CardioVascular and Interventional Radiology最新文献

{"title":"Reinforcing Clinical Practice in Interventional Radiology: A Call for Structural Change.","authors":"Sara Lojo-Lendoiro, Ignacio Diaz-Lorenzo, Jose Andres Guirola, Rebeca Pintado Garrido, Iñigo Insausti, Santiago Mendez Alonso, Jose J Martinez Rodrigo","doi":"10.1007/s00270-025-04136-1","DOIUrl":"https://doi.org/10.1007/s00270-025-04136-1","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Declaration of Non-use of Large Language Models in Academic Writing.","authors":"Shigeki Matsubara","doi":"10.1007/s00270-025-04123-6","DOIUrl":"https://doi.org/10.1007/s00270-025-04123-6","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transperineal Radiofrequency Ablation of an Ectopic Prostatic Adenoma: A Novel Image-Guided Approach to a Rare Lesion.","authors":"Thiago Franchi Nunes, Flávio Scavone Stefanini, Bibiana Ruiz Wehling Ilgenfritz, Denis Szejnfeld","doi":"10.1007/s00270-025-04127-2","DOIUrl":"https://doi.org/10.1007/s00270-025-04127-2","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on: Safety and Feasibility of Endovascular Management of Pediatric Dialysis Access.","authors":"Hassan Iqbal, Sunbal Sardar","doi":"10.1007/s00270-025-04124-5","DOIUrl":"https://doi.org/10.1007/s00270-025-04124-5","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined Percutaneous Sclerotherapy Plus Transarterial Embolization for Refractory Sports Injuries in Young Athletes: A Feasibility Study.","authors":"Jae Hwan Lee, Soo Buem Cho, Kun Young Kim, Chong-Ho Lee, Chang Jin Yoon, Minuk Kim, Young Ho So, Sang Hwan Lee, Saebeom Hur","doi":"10.1007/s00270-025-04120-9","DOIUrl":"https://doi.org/10.1007/s00270-025-04120-9","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the feasibility and safety of combined percutaneous sclerotherapy plus transarterial embolization for refractory sports-related tendinopathy in young athletes.</p><p><strong>Materials and methods: </strong>Twelve athletes with 20 lesions (13 Achilles tendinopathies, 6 patellar tendinopathies, 1 iliotibial band syndrome), suffering pain persisting >3 months despite conservative management were included. Ultrasound-guided foam sclerosant was injected into the peri-tendinous subcutaneous tissue at the most painful area until approximately 50% pain relief was achieved. Immediately after the sclerotherapy, angiography was performed, and hypervascular neovessels at the pain site were embolized with a mixture of iondinated contrast medium and Imipenem/Cilastatin. Visual analog scale (VAS) scores were measured and peri- and post-procedural adverse events were recorded.</p><p><strong>Results: </strong>Sclerosant injection produced an immediate ~50% pain reduction in all treated lesions, after which TAME was performed in 19 of 20 lesions (95%). Angiographic hypervascular staining was observed in 95% (19/20) of cases, facilitating targeted embolization. The mean sclerosant volume and imipenem amount were 1.4 ± 0.7 mL and 370.1 ± 14.9 mg, respectively. Mean VAS scores decreased from 6.7 ± 1.2 at baseline to 3.2 ± 1.1 at 1 week and 2.7 ± 0.8 at 6 months (p < 0.01). Clinical success was achieved in 18 of 20 lesions (90%), corresponding to 10 of 12 patients (83%). Minor complications occurred in 2 cases (2 groin hematomas), and all patients experienced mild post-injection soreness resolving within 4 days. No major complications or serious adverse events were observed.</p><p><strong>Conclusion: </strong>The combined sclerotherapy plus embolization technique is feasible and safe for treating refractory lower-extremity tendinopathies in young athletes. Comparative studies are needed to assess potential added benefits.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic Performance of Model for End-Stage Liver Disease (MELD) 3.0 for Transjugular Intrahepatic Portosystemic Shunt (TIPS) Creation.","authors":"Kenkichi Michimoto, Leonardo Campos, Spencer Cushen, Takeshi Suzuki, Kentaro Yamada, Willscott Naugler, Khashayar Farsad","doi":"10.1007/s00270-025-04116-5","DOIUrl":"https://doi.org/10.1007/s00270-025-04116-5","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the prognostic performance of the model for end-stage liver disease (MELD) 3.0 in elective transjugular intrahepatic portosystemic shunt (TIPS) patients relative to MELD, MELD-Na, Freiburg index of post-TIPS survival, modified TIPS score, Child-Pugh, albumin-bilirubin, and chronic liver failure-consortium acute decompensation scores.</p><p><strong>Materials and methods: </strong>A total of 342 patients (mean age: 55.5 years; 183 men) with portal hypertensive complications due to cirrhosis who underwent elective TIPS between December 2004 and June 2023 were reviewed. The prognostic performance of each scoring system for mortality at 30 days, 90 days, 1 year, and 3 years was evaluated using receiver operating characteristic curves to determine the area under the curve (AUC). Optimal cutoff values were determined accordingly. AUCs were compared using a bootstrap approach with 2000 resamples. Multivariable regression analyses were performed to identify independent risk factors.