CardioVascular and Interventional Radiology最新文献

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Lipiodol ! Are Musculoskeletal Embolizations a Rebirth? Lipiodol !肌肉骨骼栓塞术是重生吗?
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-19 DOI: 10.1007/s00270-024-03860-4
Olivier Pellerin
{"title":"Lipiodol ! Are Musculoskeletal Embolizations a Rebirth?","authors":"Olivier Pellerin","doi":"10.1007/s00270-024-03860-4","DOIUrl":"https://doi.org/10.1007/s00270-024-03860-4","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675182","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}
引用次数: 0
Interventional Radiology Management of Bone Metastasis Pain: Strategies and Techniques. 骨转移疼痛的介入放射学治疗:策略与技术》(Interventional Radiology Management of Bone Metastasis Pain: Strategies and Techniques)。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-19 DOI: 10.1007/s00270-024-03879-7
Guillaume Gravel, Alexis Nobileau, Axel Guth, François Mellot, Alexandre Roussel
{"title":"Interventional Radiology Management of Bone Metastasis Pain: Strategies and Techniques.","authors":"Guillaume Gravel, Alexis Nobileau, Axel Guth, François Mellot, Alexandre Roussel","doi":"10.1007/s00270-024-03879-7","DOIUrl":"https://doi.org/10.1007/s00270-024-03879-7","url":null,"abstract":"<p><p>Osseous metastases are common in cancer patients, and pain is one of the most frequent associated symptoms. The management of cancer-related pain is still problematic worldwide with 40 to 50% of patients still being undertreated. A significant proportion of cancer patients will require discontinuation of traditional analgesic treatments such as opioids due to unsuccessful pain relief or severe unmanageable toxicity and may, therefore, benefit from alternative treatments. Over the last few decades, several interventional radiology (IR) minimally invasive treatment options have been introduced into the cancer pain management toolbox and can be proposed to cancer patients. This article reviews the main IR treatment options for painful bone metastases which include vertebral augmentation, percutaneous osteosynthesis, tumoral ablation, electrochemotherapy, intra-arterial therapies, and percutaneous neurolysis.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675174","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}
引用次数: 0
A Personal Commentary Regarding Radial and Femoral Arterial Access. 关于桡动脉和股动脉通路的个人评论。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-18 DOI: 10.1007/s00270-024-03904-9
Ignacio Diaz-Lorenzo, Alberto Alonso-Burgos
{"title":"A Personal Commentary Regarding Radial and Femoral Arterial Access.","authors":"Ignacio Diaz-Lorenzo, Alberto Alonso-Burgos","doi":"10.1007/s00270-024-03904-9","DOIUrl":"10.1007/s00270-024-03904-9","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667072","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}
引用次数: 0
The Delay of Recanalisation of Acutely Thrombosed Dialysis Arteriovenous Access Until the Next Workday has No Negative Impact on Clinical Outcome. 将急性血栓性透析动静脉通路再通畅手术推迟到下一个工作日不会对临床结果产生负面影响。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-18 DOI: 10.1007/s00270-024-03897-5
Konstantin Hellwig, Stefan Zicha, Christoph Kopp, Ulrich Rother, Nikolaos Papatheodorou, Michael Uder, Axel Schmid
{"title":"The Delay of Recanalisation of Acutely Thrombosed Dialysis Arteriovenous Access Until the Next Workday has No Negative Impact on Clinical Outcome.","authors":"Konstantin Hellwig, Stefan Zicha, Christoph Kopp, Ulrich Rother, Nikolaos Papatheodorou, Michael Uder, Axel Schmid","doi":"10.1007/s00270-024-03897-5","DOIUrl":"10.1007/s00270-024-03897-5","url":null,"abstract":"<p><strong>Purpose: </strong>The necessity of providing endovascular recanalization of acutely thrombosed arteriovenous access (AV access) during weekend is questionable, since hemodialysis can alternatively be achieved by temporarily placed non-tunneled central venous catheters (CVC). Interventional therapy of acutely thrombosed AV access is provided only on weekdays in the study center. This study aimed to compare outcomes in patients admitted on weekdays and on the weekend.</p><p><strong>Methods: </strong>A total of 355 endovascular procedures for thrombosed AV access performed in a single tertiary center from 2007 to 2017 were retrospectively analyzed for technical and clinical success, complications, rate of CVC and length of hospitalization. Technical success was defined as adequate blood flow with less than 30% residual stenosis, clinical success was defined as at least one successful hemodialysis after recanalization. There were two groups: patients who had to wait at least 2 days for recanalization due to admission at the weekend (n = 59, at-the-weekend group, ATW group) and patients receiving therapy no later than the day after admission (n = 296, on a working day group, OAW group).</p><p><strong>Results: </strong>The technical/clinical success rate was 96.6%/88.1% in the ATW and 89.1%/84.6% in the OAW group (p > .05). Complications did not differ among groups (p > .05). Despite a higher rate of CVC, no attributed additional adverse events or complications were observed in the ATW group (p > .05).</p><p><strong>Conclusion: </strong>Despite a longer time until treatment and a higher rate of short-term CVC, it seems to be justified to provide recanalization of dialysis shunts only during weekdays.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667074","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}
