暂时性药物失效后永久盘绕。
IF 1.2
CVIR Endovascular Pub Date : 2025-04-24 DOI: 10.1186/s42155-025-00547-w
Carolina Dominguez Aleixo, Christoph Erxleben, Emre Baysal, Fabiola Leibling, Maximilian de Bucourt, Bernhard Gebauer, Julian Lenk
{"title":"Unilateral embolization of an arterio-cavernous fistula in the treatment of post-traumatic non-ischemic-priapism: permanent coiling after immediate temporary agent failure.","authors":"Carolina Dominguez Aleixo, Christoph Erxleben, Emre Baysal, Fabiola Leibling, Maximilian de Bucourt, Bernhard Gebauer, Julian Lenk","doi":"10.1186/s42155-025-00547-w","DOIUrl":"https://doi.org/10.1186/s42155-025-00547-w","url":null,"abstract":"<p><p>A healthy 24-year-old male patient presented with a history of straddle-trauma from a bicycle accident and concomitant non-ischemic-priapism lasting for ten days. On a contrast-enhanced computed tomography scan an arterio-cavernous fistula establishing a connection between the right cavernosal artery and the ipsilateral corpus cavernosum was diagnosed. Super-selective unilateral arterial embolization was performed using gelatin sponge and microcoils. Technical success became evident with the consecutive detumescence of the penis and long-term preservation of baseline urogenital functions.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"34"},"PeriodicalIF":1.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060422","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
Micro-CT and histological assessment of renal arterial embolization with Glubran®2 cyanoacrylate: a medium-term follow-up study in a rabbit model. 微ct和组织学评价肾动脉栓塞与Glubran®2氰基丙烯酸酯:一项中期随访研究的兔模型。
IF 1.2
CVIR Endovascular Pub Date : 2025-04-22 DOI: 10.1186/s42155-025-00549-8
Romaric Loffroy, Kévin Guillen, Olivier Chevallier, Mohamed Fouad, Emilie Couloumy, Anne Dencausse, Philippe Robert, Sarah Catoen, Anne-Virginie Salsac, Serge Ludwig Aho-Glele, Pierre-Olivier Comby
{"title":"Micro-CT and histological assessment of renal arterial embolization with Glubran®2 cyanoacrylate: a medium-term follow-up study in a rabbit model.","authors":"Romaric Loffroy, Kévin Guillen, Olivier Chevallier, Mohamed Fouad, Emilie Couloumy, Anne Dencausse, Philippe Robert, Sarah Catoen, Anne-Virginie Salsac, Serge Ludwig Aho-Glele, Pierre-Olivier Comby","doi":"10.1186/s42155-025-00549-8","DOIUrl":"https://doi.org/10.1186/s42155-025-00549-8","url":null,"abstract":"<p><strong>Background: </strong>Cyanoacrylate glues are widely used in interventional radiology as effective embolic agents due to their rapid polymerization and ability to achieve vessel occlusion. Nonetheless, concern remains regarding cast stability and potential recanalization over time. This study used multiple modalities to evaluate the medium-term outcomes of Glubran®2 glue (methacryloxysulfolane and N butyl cyanoacrylate) embolisation in a rabbit renal-artery model.</p><p><strong>Methods: </strong>The left renal arteries of six rabbits were embolized with 12.5% or 25% Glubran®2. In-vivo micro-CT scans were performed immediately after embolisation (M0) and ex-vivo scans and a histological assessment were done at one month (M1). Magnetic resonance imaging (MRI) was done at M1 to assess arterial occlusion and parenchymal changes. Quantitative and semi-quantitative parameters reflecting glue distribution, cast integrity, and tissue response were analysed. Statistical comparisons used non-parametric tests.</p><p><strong>Results: </strong>All six embolisations were completed without complications. Micro-CT at M1 revealed significant cast resorption and fragmentation with both concentrations, but with no evidence of arterial recanalization. MRI and histology confirmed the persistent vascular occlusion with chronic ischemic changes in the renal parenchyma. Compensatory neovascularization from the renal capsule was observed, with no significant differences in histological inflammation between the two concentrations. Glue casts remained within the arterial lumens and were often surrounded by granulomatous inflammation.</p><p><strong>Conclusions: </strong>Glubran®2 was effective for renal artery embolisation, even at a low concentration of 12.5%: despite partial cast resorption, the arteries remained occluded. Micro-CT proved to be a powerful tool for assessing changes in glue casts. Longer-term studies are warranted to further assess vascular remodelling and occlusion durability.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"33"},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032127","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