</p><p><strong>Results: </strong>MELD 3.0 showed the highest AUC across the follow-up period. Compared to MELD and MELD-Na, MELD 3.0 showed significantly higher AUCs at 30 days (0.71, 0.71, and 0.82), 90 days (0.67, 0.68, and 0.77), 1 year (0.65, 0.69, and 0.77), and 3 years (0.63, 0.64, and 0.71) with corresponding P values of 0.049/0.022, 0.007/0.006, < 0.001/0.002, and 0.003/0.008, respectively. Regression analyses suggested MELD 3.0 as an independent risk factor for mortality, with a cutoff value of ≥ 19 for 30 day mortality (P < 0.001) and ≥ 17 for 90 day, 1 year, and 3 year mortality (P < 0.001).</p><p><strong>Conclusion: </strong>MELD 3.0 may serve as a reliable prognostic tool compared to other existing scoring systems, acutely and in the longer term for elective TIPS creation.</p><p><strong>Level of evidence: </strong>Level 3, Retrospective single-center cohort study.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on Knapen et al.'s \"Outcomes After Thrombectomy for Acute Ischemic Stroke Related to Type of Stent Retriever; a MR CLEAN Registry Study\".","authors":"Johannes A R Pfaff","doi":"10.1007/s00270-025-04117-4","DOIUrl":"https://doi.org/10.1007/s00270-025-04117-4","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CT-guided Thermal Ablation of Liver Tumors Using Intraprocedural CT-CT Fusion for Applicator Position and Ablation Completeness Assessment: a Single-Center Comparative Analysis.","authors":"Koen H M Verdonschot, Sjoerd F M Jenniskens, Peter B van den Boezem, Eric T T L Tjwa, Johannes H W de Wilt, Jurgen J Fütterer, Martijn W J Stommel, Christiaan G Overduin","doi":"10.1007/s00270-025-04111-w","DOIUrl":"https://doi.org/10.1007/s00270-025-04111-w","url":null,"abstract":"<p><strong>Purpose: </strong>To compare outcomes of CT-guided thermal ablation of liver tumors with versus without use of intraprocedural CT-CT image fusion.</p><p><strong>Materials and methods: </strong>This retrospective cohort study included all patients treated with CT-guided percutaneous thermal ablation for hepatocellular carcinoma (HCC) or colorectal liver metastases (CRLM) between January 2017 and April 2023 at our institution. From October 2019, intraprocedural CT-CT deformable image fusion (IF) using dedicated software (Vitrea, Canon Medical) was introduced to the thermal ablation procedure workflow to visually assess applicator placement before ablation and ablation completeness posttreatment. Local tumor progression (LTP) was assessed on follow-up imaging. LTP-free survival (LTPFS) between groups with and without IF was estimated with the Kaplan-Meier method and risk factors for LTP were identified with Cox regression analysis.</p><p><strong>Results: </strong>A total of 113 patients treated in 139 sessions were included; 66 treatments for 86 tumors without use of IF (56 HCC; 30 CRLM) and 73 treatments for 92 tumors with use of IF (46 HCC; 46 CRLM). Two-year LTPFS was significantly improved with use of IF for both HCC (97% vs. 74%; p = .009) and CRLM (82% vs. 56%; p = .033). On univariate regression analysis, use of IF was a predominant factor significantly associated with improved LTPFS in patients with HCC (HR: 0.21, p = .037) and CRLM (HR: 0.38, p = .042).</p><p><strong>Conclusion: </strong>In this single-center study, the use of software-based intraprocedural CT-CT image fusion for applicator position and ablation completeness assessment was associated with improved local tumor progression-free survival after CT-guided thermal ablation of HCC and CRLM.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Dedicated Eye Lens Dosimeters and Full-Face Visors in Interventional Radiology.","authors":"D Cester, E Samara, G Puippe, A Kobe, T Frauenfelder","doi":"10.1007/s00270-025-04034-6","DOIUrl":"https://doi.org/10.1007/s00270-025-04034-6","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CIRSE Standards of Practice for the Interventional Radiology Management of Acute and Chronic Arterial Mesenteric Ischaemia.","authors":"Romaric Loffroy, Antonio Basile, Edit Dósa, Geert Maleux, Bora Peynircioglu, Olivier Chevallier","doi":"10.1007/s00270-025-04080-0","DOIUrl":"https://doi.org/10.1007/s00270-025-04080-0","url":null,"abstract":"<p><strong>Purpose: </strong>Mesenteric ischaemia due to arterial occlusion, usually secondary to atherosclerosis or arterial thromboembolism, may be acute or chronic. Endovascular intervention is now the primary treatment based on its minimally invasive nature and lower in-hospital mortality. Open surgery is indicated in the presence of bowel necrosis, the diagnosis of which remains challenging. This document makes best-practice recommendations about the interventional radiology management of acute and chronic mesenteric ischaemia.</p><p><strong>Methods: </strong>The CIRSE Standards of Practice Committee established a writing group of six clinicians with internationally recognised expertise in the management of arterial mesenteric ischaemia. The writing group performed a pragmatic search on PubMed for relevant studies published in English in 2013-2024. The final recommendations were developed by consensus.</p><p><strong>Results: </strong>Endovascular interventions for arterial mesenteric ischaemia have very high technical success rates. Complication rates are lower than with open surgical revascularisation; however, patency times may be shorter. Patients must receive antiplatelet therapy and be monitored for recurrence.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}