CVIR Endovascular最新文献

筛选
英文 中文
Hepatic artery stenting with Viabahn. 肝动脉支架植入术。
IF 1.2
CVIR Endovascular Pub Date : 2024-12-19 DOI: 10.1186/s42155-024-00507-w
Kenichiro Okumura, Takahiro Ogi, Junichi Matsumoto, Nobuyuki Asato, Xiamin Sun, Hirohito Osanai, Kazuto Kozaka, Satoshi Kobayashi
{"title":"Hepatic artery stenting with Viabahn.","authors":"Kenichiro Okumura, Takahiro Ogi, Junichi Matsumoto, Nobuyuki Asato, Xiamin Sun, Hirohito Osanai, Kazuto Kozaka, Satoshi Kobayashi","doi":"10.1186/s42155-024-00507-w","DOIUrl":"10.1186/s42155-024-00507-w","url":null,"abstract":"<p><strong>Background: </strong>The effect of vessel morphology on the technical success and patency of Viabahn stent-grafts in treating postoperative arterial injuries and bleeding (AIB) after hepatopancreatobiliary surgery is not well understood. Difficulties in stent insertion persist despite using stiff guidewires to straighten tortuous vessels. This study aimed to identify vessel morphologies linked to technical success and short-term patency and to explore effective management strategies.</p><p><strong>Materials and methods: </strong>This retrospective study examined 12 consecutive cases of hepatic artery stenting in 11 patients, using Viabahn grafts for postoperative AIB from 2017 to 2024. Patient data, angiographic outcomes, and stent placement details were reviewed. Different types of guidewires, including stiff and soft guidewires, were utilized to facilitate stent deployment. Vessel tortuosity and vessel narrowing before stent placement were evaluated both qualitatively and quantitatively. Outcomes measured included technical and clinical success rates, stent patency at one month, and the time from surgery to stent placement.</p><p><strong>Results: </strong>Final technical and clinical success was achieved in all cases (100%). Vessel tortuosity often led to the emergence of accordion-like appearances upon vessel straightening, necessitating additional technical adaptations due to the formation of steps (p = 0.005). One-month stent patency was observed in 10/12 cases (83%). Among cases with severe vessel narrowing distal to the bleeding point, 2/3 (67%) experienced stent occlusion, significantly higher than those with less severe narrowing (p = 0.045). All occluded cases involved the extension of stent length by overlapping stent-grafts.</p><p><strong>Conclusions: </strong>Steps created by the accordion-like appearance in the hepatic artery resulting from the straightening of tortuous vessels can complicate stent insertion, and severe narrowing distal to the bleeding point increases the risk of short-term occlusion.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"90"},"PeriodicalIF":1.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856750","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
Clinical outcomes after emergency transarterial renal embolization: a retrospective study. 急诊经动脉肾栓塞后的临床结果:回顾性研究。
IF 1.2
CVIR Endovascular Pub Date : 2024-12-18 DOI: 10.1186/s42155-024-00505-y
Rémi Grange, Nicolas Magand, Noémie Lutz, Julien Lanoiselee, Stéphanie Leroy, Claire Boutet, Sylvain Grange
{"title":"Clinical outcomes after emergency transarterial renal embolization: a retrospective study.","authors":"Rémi Grange, Nicolas Magand, Noémie Lutz, Julien Lanoiselee, Stéphanie Leroy, Claire Boutet, Sylvain Grange","doi":"10.1186/s42155-024-00505-y","DOIUrl":"10.1186/s42155-024-00505-y","url":null,"abstract":"<p><strong>Background: </strong>Studies on emergency transarterial embolization (TAE) of renal arterial injuries are rare. The aim of this retrospective study was to evaluate clinical outcomes after emergency transarterial renal embolization.</p><p><strong>Material and methods: </strong>Between January 1st, 2013 and January 1st, 2024, all consecutive patients treated for renal arterial injuries by TAE in emergency settings were retrospectively reviewed. Demographic, biological and angiographic data were recorded. The inclusion criteria were all patients ≥ 18-years-old treated by emergency TAE for renal vascular injury. Clinical success was defined as the resolution of bleeding signs without the need for repeat TAE, surgery, death related to massive blood loss during this period, without functional impairment (> 50% of parenchyma volume or onset of chronic kidney disease) following TAE.