Interventional radiology (Higashimatsuyama-shi (Japan)最新文献

{"title":"Feasibility and Safety of the Distal Transradial Access for Noncardiac Intervention.","authors":"Takeshi Wada, Jun Koizumi, Takashi Takeuchi, Akira Akutsu, Satoshi Tsuchiya, Yoshihiro Kubota, Hiroshi Kondo, Hajime Fujimoto, Takashi Uno","doi":"10.22575/interventionalradiology.2023-0024","DOIUrl":"10.22575/interventionalradiology.2023-0024","url":null,"abstract":"<p><strong>Purpose: </strong>Distal transradial access through the anatomical snuffbox has been highlighted in recent research because it provides extremely low invasiveness. It has demonstrated its feasibility and safety for cardiac intervention. However, its characteristics for noncardiac intervention are not well known. This report aims to demonstrate the feasibility and safety of noncardiac intervention with distal transradial access, with identification of practical devices for procedures.</p><p><strong>Material and method: </strong>This retrospective study was conducted from May 2021 to December 2021 with consecutive patients who underwent distal transradial access for noncardiac intervention. This study analyzed patient physical information, procedural details, technical success rates, and distal transradial access-associated complications.</p><p><strong>Result: </strong>Nine patients (7 females, 2 males) aged 48-69 years (median: 57) were enrolled in this study. This study assessed 11 noncardiac procedures, such as transarterial infusion chemotherapy for head and neck malignancies (<i>n</i> = 4), embolization of visceral artery aneurysm (<i>n</i> = 2), embolization of renal angiomyolipoma (<i>n</i> = 2), percutaneous transluminal renal angioplasty (<i>n</i> = 1), bronchial artery embolization (<i>n</i> = 1), and diagnostic angiography (<i>n</i> = 1). The introducer sheath size was 4-6 French. Catheters respectively having nine tip shapes were used. Reverse curve catheters were used only in two cervical procedures. The technical success rate was 91% (10/11). Of the 11 procedures, only 1 (bronchial artery embolization) required conversion to transfemoral access. There was no complication associated with distal transradial access. Ultrasound evaluation after treatments revealed patent radial arteries in all patients.</p><p><strong>Conclusions: </strong>Results revealed that distal transradial access is feasible with commercially available catheters and is safe for various noncardiac interventions.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 3","pages":"186-191"},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11570252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669756","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":"Vascular Access Stenosis Caused by Membranous Structure in Patients on Hemodialysis.","authors":"Yoshisuke Kadoya, Hiroshi Demachi, Kentaro Mochizuki, Hitoshi Abo, Junko Saito, Mao Kanatani, Kosuke Miyakawa, Masatoshi Takatori","doi":"10.22575/interventionalradiology.2023-0028","DOIUrl":"10.22575/interventionalradiology.2023-0028","url":null,"abstract":"<p><strong>Purpose: </strong>A membranous structure (MS) may be seen on ultrasound at a site of vascular access (VA) stenosis in patients on hemodialysis. It can also be encountered during percutaneous transluminal angioplasty (PTA) and be impassable from one side but easily passed from the other. This study aimed to examine the characteristics of MS cases and how to treat them.</p><p><strong>Material and method: </strong>Percutaneous transluminal angioplasty performed at our hospital for arteriovenous fistula-vascular access stenosis between July 2021 and June 2022 were identified. They were divided into two groups: membranous structure and nonmembranous structure. Data of patients such as age, history of dialysis and vascular access use, number of percutaneous transluminal angioplastys performed for vascular access, and diabetes status were collected. Membranous structure cases were examined in terms of puncture direction.</p><p><strong>Result: </strong>A total of 72 percutaneous transluminal angioplasty were performed in 37 patients. Membranous structure was identified in nine percutaneous transluminal angioplastys. Patients with membranous structure were older than those without membranous structure (mean age 75.3 ± 7.54 vs. 70.0 ± 10.8 years, <i>P</i> = 0.21) and tended to have a history of vascular access use (57.6 ± 106 vs. 48.4 ± 59.8 months, <i>P</i> = 0.28), a history of dialysis (152 ± 95.6 vs. 91.2 ± 116 months, <i>P</i> = 0.02), fewer percutaneous transluminal angioplasty procedures (1.44 ± 0.726 vs. 3.24 ± 2.69, <i>P</i> = 0.02), and lower incidence of diabetes (1 vs. 38 cases). In the nonmembranous structure group, all percutaneous transluminal angioplastys performed were successful. In the membranous structure group, six percutaneous transluminal angioplastys were successful, two were impassable, and one was acutely occluded. The successful cases and the acute obstruction case were passed by centrally directed puncture. Impassable cases involved peripheral directional puncture.</p><p><strong>Conclusions: </strong>Vascular access stenosis can be caused by membranous structure and successfully treated by bidirectional puncture.