Radiation protection: safety measures and knowledge among interventional radiologists- a UK-based analysis of current practices and recommendations for improvement. 辐射防护:介入放射科医生的安全措施和知识——基于英国的当前实践分析和改进建议。
IF 1.2
CVIR Endovascular Pub Date : 2025-04-22 DOI: 10.1186/s42155-025-00540-3
Rayhan Y Gasiea, Andy Rogers, Raghuram Lakshminarayan, Mo Hamady, Bella Huasen
{"title":"Radiation protection: safety measures and knowledge among interventional radiologists- a UK-based analysis of current practices and recommendations for improvement.","authors":"Rayhan Y Gasiea, Andy Rogers, Raghuram Lakshminarayan, Mo Hamady, Bella Huasen","doi":"10.1186/s42155-025-00540-3","DOIUrl":"https://doi.org/10.1186/s42155-025-00540-3","url":null,"abstract":"","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"32"},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058153","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
Off label use of a 7Fr endo-biliary forceps system for endovascular inferior vena cava biopsy. 标签外使用7Fr胆道内钳系统进行血管内下腔静脉活检。
IF 1.2
CVIR Endovascular Pub Date : 2025-04-21 DOI: 10.1186/s42155-025-00548-9
Stavros Grigoriadis, Stavros Spiliopoulos, Athanasios Korogiannos, Konstantinos Palialexis, Dimitrios Filippiadis, Nikolaos Kelekis
{"title":"Off label use of a 7Fr endo-biliary forceps system for endovascular inferior vena cava biopsy.","authors":"Stavros Grigoriadis, Stavros Spiliopoulos, Athanasios Korogiannos, Konstantinos Palialexis, Dimitrios Filippiadis, Nikolaos Kelekis","doi":"10.1186/s42155-025-00548-9","DOIUrl":"https://doi.org/10.1186/s42155-025-00548-9","url":null,"abstract":"<p><p>Endovascular inferior vena cava (IVC) mass biopsy emerges as a minimally invasive promising technique for the acquisition of tissue samples for histological analysis, crucial for determining the malignant or benign nature of the lesion and guiding subsequent treatment. This report details the first successful off label use of a low-profile 5.2Fr biliary forceps system, via a 7Fr sheath, for endovascular IVC biopsy in a 61-year-old male patient with a history of left nephrectomy due to Gravitz tumour presenting with IVC thrombosis at 5-years follow up, suspicious for recurrence.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"31"},"PeriodicalIF":1.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991791","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
Pulmonary arteriovenous fistula secondary to historic thoracic shrapnel injury: presenting features and interventional approach. 历史胸椎弹片伤继发肺动静脉瘘:表现特征和介入入路。
IF 1.2
CVIR Endovascular Pub Date : 2025-04-14 DOI: 10.1186/s42155-024-00494-y
Kate Chiswell, Ahmed Al-Hindawi, Richard Dunn, Richard Waugh, Rachael Cordina
{"title":"Pulmonary arteriovenous fistula secondary to historic thoracic shrapnel injury: presenting features and interventional approach.","authors":"Kate Chiswell, Ahmed Al-Hindawi, Richard Dunn, Richard Waugh, Rachael Cordina","doi":"10.1186/s42155-024-00494-y","DOIUrl":"https://doi.org/10.1186/s42155-024-00494-y","url":null,"abstract":"<p><strong>Background: </strong>A chronic pulmonary arteriovenous fistula (PAVF) post penetrating thoracic injury is rare; this case demonstrates the presentation, diagnostic implications and a successful endovascular approach to close it.</p><p><strong>Case presentation: </strong>We report the case of a rare pulmonary arteriovenous fistula in a 50-year-old man secondary to historic thoracic shrapnel injury. He had a positive bubble study on echocardiography; CT pulmonary angiogram identified a pulmonary arteriovenous fistula. He underwent successful repair with an endovascular approach.</p><p><strong>Conclusion: </strong>PAVF can result from penetrating chest trauma. An intra-pulmonary shunt should be suspected in the setting of hypoxaemia refractory to oxygen therapy and when there is no evidence of an intra-cardiac shunt. Endovascular intervention can facilitate definitive treatment by employing a plug-in-stent technique.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"30"},"PeriodicalIF":1.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039143","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