</p><p><strong>Results: </strong>During the inclusion period, 79 procedures were performed. The median age was 60[39-73] years old. On preoperative CT, ≥ 1 pseudoaneurysm was detected in 36(45.6%) patients, and active bleeding in 47(65.8%) patients. The preoperative median haemoglobin rate was 8.9[7.6-11] g/dl, and 37(46.8%) patients required red blood cell transfusions. The main aetiologies of arterial injury were blunt trauma (n = 19) and renal biopsy (n = 17). No severe adverse events were reported. Clinical success was reported in 74(93.7%) of the procedures. Three (3.8%) repeat embolizations were required, and were clinically successful. During the median follow-up of 7[1.5-35.5] months, 9(11.4%) patients died, of which 5(6.3%) occurred within 30 days.</p><p><strong>Conclusion: </strong>The present study reports high clinical success, low complications and low rebleeding rates of emergency renal TAE.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"88"},"PeriodicalIF":1.2,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848425","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
Risk factors and comorbidities associated with cardiac arrests and medical emergencies in interventional radiology patients. 介入放射患者心脏骤停和医疗急诊相关的危险因素和合并症
IF 1.2
CVIR Endovascular Pub Date : 2024-12-18 DOI: 10.1186/s42155-024-00504-z
Husam Mohammed AlHarbi, Tarek Arabi, Yasser Saleh A Alduribi, Hassan Shah, Ahmad Sabbah, Khalid Othman, Omar Bashir, Mohammad Arabi
{"title":"Risk factors and comorbidities associated with cardiac arrests and medical emergencies in interventional radiology patients.","authors":"Husam Mohammed AlHarbi, Tarek Arabi, Yasser Saleh A Alduribi, Hassan Shah, Ahmad Sabbah, Khalid Othman, Omar Bashir, Mohammad Arabi","doi":"10.1186/s42155-024-00504-z","DOIUrl":"10.1186/s42155-024-00504-z","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the incidence, predictors, and outcomes of medical emergencies in patients undergoing IR procedures at a tertiary care center.</p><p><strong>Materials and methods: </strong>Seven-year retrospective review of all medical emergencies in patients undergoing IR procedures at King Abdulaziz Medical City, Riyadh, Saudi Arabia. Medical emergencies included Cardiopulmonary arrest (CPA), or emergencies that required activation of the critical care response team (CCRT). Variables included demographics, procedure details and outcome data including complications and 30-day mortality. Multivariate logistic regression analysis was conducted to identify independent predictors of CPA and 30-day mortality.</p><p><strong>Results: </strong>Ninety-four patients (50% male) were included with a median age of 60.5 years. Recent or current ICU admission was recorded in 39 patients (43.8%). Comorbidities included diabetes (50%), hypertension (59.6%), coronary artery disease (25.5%), heart failure (21.5%), ESRD (28.7%), active infection 28 (31%), with ASA3 in 64 patients (68%) and ASA4 in 23 (24.5%). The incidence of CPA and CCRT activation was 0.045% and 0.049%, respectively, among 100,000 patients who underwent IR procedures during the study period. Half the events were with venous procedures, followed by non-vascular (33%) and arterial procedures (10.6%). 30-day mortality was 30.5%. Independent predictors of CPA included pulmonary disease (aOR 16.79, 95% CI 2.334-195.3, p = 0.0097), emergency procedures (aOR 11.63, 95% CI 2.517-72.46, p = 0.0035), general anesthesia (aOR 19.41, 95% CI 1.854-491.8, p = 0.0254), and sedation (aOR 13.04, 95% CI 2.081-118.8, p = 0.0108). Predictors of 30-day mortality were CPA (aOR 9.830, 95% CI 2.439-66.66, p = 0.0045) and hypotension as a complication (aOR 16.81, 95% CI 3.766-122.3, p = 0.0009).</p><p><strong>Conclusion: </strong>Our findings highlight the complexity of patients undergoing IR procedures and the importance of identifying high-risk patients to prevent adverse events in the IR setting.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"89"},"PeriodicalIF":1.2,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848433","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 thromboembolism: multidisciplinary collaboration or confrontational terrain between specialties? 肺血栓栓塞:多学科合作还是专科对抗?