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 3","pages":"164-171"},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11570216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669857","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":"Efficacy of the Stripped AFX Aortic Cuff as a Scaffolding Bare Stent to Facilitate the Expansion of the Thoracoabdominal and Visceral Aorta during Thoracic Endovascular Aortic Repair for Complicated Stanford Type B Aortic Dissection.","authors":"Shinichi Iwakoshi, Shoji Sakaguchi, Mai Murata, Tomoki Nagata, Akimitsu Tanaka, Ryosuke Kametani, Arisa Kameda, Shinsaku Maeda, Takeshi Sato, Hideyuki Nishiofuku, Shigeo Ichihashi, Toshihiro Tanaka, Kimihiko Kichikawa","doi":"10.22575/interventionalradiology.2022-0022","DOIUrl":"10.22575/interventionalradiology.2022-0022","url":null,"abstract":"<p><strong>Purpose: </strong>During thoracic endovascular aortic repair for complicated Stanford type B aortic dissection, large bare stent placement for the abdominal aorta is sometimes necessary. In smaller abdominal aortic diameter cases, we used the stripped AFX aortic cuff as a scaffolding bare stent rather than the Zenith Dissection Endovascular Stent, which is a commercially available, large bare stent. In this study, we evaluated the feasibility of the stripped AFX aortic cuff and experiments were conducted to compare the stripped AFX and the Zenith Dissection Endovascular Stent.</p><p><strong>Material and method: </strong>The type B aortic dissection patients treated with thoracic endovascular aortic repair using stripped AFX at three institutions between January 2014 and December 2017 were retrospectively reviewed. Clinical data, including technical success, perioperative complication, and overall survival, were evaluated. The experiment assessed the chronic outward force that reflected the load acting on the artery wall from the stent.</p><p><strong>Result: </strong>Eight cases (seven males) were reviewed. The median (interquartile range, IQR) age of the patients was 60 years (46.3-70.3). The technical success rate was 100%, and no perioperative complications were observed. The median (IQR) follow-up period was 28.9 months (17.5-31.5). During the follow-up, one patient died of septic shock unrelated to aortic events. The median (IQR) diameter of the stripped AFX on the last follow-up CT was 23.5 mm (21.9-25.0). The chronic outward force of the Zenith Dissection Endovascular Stent was two to three times that of the stripped AFX.</p><p><strong>Conclusions: </strong>The stripped AFX aortic cuff is feasible and safe as a scaffolding stent during thoracic endovascular aortic repair for Stanford Type B aortic dissection.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 2","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037924","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":"Computed Tomography-guided Puncture: Preprocedural Preparation, Technical Tips, and Radioprotection.","authors":"Haruyuki Takaki, Kaoru Kobayashi, Yasukazu Kako, Hiroshi Kodama, Atsushi Ogasawara, Motonori Takahagi, Junichi Taniguchi, Kosuke Matsuda, Michiko Hatano, Keisuke Kikuchi, Yoshiaki Hagihara, Kazuma Matsumoto, Tetsuya Minami, Koichiro Yamakado","doi":"10.22575/interventionalradiology.2023-0034","DOIUrl":"10.22575/interventionalradiology.2023-0034","url":null,"abstract":"<p><p>Computed tomography-guided puncture is a useful technique for various interventional radiology procedures. Puncture from various locations and angles becomes possible using this technique. Moreover, bone and air do not interfere with the computed tomography image. Therefore, computed tomography-guided puncture is feasible even in difficult cases of ultrasonography-guided procedures. However, a computed tomography-guided procedure can cause radiation exposure to patient and operator. Therefore, utmost attention should be given to minimizing radiation exposure. This study aimed to provide a brief review of pre-procedural preparation and the technical tips for the computed tomography-guided puncture and introduce recent topics related to the radioprotection of computed tomography-guided puncture.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 3","pages":"86-91"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11570183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669747","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":"Effectiveness of Embolization for Pulmonary Arteriovenous Malformations from Distal of the Last Normal Branch of the Pulmonary Artery.","authors":"Junya Ichiki, Koji Yamasaki, Ryusei Zako, Takeshi Wada, Kanta Kitagawa, Takaki Hirano, Aiko Kugimiya, Shuhei Inoue, Kotaro Yamamoto, Ryosuke Usui, Mitsuhiro Kinoshita, Masayoshi Yamamoto, Hiroshi Kondo","doi":"10.22575/interventionalradiology.2023-0014","DOIUrl":"10.22575/interventionalradiology.2023-0014","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study of patients with pulmonary arteriovenous malformations aims to assess the efficacy of embolization distal to the origin of the last normal branch of the pulmonary artery.