引用次数: 0
A Meta-Analysis and Meta-Regression of Embolisation Outcomes of Pulmonary Arteriovenous Malformations. 肺动静脉畸形栓塞疗效的 Meta 分析和 Meta 回归。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-18 DOI: 10.1007/s00270-024-03907-6
Yousef Shahin, Cyrilkumaar Vijayakumar, Amarit Gill, Andrzej Lejawka, Steve Bennett, Rebecca Willis, Mustafa Abbas, Daniel Kusumawidjaja
{"title":"A Meta-Analysis and Meta-Regression of Embolisation Outcomes of Pulmonary Arteriovenous Malformations.","authors":"Yousef Shahin, Cyrilkumaar Vijayakumar, Amarit Gill, Andrzej Lejawka, Steve Bennett, Rebecca Willis, Mustafa Abbas, Daniel Kusumawidjaja","doi":"10.1007/s00270-024-03907-6","DOIUrl":"10.1007/s00270-024-03907-6","url":null,"abstract":"<p><strong>Purpose: </strong>Embolisation is a widely utilised therapeutic intervention for pulmonary arteriovenous malformation (PAVM). We conducted a meta-analysis to evaluate outcomes of PAVM embolisation and factors associated with embolisation outcomes.</p><p><strong>Methods: </strong>MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL) were searched from 2000 to July 2022 on studies that assessed embolisation outcomes of PAVM. Immediate technical success rate defined as the complete occlusion of the PAVM at the time of embolisation and treatment success rate defined as ≥ 70% venous sac reduction on follow-up imaging were pooled from included studies with use of random effects proportion meta-analysis. Heterogeneity across studies was assessed with the I<sup>2</sup> statistic.</p><p><strong>Results: </strong>Forty-four studies including 1865 patients (604 (32%) males, mean age (range) 45 (24-59) years, 1125 (60%) had hereditary haemorrhagic telangiectasia (HHT)) were included in the meta-analysis. Studies included a total of 4314 PAVMs of which 4047 (94%) were treated. Studies reported morphology of 3074 PAVMs (2519 (58%) simple and 555 (13%) complex). The pooled overall immediate technical success rate for PAVM embolisation was 99%, 95% CI (98-100%) and the treatment success rate was 86%, 95% CI (84-89%). Younger age (p = 0.041), simple PAVM (0.020), and embolisation using plugs (p = 0.001) were associated with higher treatment success. Feeding artery and sac embolisation (p = 0.021) and using coils (p = 0.001) were associated with lower treatment success. There was no significant difference in recanalisation rate between different embolisation agents (OR 0.64, 95% CI -0.09- 1.38).</p><p><strong>Conclusion: </strong>This meta-analysis shows that PAVM embolisation is safe and effective. Higher treatment success rates for PAVM embolisation can be achieved using plugs as the primary embolisation agent. Embolisation agent used had no effect on recanalisation rates.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667069","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}
引用次数: 0
Transforming IR Training: A European Perspective. 变革投资者关系培训:欧洲视角。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-18 DOI: 10.1007/s00270-024-03905-8
Laetitia Saccenti, Jonathan Nadjiri, Christoph A Binkert, Philippe L Pereira
{"title":"Transforming IR Training: A European Perspective.","authors":"Laetitia Saccenti, Jonathan Nadjiri, Christoph A Binkert, Philippe L Pereira","doi":"10.1007/s00270-024-03905-8","DOIUrl":"10.1007/s00270-024-03905-8","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667077","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}
引用次数: 0
CIRSE Standards of Practice on Transjugular Intrahepatic Portosystemic Shunts. CIRSE 经颈静脉肝内门体分流术实践标准。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-17 DOI: 10.1007/s00270-024-03866-y
Pierleone Lucatelli, Antonín Krajina, Romaric Loffroy, Roberto Miraglia, Claus Christian Pieper, Stéphanie Franchi-Abella, Bianca Rocco