IF 1.2
CVIR Endovascular Pub Date : 2024-12-18 DOI: 10.1186/s42155-024-00506-x
Sara Lojo-Lendoiro
{"title":"Pulmonary thromboembolism: multidisciplinary collaboration or confrontational terrain between specialties?","authors":"Sara Lojo-Lendoiro","doi":"10.1186/s42155-024-00506-x","DOIUrl":"10.1186/s42155-024-00506-x","url":null,"abstract":"","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"87"},"PeriodicalIF":1.2,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848429","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
Wound formation in patients with Rutherford category IV disease after endovascular therapy: rates and risk factors. 卢瑟福IV类疾病患者血管内治疗后伤口形成的发生率和危险因素
IF 1.2
CVIR Endovascular Pub Date : 2024-12-07 DOI: 10.1186/s42155-024-00500-3
Toshihiko Kishida, Shinsuke Mori, Kohei Yamaguchi, Masakazu Tsutsumi, Norihiro Kobayashi, Yoshiaki Ito
{"title":"Wound formation in patients with Rutherford category IV disease after endovascular therapy: rates and risk factors.","authors":"Toshihiko Kishida, Shinsuke Mori, Kohei Yamaguchi, Masakazu Tsutsumi, Norihiro Kobayashi, Yoshiaki Ito","doi":"10.1186/s42155-024-00500-3","DOIUrl":"10.1186/s42155-024-00500-3","url":null,"abstract":"<p><strong>Background: </strong>Lower limb peripheral artery disease classified as Rutherford category IV, is characterized by lower limb ischemic pain both during exertion and at rest. This disease has an unclear course. We aimed to evaluate outcome predictors in this patient group after endovascular therapy. This single-center, retrospective, observational study included 234 consecutive patients (264 limbs), between April 2007 and December 2020. We investigated the disease clinical course after endovascular therapy. The primary endpoint was the wound formation rate 3 years after endovascular therapy.</p><p><strong>Results: </strong>The mean observation period was 48.2 ± 8.9 months. The patients (61.9% male; mean age, 76 ± 10 years) presented with diabetes (64.1%), and received hemodialysis with chronic kidney disease (35.0%) and ambulatory treatment (85.0%). The average ankle-brachial index before endovascular therapy was 0.69 ± 0.23. Skin perfusion pressure on the dorsal and plantar sides was 38 ± 13 mmHg and 36 ± 12 mmHg, respectively. The wound incidence rates at 1, 2, and 3 years after endovascular therapy were 8.3%, 11.4%, and 14.4%, respectively. Multivariate analysis revealed the following factors associated with wound formation: P2 in inframalleolar/pedal disease category in the Global Limb Anatomical Staging System (hazard ratio: 1.73, 95% confidence interval: 1.22-2.83, P = 0.01), non-ambulatory status (hazard ratio: 1.09, 95% confidence interval: 1.11-1.36, P = 0.02), intervention up to infrapopliteal lesion (hazard ratio: 1.55, 95% confidence interval: 1.17-2.46, P = 0.03), and patient with chronic kidney disease on hemodialysis (hazard ratio: 1.61, 95% confidence interval: 1.32-2.18, P = 0.03).</p><p><strong>Conclusions: </strong>The 3-year incidence of wound onset in this study was 14.4%. Factors associated with this outcome included P2 in the Global Limb Anatomical Staging System, non-ambulatory status, intervention up to infrapopliteal lesion, and patient with chronic kidney disease on hemodialysis.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"86"},"PeriodicalIF":1.2,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792179","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
Intravascular ultrasound-guided reentry wiring with tip-detection technique for chronic total occlusion of lower extremity artery disease. 超声引导下再入血管内导线与尖端检测技术治疗慢性下肢动脉全闭塞疾病。
IF 1.2
CVIR Endovascular Pub Date : 2024-12-07 DOI: 10.1186/s42155-024-00503-0
Naoki Hayakawa, Hiromi Miwa, Yasuyuki Tsuchida, Shinya Ichihara, Shunsuke Maruta, Shunichi Kushida
{"title":"Intravascular ultrasound-guided reentry wiring with tip-detection technique for chronic total occlusion of lower extremity artery disease.","authors":"Naoki Hayakawa, Hiromi Miwa, Yasuyuki Tsuchida, Shinya Ichihara, Shunsuke Maruta, Shunichi Kushida","doi":"10.1186/s42155-024-00503-0","DOIUrl":"10.1186/s42155-024-00503-0","url":null,"abstract":"<p><strong>Background: </strong>Endovascular therapy is an effective method for revascularization in lower extremity artery disease, but treating chronic total occlusion (CTO) remains challenging. This is particularly true for patients with severe calcification, poor run-off in below-the-knee arteries, or limited access sites, where even guidewire (GW) passage can be difficult and bidirectional approaches are often not feasible. The tip-detection (TD) method has been reported as a useful technique in coronary artery CTO interventions, allowing real-time visualization of the GW tip direction. Here, we applied the TD technique for peripheral CTO intervention.