</p><p><strong>Material and methods: </strong>A total of 30 consecutive patients with 38 untreated pulmonary arteriovenous malformations underwent coil embolization distal to the origin of the last normal branch of the pulmonary artery between September 2015 and October 2021. The median (interquartile range) age of patients (5 males, 25 females) was 59 years (50-68 years old), and the median (interquartile range) sizes of the feeding artery and sac were 2.9 mm (2.3-3.8 mm) and 6.7 mm (5.4-9.7 mm), respectively. The technical success rate, persistence rate, and treatment-related complications were evaluated. Technical success was defined as the inability to identify the draining vein on feeding arteriography after coil embolization. Persistence was assessed using time-resolved magnetic resonance angiography.</p><p><strong>Results: </strong>Coil embolization was successful in all patients (100%). There was no persistence during a median (interquartile range) follow-up period of 23 months (10-45 months) for the 38 pulmonary arteriovenous malformations embolized with coils. No major complications were reported. Only minor complications following embolization occurred in 4 of 36 sessions, including local pain in 2 sessions (6%) and hemosputum in 2 sessions (6%).</p><p><strong>Conclusions: </strong>Embolization distal to the origin of the last normal branch of the pulmonary artery is effective in preventing the persistence of pulmonary arteriovenous malformations.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 2","pages":"62-68"},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037923","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":"Midterm Outcome of Branch Vessel Stenting for Superior Mesenteric Artery Malperfusion Complicating with Acute Aortic Dissection.","authors":"Kensuke Uotani, Masato Yamaguchi, Takuya Okada, Tomoyuki Gentsu, Noriaki Sakamoto, Ryota Kawasaki, Takanori Taniguchi, Hirotaka Tomimatsu, Koji Sugimoto, Takamichi Murakami","doi":"10.22575/interventionalradiology.2022-0045","DOIUrl":"10.22575/interventionalradiology.2022-0045","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the midterm stent patency and patient prognosis after stenting for superior mesenteric artery malperfusion complicating with acute aortic dissection.</p><p><strong>Material and methods: </strong>Thirteen patients who underwent branch vessel stenting for superior mesenteric artery malperfusion between 2011 and 2021 in six institutions were retrospectively reviewed. By comparing pre- and postoperative computed tomography scans in the same plane, the length of the stent implanted in the superior mesenteric artery and the stent-to-vessel diameter ratio were measured. The technical and clinical success of stenting, midterm patient prognosis, and stent patency were evaluated.</p><p><strong>Results: </strong>Superior mesenteric artery stenting was technically successful in 12 patients (92.3%). The mean length of the stents implanted in the superior mesenteric artery was 61.3 ± 39.4 mm (range, 14-127 mm). The mean proximal and distal stent-to-vessel diameter ratios were 1.02 ± 0.16 and 1.30 ± 0.42, respectively. A weak correlation was found between the length of the stents implanted in the superior mesenteric artery and the distal stent-to-vessel diameter ratio (R² = 0.34). Two major complications occurred, one of which resulted in death within 30 days, and 12 (92.3%) were clinically successful. Of these 12 patients, no recurrent intestinal ischemia occurred during the follow-up duration (mean, 45.2 months). Partial occlusion of the stent distal edge without intestinal ischemia was observed in one patient (distal stent-to-vessel diameter ratio = 2.33) 42 months after stenting. The overall survival rate and primary stent patency rate were 84.6% and 91.7%, respectively.</p><p><strong>Conclusions: </strong>Midterm stent patency and survival after superior mesenteric artery stenting for malperfusion were acceptable.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 2","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037926","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":"Transarterial and Transvenous Approach for the Embolization of Arteriovenous Fistula between the Hepatic Arteries and Inferior Vena Cava Associated with Liver Abscess Due to Cholangitis.","authors":"Ryo Aoki, Yusuke Kobayashi, Kento Nakajima, Hiroyuki Kamide, Haruo Miwa, Hiromi Tsuchiya, Ritsuko Oishi, Akihiro Inoue, Sayo Irie, Yuka Misumi, Harumi Mochizuki, Shigeru Magami, Kazuya Sugimori, Zenjiro Sekikawa, Daisuke Utsunomiya","doi":"10.22575/interventionalradiology.2023-0046","DOIUrl":"10.22575/interventionalradiology.2023-0046","url":null,"abstract":"<p><p>An 87-year-old woman was hospitalized for liver abscesses and cholangitis due to common bile duct stones. She developed worsening anemia and abdominal pain. Contrast-enhanced computed tomography revealed an intrahepatic pseudoaneurysm and an arteriovenous fistula between the hepatic arteries and inferior vena cava. The initial endovascular treatment was transarterial embolization. The pseudoaneurysm was embolized with an N-butyl-2-cyanoacrylate mixture, and the inflow arteries of the arteriovenous fistula were embolized with microcoils. However, the residual perfusion of the arteriovenous fistula remained. A second endovascular treatment was performed using the transarterial and transvenous approaches. The inflow arteries were embolized using microcoils and gelatin sponges and the dominant outflow vein was embolized using microcoils, resulting in the disappearance of the perfusion in the arteriovenous fistula.