{"title":"CIRSE Standards of Practice on Transjugular Intrahepatic Portosystemic Shunts.","authors":"Pierleone Lucatelli, Antonín Krajina, Romaric Loffroy, Roberto Miraglia, Claus Christian Pieper, Stéphanie Franchi-Abella, Bianca Rocco","doi":"10.1007/s00270-024-03866-y","DOIUrl":"https://doi.org/10.1007/s00270-024-03866-y","url":null,"abstract":"<p><strong>Background: </strong>Proposed in the early 1980s as a solution for managing complications of portal hypertension, the percutaneous creation of transjugular intrahepatic portosystemic shunt has consistently gained a central role. Increasingly lower complication rates have been observed thanks to improvements in both technologies and the skills of interventional radiologists.</p><p><strong>Purpose: </strong>This document is aimed at interventional radiologists and provides best practice recommendations for transjugular intrahepatic portosystemic shunt creation, describing patient selection, intraprocedural management and follow-up, in addition to recommendations in paediatric settings.</p><p><strong>Methods: </strong>The CIRSE Standards of Practice Committee established a writing group consisting of seven European clinicians with recognised expertise in the creation of transjugular intrahepatic portosystemic shunt. The writing group reviewed the existing literature performing a pragmatic evidence search using PubMed to select relevant publications in the English language and involving human subjects, preferably published from 2009 to 2024. The final recommendations were developed by consensus.</p><p><strong>Results: </strong>TIPS creation has an established role in the successful management of portal hypertension and its complications. This Standards of Practice document provides up-to-date recommendations for patient selection, materials, its safe performance, and follow-up with complications management.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643449","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}
引用次数: 0
Early Thrombus Removal for Acute Lower Extremity Deep Vein Thrombosis: Update on Inclusion, Technical Aspects, and Postprocedural Management. 早期血栓清除术治疗急性下肢深静脉血栓:关于纳入、技术方面和术后管理的最新进展。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-14 DOI: 10.1007/s00270-024-03898-4
Adam N Plotnik, Zachary Haber, Stephen Kee
{"title":"Early Thrombus Removal for Acute Lower Extremity Deep Vein Thrombosis: Update on Inclusion, Technical Aspects, and Postprocedural Management.","authors":"Adam N Plotnik, Zachary Haber, Stephen Kee","doi":"10.1007/s00270-024-03898-4","DOIUrl":"https://doi.org/10.1007/s00270-024-03898-4","url":null,"abstract":"<p><p>Acute lower extremity deep vein thrombosis (DVT) is a common disorder with significant associated morbidity, including pain and swelling, as well as the risk of pulmonary embolism (PE), recurrent venous thromboembolism (VTE) and chronic debilitating post-thrombotic syndrome (PTS). Anticoagulation is standard of care for DVT treatment. It assists in reducing thrombus progression and the occurrence of PE, but incomplete DVT resolution increases the risk of recurrent VTE, valvular insufficiency, and PTS. Endovascular DVT interventions, such as catheter-directed thrombolysis, pharmacomechanical thrombectomy, and large-bore mechanical thrombectomy offer an alternative therapeutic strategy for DVT management. This paper will discuss technical factors and current issues when performing lower extremity DVT interventions including patient selection, anticoagulation, choice of device for endovascular thrombus removal, adjunctive techniques, and venous stent management.Level of Evidence: No level of evidence for: review articles, basic science, laboratory investigations, and experimental study articles.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615376","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}
引用次数: 0
A Novel Challenge Beyond the Pinnacle: Intravascular Ultrasound-Guided Percutaneous Deep Venous Arterialization. 超越巅峰的新挑战:血管内超声引导下的经皮深静脉动脉化。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-11 DOI: 10.1007/s00270-024-03899-3
Tatsuya Nakama
{"title":"A Novel Challenge Beyond the Pinnacle: Intravascular Ultrasound-Guided Percutaneous Deep Venous Arterialization.","authors":"Tatsuya Nakama","doi":"10.1007/s00270-024-03899-3","DOIUrl":"https://doi.org/10.1007/s00270-024-03899-3","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615370","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}
引用次数: 0
Percutaneous Gallstone Extraction Through Midbody Access to the Gallbladder Using a Cleaner XT Rotational Thrombectomy Device: A Case Report. 使用 Cleaner XT 旋转血栓切除装置,经皮从躯干中部进入胆囊取出胆结石:病例报告。
IF 2.8 3区 医学
CardioVascular and Interventional Radiology Pub Date : 2024-11-11 DOI: 10.1007/s00270-024-03903-w
Preethi Jagannath, Jee Hyuk Byun, Junaid Raja
{"title":"Percutaneous Gallstone Extraction Through Midbody Access to the Gallbladder Using a Cleaner XT Rotational Thrombectomy Device: A Case Report.","authors":"Preethi Jagannath, Jee Hyuk Byun, Junaid Raja","doi":"10.1007/s00270-024-03903-w","DOIUrl":"https://doi.org/10.1007/s00270-024-03903-w","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615378","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}
引用次数: 0
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