</p><p><strong>Case presentation: </strong>Case 1 involved a 71-year-old man with a right toe ulcer. Angiography revealed total occlusion from the right anterior tibial artery (ATA) to the proximal dorsalis pedis artery. While attempting IVUS-guided parallel wiring, the GW could not advance through the intraplaque route because of severe calcification. We intentionally advanced the GW and IVUS into the subintimal space of the ATA to bypass the calcified lesion and performed IVUS-guided reentry using the TD technique in the distal ATA, where calcification was less severe. The second GW successfully passed through the intraplaque of the distal ATA and into the true lumen of the dorsalis pedis artery. Case 2 involved a 60-year-old man with bilateral intermittent claudication. Angiography revealed severe stenosis of the right common iliac artery (CIA) and CTO of the left CIA. Because of anatomical limitations and access site challenges, the antegrade approach for the left CIA was unsuccessful, and retrograde intraluminal wiring was difficult because of flexion and calcification. We advanced the GW and IVUS into the subintimal space and performed IVUS-guided reentry using the TD technique to access the true lumen of the proximal CIA. Finally, bilateral VBX stent grafts were implanted using the kissing stent technique.</p><p><strong>Conclusions: </strong>IVUS-guided reentry wiring with the TD technique may offer a useful solution for passing complex peripheral CTO lesions in cases where only a uni-directional approach is feasible.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"85"},"PeriodicalIF":1.2,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792843","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
Outcome evaluation for the treatment of low flow venous and lymphatic malformations. 低流量静脉和淋巴畸形的治疗效果评价。
IF 1.2
CVIR Endovascular Pub Date : 2024-11-29 DOI: 10.1186/s42155-024-00493-z
R M Moussa, A O Oseni, S Patel, L Mailli, R Morgan, L A Ratnam
{"title":"Outcome evaluation for the treatment of low flow venous and lymphatic malformations.","authors":"R M Moussa, A O Oseni, S Patel, L Mailli, R Morgan, L A Ratnam","doi":"10.1186/s42155-024-00493-z","DOIUrl":"10.1186/s42155-024-00493-z","url":null,"abstract":"<p><strong>Purpose: </strong>To propose a standardized method of subjectively and objectively evaluating outcomes of sclerotherapy in treating low flow vascular malformations.</p><p><strong>Materials and methods: </strong>Sixty-six patients with low flow vascular malformations (venous, lymphatic, or combined) were treated with percutaneous sclerotherapy using bleomycin, doxycycline, or sodium tetradecyl sulphate. Each lesion required between 2-5 sessions of sclerotherapy with 8-week intervals in between. The success of sclerotherapy was evaluated subjectively and objectively. The subjective response was based on the degree of patient satisfaction, by recording improvement of their symptoms and quality of life. The objective response was based on the changes in lesion characteristics after treatment, by recording changes in size, sonographic features, number of cystic spaces, and development of phleboliths.</p><p><strong>Results: </strong>91% of our patients were satisfied with the treatment and reported improvement of symptoms and quality of life. Radiologically, 62% (41/66) of the patients had a reduction in lesion size, 77% (51/66) had a change in echogenicity, 84% (51/61) had a reduction in cystic spaces, and 68% (30/44) developed phleboliths. Of the patients reporting significant improvement, 94% displayed reduction in cystic spaces, 89% displayed change in the echogenicity and 71% showed changes in the size of the lesions, representing a linear correlation.</p><p><strong>Conclusion: </strong>Evaluating the outcomes of percutaneous sclerotherapy for treating vascular malformations is a recognized challenge. Creating a questionnaire with defined parameters to apply before and after treatment allows objective measurement of outcomes. This will enable improved treatment pathways and treatment choice for patients, informed consent, and enable outcome comparison with other centers.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"84"},"PeriodicalIF":1.2,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752130","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
Large language model doctor: assessing the ability of ChatGPT-4 to deliver interventional radiology procedural information to patients during the consent process. 大语言模型医生:评估ChatGPT-4在同意过程中向患者传递介入放射学程序信息的能力。
IF 1.2
CVIR Endovascular Pub Date : 2024-11-29 DOI: 10.1186/s42155-024-00477-z
Hayden L Hofmann, Jenanan Vairavamurthy