Contemporary carotid artery stenting practices and peri-procedural outcomes in different European countries: ROADSAVER study multicentric insights. 不同欧洲国家当代颈动脉支架置入实践和围手术期结果:ROADSAVER多中心研究见解
IF 1.2
CVIR Endovascular Pub Date : 2025-04-12 DOI: 10.1186/s42155-025-00528-z
Stefan Müller-Hülsbeck, Zsolt Vajda, Piotr Odrowąż-Pieniążek, Zoltán Ruzsa, Roel Beelen, Aleksandar Gjoreski, Koen Deloose, Sérgio Castro, Benjamin Faurie, Alejandro Tomasello Weitz, Arne Schwindt, Paweł Latacz, Antonio Orgaz Pérez-Grueso, Vladimir Cvetić, Ralf Langhoff, Sasko Kedev
{"title":"Contemporary carotid artery stenting practices and peri-procedural outcomes in different European countries: ROADSAVER study multicentric insights.","authors":"Stefan Müller-Hülsbeck, Zsolt Vajda, Piotr Odrowąż-Pieniążek, Zoltán Ruzsa, Roel Beelen, Aleksandar Gjoreski, Koen Deloose, Sérgio Castro, Benjamin Faurie, Alejandro Tomasello Weitz, Arne Schwindt, Paweł Latacz, Antonio Orgaz Pérez-Grueso, Vladimir Cvetić, Ralf Langhoff, Sasko Kedev","doi":"10.1186/s42155-025-00528-z","DOIUrl":"https://doi.org/10.1186/s42155-025-00528-z","url":null,"abstract":"<p><strong>Background: </strong>Regional variations in patient selection and procedural techniques for carotid artery stenting have been well documented. However, their impact on procedural outcomes, especially with the use of dual-layer micromesh stents, is not fully understood.</p><p><strong>Methods: </strong>This prospective, multi-center observational study included 1965 patients with asymptomatic or symptomatic carotid artery stenosis treated with the Roadsaver dual-layer micromesh stent. The primary outcome measure was the 30-day rate of major adverse events, defined as any death or stroke occurring within 30 days post-procedure. This sub-analysis compared patient characteristics and procedural techniques across 13 participating countries and investigated differences in outcomes via logistic regression modelling.</p><p><strong>Results: </strong>Patient demographics, comorbidities, and symptom presentation varied widely among countries. Similarly, the frequency of use of duplex ultrasound and diffusion-weighted magnetic resonance imaging at baseline and 30-day follow-up differed. Procedural approaches also varied, with differences in femoral access site selection (18.2% to 100.0%), use of embolic protection devices (0.0% to 100.0%), pre-dilatation (4.3% to 46.7%) and post-dilatation (66.7% to 100.0%). Although 30-day major adverse event rates differed across the compared countries, after adjusting for post-dilatation balloon pressure (categorized as no post-dilatation vs. ≤ 11atm vs. > 11atm), and the number of enrolled patients per study site, the difference became statistically non-significant.</p><p><strong>Conclusion: </strong>Our study reveals variability in patient selection, procedural carotid stenting practices and clinical outcomes across European countries. The differences in 30-day any death or stroke rates between countries may be attributed to differing post-dilatation practices and the number of enrolled patients per study site.</p><p><strong>Level of evidence: </strong>Level 3, observational study.</p><p><strong>Trial registration: </strong>Clinicaltrials.gov identifier: NCT03504228.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"29"},"PeriodicalIF":1.2,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059902","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
Endovascular embolization of post-tonsillectomy pseudoaneurysm in adults. 成人扁桃体切除术后假性动脉瘤的血管内栓塞治疗。
IF 1.2
CVIR Endovascular Pub Date : 2025-04-01 DOI: 10.1186/s42155-025-00539-w
Xiaodong Yang, Jiani Zhao, Rongrong Quan, Qiang Liu