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 2","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037927","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":"Large-bore Chest Tube Insertion: Seldinger Technique over Two Guidewires.","authors":"Atsushi Saiga, Takeshi Aramaki, Rui Sato","doi":"10.22575/interventionalradiology.2023-0030","DOIUrl":"10.22575/interventionalradiology.2023-0030","url":null,"abstract":"<p><strong>Purpose: </strong>Large-bore chest tube insertion is commonly performed using the trocar technique and blunt dissection; however, large-bore chest tube can cause severe visceral injury due to penetration, which is a life-threatening complication. Conversely, small-bore chest tubes can be safely inserted using the Seldinger technique; however, small-bore chest tubes are prone to blockage, especially in empyema cases. Therefore, this study aimed to demonstrate large-bore chest tube insertion using the Seldinger technique over two guidewires following image-guided puncture.</p><p><strong>Material and methods: </strong>We started performing large-bore chest tube insertion using the Seldinger technique over two guidewires following image-guided puncture in February 2022. Demographic data and procedural details, such as chest tube size, dilator size, procedure time, and type of image-guided puncture, of patients who underwent this procedure between February 2022 and March 2023 were retrospectively reviewed. Technical success was defined as the successful drainage of the pleural cavity.</p><p><strong>Results: </strong>This method was used for performing ten procedures in nine patients who presented with empyema, pneumothorax, and pulmonary fistula. The insertion of a large-bore chest tube with a size ranging from 18- to 24-French was successfully performed in all cases without any complications. The median procedure time was 17.5 (first quartile-third quartile, 13.5-28.0) min.</p><p><strong>Conclusions: </strong>Large-bore chest tube insertion using the Seldinger technique over two guidewires may be used as an alternative to conventional methods.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"9 2","pages":"74-77"},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037925","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":"Endovascular Treatment for Acute Portal Vein Thrombosis.","authors":"Tatsuo Ueda, Hidemasa Saito, Sayaka Shirai, Fumie Sugihara, Ryutaro Fujitsuna, Taiga Matsumoto, Hiromitsu Hayashi, Shin-Ichiro Kumita","doi":"10.22575/interventionalradiology.2023-0027","DOIUrl":"10.22575/interventionalradiology.2023-0027","url":null,"abstract":"<p><p>Acute portal vein thrombosis is characterized by nonspecific abdominal pain, causing severe morbidity and mortality. Prompt diagnosis is crucial to avoid short-term complications such as intestinal infarction, sepsis, and death. The therapeutic goal is to prevent thrombus extension into the mesenteric veins and intestinal ischemia complications. Systemic anticoagulation is the standard treatment. However, endovascular treatments such as thrombolysis, thrombectomy, balloon angioplasty, stent placement, and transjugular intrahepatic portosystemic shunt placement have been performed in patients who are refractory to anticoagulation therapy or at a high risk of intestinal ischemia. This review discusses the clinical and diagnostic considerations in acute portal vein thrombosis, focusing on current endovascular treatments that are effective and safe. However, prospective data are required to compare endovascular treatment techniques and assess their outcomes.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"10 ","pages":"e20230027"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095949","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":"Nonocclusive Mesenteric Ischemia: A Review for Interventional Radiologists.","authors":"Hiroshi Kawada, Shoma Nagata, Yoshifumi Noda, Nobuyuki Kawai, Tomohiro Ando, Tetsuro Kaga, Taketo Suto, Hiroshi Kondo, Masayuki Matsuo","doi":"10.22575/interventionalradiology.2023-0026","DOIUrl":"10.22575/interventionalradiology.2023-0026","url":null,"abstract":"<p><p>Nonocclusive mesenteric ischemia (NOMI) is a condition characterized by segmental or discontinuous mesenteric ischemia and intestinal necrosis without an organic obstruction in the mesenteric vessels. Diagnosis is challenging, and early intervention is crucial for improving patient outcomes. Various factors such as background factors, symptoms, biomarkers, and imaging techniques contribute to the diagnosis. Ensuring an early diagnosis and prompt treatment is of paramount importance. Although studies reported on the effectiveness of intra-arterial vasodilator infusion therapy as an endovascular treatment, its future role remains uncertain. Therefore, this review primarily aimed to provide a comprehensive summary of the advancements in the current state of NOMI management, with a specific emphasis on the implementation of endovascular therapy.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":"10 ","pages":"e20230026"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096045","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}