{"title":"Large language model doctor: assessing the ability of ChatGPT-4 to deliver interventional radiology procedural information to patients during the consent process.","authors":"Hayden L Hofmann, Jenanan Vairavamurthy","doi":"10.1186/s42155-024-00477-z","DOIUrl":"10.1186/s42155-024-00477-z","url":null,"abstract":"<p><strong>Purpose: </strong>The study aims to evaluate how current interventional radiologists view ChatGPT in the context of informed consent for interventional radiology (IR) procedures.</p><p><strong>Methods: </strong>ChatGPT-4 was instructed to outline the risks, benefits, and alternatives for IR procedures. The outputs were reviewed by IR physicians to assess if outputs were 1) accurate, 2) comprehensive, 3) easy to understand, 4) written in a conversational tone, and 5) if they were comfortable providing the output to the patient. For each criterion, outputs were measured on a 5-point scale. Mean scores and percentage of physicians rating output as sufficient (4 or 5 on 5-point scale) were measured. A linear regression correlated mean rating with number of years in practice. Intraclass correlation coefficient (ICC) measured agreement among physicians.</p><p><strong>Results: </strong>The mean rating of the ChatGPT responses was 4.29, 3.85, 4.15, 4.24, 3.82 for accuracy, comprehensiveness, readability, conversational tone, and physician comfort level, respectively. Percentage of physicians rating outputs as sufficient was 84%, 71%, 85%, 85%, and 67% for accuracy, comprehensiveness, readability, conversational tone, and physician comfort level, respectively. There was an inverse relationship between years in training and output score (coeff = -0.03413, p = 0.0128); ICC measured 0.39 (p = 0.003).</p><p><strong>Conclusions: </strong>GPT-4 produced outputs that were accurate, understandable, and in a conversational tone. However, GPT-4 had a decreased capacity to produce a comprehensive output leading some physicians to be uncomfortable providing the output to patients. Practicing IRs should be aware of these limitations when counseling patients as ChatGPT-4 continues to develop into a clinically usable AI tool.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"83"},"PeriodicalIF":1.2,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752129","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 treatment of lower limb acute DVT: current trends and future directions. 下肢急性深静脉血栓的血管内治疗:当前趋势和未来方向。
IF 1.2
CVIR Endovascular Pub Date : 2024-11-26 DOI: 10.1186/s42155-024-00495-x
Francesco Siciliano, Edoardo Ronconi, Tommaso Rossi, Federica Fanelli, Miltiadis Krokidis, Pasqualino Sirignano, Michele Rossi, Marcello Andrea Tipaldi
{"title":"Endovascular treatment of lower limb acute DVT: current trends and future directions.","authors":"Francesco Siciliano, Edoardo Ronconi, Tommaso Rossi, Federica Fanelli, Miltiadis Krokidis, Pasqualino Sirignano, Michele Rossi, Marcello Andrea Tipaldi","doi":"10.1186/s42155-024-00495-x","DOIUrl":"10.1186/s42155-024-00495-x","url":null,"abstract":"<p><p>AIM OF THE STUDY: This systematic review aims to evaluate the efficacy, safety, and comparative outcomes of endovascular treatments for acute lower limb deep vein thrombosis (DVT), including catheter-directed thrombolysis (CDT), pharmacomechanical thrombectomy (PMT), mechanical thrombectomy, and venous stenting, drawing insights from a diverse range of studies.</p><p><strong>Materials and methods: </strong>A comprehensive literature search identified 33 relevant studies, including randomized controlled trials, cohort studies, systematic reviews, and case reports. Data extraction focused on study design, intervention type, outcome measures, and follow-up duration.</p><p><strong>Results: </strong>Catheter-directed thrombolysis demonstrates promising results in enhancing venous patency and reducing post-thrombotic syndrome, with careful patient selection being crucial. Pharmacomechanical and mechanical thrombectomy devices offer immediate and long-term benefits, emphasizing individualized patient care. Venous stenting serves as a crucial adjunctive therapy, particularly in cases of residual venous obstruction, though further research is needed for optimal patient selection and long-term outcomes. Timing and selection of endovascular interventions remain critical considerations, necessitating multidisciplinary approaches and ongoing research.</p><p><strong>Conclusion: </strong>This review provides valuable insights for clinicians and researchers, guiding evidence-based decision-making and shaping future research directions in the dynamic field of endovascular interventions for acute lower limb DVT.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"82"},"PeriodicalIF":1.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11599677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716650","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
Venous thrombectomy using the InThrill Thrombectomy System: preliminary experiences. 使用 InThrill 血栓切除系统进行静脉血栓切除术:初步经验。
IF 1.2
CVIR Endovascular Pub Date : 2024-11-23 DOI: 10.1186/s42155-024-00498-8
Kevin M McElroy, David S Shin, Matthew Abad-Santos, Eric J Monroe, Jeffrey Forris Beecham Chick
{"title":"Venous thrombectomy using the InThrill Thrombectomy System: preliminary experiences.","authors":"Kevin M McElroy, David S Shin, Matthew Abad-Santos, Eric J Monroe, Jeffrey Forris Beecham Chick","doi":"10.1186/s42155-024-00498-8","DOIUrl":"10.1186/s42155-024-00498-8","url":null,"abstract":"","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"80"},"PeriodicalIF":1.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693886","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