{"title":"Endovascular embolization of post-tonsillectomy pseudoaneurysm in adults.","authors":"Xiaodong Yang, Jiani Zhao, Rongrong Quan, Qiang Liu","doi":"10.1186/s42155-025-00539-w","DOIUrl":"10.1186/s42155-025-00539-w","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the efficacy and safety of endovascular embolization in the treatment of post-tonsillectomy pseudoaneurysms.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of four consecutive adults who experienced secondary post-tonsillectomy hemorrhage (PTH) due to pseudoaneurysms. Hemoglobin loss was identified to access the blood loss of patients. All patients underwent endovascular embolization of the injured artery using superselective catheterization techniques.</p><p><strong>Results: </strong>The angiogram revealed pseudoaneurysms in the ascending palatine artery in two patients, the facial artery in one patient, and the lingual artery in the other patient. Two patients were treated with endovascular embolization using n-butyl-2-cyanoacrylate (NBCA) glue, one patient was treated with coils, and one received a combination of coils and NBCA glue for embolization. All procedures were successful, with no clinical complications or rehemorrhage reported.</p><p><strong>Conclusion: </strong>Endovascular embolization is an effective, feasible, and safe treatment option for the patients with post-tonsillectomy pseudoaneurysm. NBCA glue can be an effective and appropriate embolic material, but attention must be paid to the critical techniques involved.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"28"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755847","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
Controversies in treating nutcracker syndrome. 治疗胡桃夹子综合征的争议。
IF 1.2
CVIR Endovascular Pub Date : 2025-03-28 DOI: 10.1186/s42155-025-00544-z
Vitorio Perić, Thomas Ferenc, Tomica Bratić, Jana Bebek, Ivan Antun Mašić, Filip Ferega, Vid Vrčić, Danko Milošević, Helga Sertić Milić, Vinko Vidjak
{"title":"Controversies in treating nutcracker syndrome.","authors":"Vitorio Perić, Thomas Ferenc, Tomica Bratić, Jana Bebek, Ivan Antun Mašić, Filip Ferega, Vid Vrčić, Danko Milošević, Helga Sertić Milić, Vinko Vidjak","doi":"10.1186/s42155-025-00544-z","DOIUrl":"10.1186/s42155-025-00544-z","url":null,"abstract":"<p><p>Nutcracker syndrome (NCS) is a relatively uncommon vascular condition characterized by compression of the left renal vein (LRV), resulting in a variable spectrum of nonspecific symptoms, including hematuria, flank pain, varicocele, and pelvic congestion syndrome. NCS can be classified into anterior and posterior types regarding the origin of LRV compression: anterior NCS occurs when LRV is compressed between the aorta and superior mesenteric artery, whereas posterior NCS involves LRV compression between the aorta and the spine. Despite advancements in diagnostic modalities, including Doppler ultrasound, computed tomography, magnetic resonance imaging, and invasive techniques like phlebography, there is still no globally accepted diagnostic algorithm, leading to inconsistencies in diagnosis. Moreover, due to the lack of standardized treatment guidelines, the optimal management of anterior NCS remains a topic of debate. While conservative management is usually recommended in the pediatric population, invasive treatments-including surgical options like LRV transposition and renal autotransplantation, as well as interventional radiology procedures like stenting, present challenges such as stent migration, restenosis, and long-term material durability. Nevertheless, the emergence of 3D-printed stents offers potential improvements in patient-specific treatment, particularly in the pediatric population, yet their clinical efficacy and safety remain under investigation. This brief communication addresses the current discussions regarding anterior NCS management, emphasizing the need for standardized diagnostic algorithms, a multidisciplinary approach, and continued technological advancements to refine treatment possibilities and strategies. Further research is critical to resolve these controversies and establish a consensus on best practices.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"26"},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733008","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
Future liver remnant hypertrophy and postoperative outcomes: a retrospective comparison between segmental and main right portal vein embolization. 肝残余肥厚和术后结果:回顾性比较右门静脉节段栓塞和主静脉栓塞。
IF 1.2
CVIR Endovascular Pub Date : 2025-03-28 DOI: 10.1186/s42155-025-00537-y
Elif Can, Aboelyazid Elkilany, Sophia Paparoditis, Bernhard Gebauer, Dominik Geisel, Felix Krenzien, Anne Pohrt, Wibke Uller, Michael Doppler, Sebastian Ebel, Holger Gößmann, Uli Fehrenbach
{"title":"Future liver remnant hypertrophy and postoperative outcomes: a retrospective comparison between segmental and main right portal vein embolization.","authors":"Elif Can, Aboelyazid Elkilany, Sophia Paparoditis, Bernhard Gebauer, Dominik Geisel, Felix Krenzien, Anne Pohrt, Wibke Uller, Michael Doppler, Sebastian Ebel, Holger Gößmann, Uli Fehrenbach","doi":"10.1186/s42155-025-00537-y","DOIUrl":"10.1186/s42155-025-00537-y","url":null,"abstract":"<p><strong>Objective: </strong>To assess the efficacy of segmental right portal vein embolization (SRPVE) versus main right portal vein embolization (MRPVE) in preoperative preparation for major hepatectomy.</p><p><strong>Methods: </strong>This retrospective single-center study included 220 consecutive patients who underwent portal vein embolization (PVE) before (extended) right hemihepatectomy between January 2014 and June 2021. Seventy-one patients underwent selective segmental embolization (SRPVE) and 149 patients underwent MRPVE. Volumetric analysis was conducted before PVE and before surgery. Key endpoints included evaluation of future liver remnant (FLR) hypertrophy, intraoperative complexity, and postoperative complications, technical success, clinical success, complications (Clavien-Dindo and CIRSE classifications), as well as evaluation of different factors which may influence hypertrophy of the FLR.</p><p><strong>Results: </strong>Technical success rate was 100% in the SRPVE group and 99.3% in the MRPVE group (p = 0.15). Clinical success rate was comparable between both techniques, measuring 95.8% in the SRPVE group and 95.3% in the MRPVE group (p = 0.18). Absolute hypertrophy (FLRabh) of the FLR was comparable between both techniques, measuring 47.15% in the SRPVE group and 40.78% in the MRPVE group (p = 0.54). Complication rates did not differ significantly (p = 0.12). Partial thrombosis involving the left portal vein, main portal vein, or mesentericosplenic region was observed in 2.8% of the patients in the SRPVE group vs 3.4% in the MRPVE group (p = 0.95). CIRSE Class II-VI complications were slightly higher in the MRPVE group (10.7% vs 9.8%, p = 0.82). Postoperative complications with Clavien-Dindo class ≥ IIIa occurred in 10.1% % in the MRPVE group vs 9.9% the SRPVE group (p = 0.92). Liver cirrhosis had a significant negative correlation with sFLR % increase following PVE (r = -0.54; p = 0.027). Neoadjuvant chemotherapy was also associated with reduced FLR hypertrophy following PVE, with a median sFLR% change of 63.8% (IQR: 60.8% - 75.2%) in patients who received neoadjuvant chemotherapy (n = 66 patients, 30%) compared to 82.6% (IQR: 77.4% - 84.2%) in those without chemotherapy (n = 154 patients, 70%).</p><p><strong>Conclusion: </strong>Selective segmental right portal vein embolization, sparing the main right portal vein, offers a safe and effective alternative to MRPVE, achieving comparable FLR hypertrophy while potentially simplifying intraoperative procedures and reducing postprocedural complications. Future research should focus on conducting large, prospective, multicenter trials to further compare the long-term outcomes of this technique, particularly with regard to liver regeneration, postoperative liver function, complications and overall survival.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"27"},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733009","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}
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