{"title":"Reply to Deng Y. et al.","authors":"Geert Maleux","doi":"10.1007/s00270-025-03993-0","DOIUrl":"10.1007/s00270-025-03993-0","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"580-581"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555951","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: Comparative Analysis of Systemic Immune Responses and Metastatic Risks in Tumor Ablation: An Animal Study of Radiofrequency Ablation and Irreversible Electroporation with Immune Modulation.","authors":"Jessica Gois Santana, Julius Chapiro","doi":"10.1007/s00270-025-04009-7","DOIUrl":"10.1007/s00270-025-04009-7","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"536-537"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647282","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}
Shunjin Zhao, Lu Shen, Xiaoyi Tong, Xiaobin Jiang, Hongchen Li, Jun Zhao, Jianjun Wu, Shizhen Zhang, Jianying Zhou
{"title":"Radiofrequency Ablation Versus Thoracoscopic Sublobar Resection for the Treatment of Pulmonary Ground Glass Nodules: A Retrospective Observational Study.","authors":"Shunjin Zhao, Lu Shen, Xiaoyi Tong, Xiaobin Jiang, Hongchen Li, Jun Zhao, Jianjun Wu, Shizhen Zhang, Jianying Zhou","doi":"10.1007/s00270-025-03984-1","DOIUrl":"10.1007/s00270-025-03984-1","url":null,"abstract":"<p><strong>Purpose: </strong>A variety of treatments options for pulmonary ground glass nodules (GGNs) are currently under investigation. This study aimed to retrospectively compare the safety and efficacy of two therapeutic concepts, radiofrequency ablation (RFA) and thoracoscopic sublobar resection, in the treatment of patients with resectable pulmonary GGNs.</p><p><strong>Materials and methods: </strong>This bi-center retrospective study included patients with resectable pulmonary GGNs who received either thoracoscopic sublobar resection or percutaneous computed tomography (CT)-guided RFA. Patients' clinical outcomes were compared between the two groups.</p><p><strong>Results: </strong>Between November 2019 and June 2023, a total of 71 patients were included, with 34 patients undergoing CT-guided RFA after refusing surgery, and 37 patients receiving thoracoscopic sublobar resection. No local recurrence or distant metastasis was observed in either group during the follow-up period (24 (interquartile range, 17.5-34.0) months for sublobectomy group and 30 (interquartile range, 17.5-38.75) months for RFA group). Compared to the thoracoscopic sublobar resection group, the RFA group had significantly fewer postoperative complications according to the Clavien-Dindo classification, particularly a lower incidence of pleural effusion (P < 0.001). The overall hospital stay length was also significantly shorter in the RFA patients (1 day versus 8 days, P < 0.001).</p><p><strong>Conclusions: </strong>This limited series suggests that percutaneous CT-guided RFA may be a safe and effective treatment option for patients with resectable pulmonary GGNs who refuse surgical intervention.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"495-502"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490852","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}
Ibrahim Ghanem, Nicole Rotter, Claudia Scherl, Johannes Ludwig, Bruno Reible, Angela Schell
{"title":"A Rare Case of Cholesterol Granuloma as a Complication of Onyx Embolization for Dural Arteriovenous Fistula.","authors":"Ibrahim Ghanem, Nicole Rotter, Claudia Scherl, Johannes Ludwig, Bruno Reible, Angela Schell","doi":"10.1007/s00270-025-03972-5","DOIUrl":"10.1007/s00270-025-03972-5","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"567-569"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11958478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact on Sexual Function of Protective Coil Embolization of Penile Collaterals During Prostatic Artery Embolization.","authors":"Andrew Richardson, Ansh Bhatia, Aneesha Maini, Kenneth Richardson, Chloe Issa, Zachary Strauber, Mehak Gadh, Jessica Kumar, Hamed Jalaeian, Shivank Bhatia","doi":"10.1007/s00270-025-03966-3","DOIUrl":"10.1007/s00270-025-03966-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the erectile and ejaculatory function of patients undergoing prostate artery embolization with coil embolization of penile collaterals (cPAE) compared to traditional PAE (tPAE) for treating lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH).</p><p><strong>Materials and methods: </strong>878 patients who underwent PAE for LUTS secondary to BPH at a single institution from September 2014 to September 2022 were assessed. 828 (94%) underwent tPAE, and 50 (6%) underwent cPAE. Sexual Health Inventory for Men (SHIM) and Ejaculatory Function Questionnaire (EJQ) scores were reviewed pre-procedure and at subsequent follow-ups.</p><p><strong>Results: </strong>In tPAE, the median (interquartile range (IQR), p-value compared to baseline) SHIM scores were 19(14-24, p = < 0.001), 19(13-18, p = 0.22), 19(16-23, p = 0.005), and 18(15-22, p = 0.52) at 3, 6, 12, and 24 months, respectively, from a baseline of 17(10-21). In cPAE, median-(IQR, p-value compared to baseline) SHIM scores were 16(6.5-22.5, p = 0.03), 13(6.8-16.3, p = 0.04), 8.5(5-1.5, p = 0.46), and 18(15-18, p = 1) at 3, 6, 12, and 24 months, respectively, from baseline of 13 (8-20). There was no significant difference in SHIM score change from baseline between cPAE and tPAE groups at 3(p = 0.60), 6(p = 0.31), 12(p = 0.09), and 24 months(p = 1) post-PAE. In tPAE, median(IQR, p-value compared to baseline)-EJQ scores were 16(13-18, p = 0.42), 16(13-18, p = 0.22), 17(12-19, p = 0.09), and 16(12.5-19, p = 1) at 3, 6, 12, and 24 months, respectively, from baseline of 14 (11-18). In cPAE group, median EJQ scores were 14(10.5-20, p = 0.11), 18(17-18), 16.5(3.5-19.7, p = 1) at 3, 6, and 12 months, respectively, from baseline of 15(12-18). There was no significant difference in EJQ score change from baseline between cPAE and tPAE groups at 3(p = 0.26), 6(p = 0.38), and 12(p = 0.88) months.</p><p><strong>Conclusion: </strong>Adjunct coil embolization of penile collaterals during PAE for preventing nontarget embolization has no adverse effect on erectile or ejaculatory function.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"512-521"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363754","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}
Camila Biedler Giordani, Joaquim M Motta-Leal-Filho, Leonardo Jatczak, Renan Camargo Puton, Jaber Nashat Saleh, Rafael Stevan Noel, Luiza Brum Borges, Julio Cesar Bajerski, Mateus Picada Correa
{"title":"Arterial Embolization of Joint Synovitis: The Latino Registry. Midterm Follow-Up of the Latino-Hip Cohort for Greater Trochanteric Pain Syndrome.","authors":"Camila Biedler Giordani, Joaquim M Motta-Leal-Filho, Leonardo Jatczak, Renan Camargo Puton, Jaber Nashat Saleh, Rafael Stevan Noel, Luiza Brum Borges, Julio Cesar Bajerski, Mateus Picada Correa","doi":"10.1007/s00270-025-03982-3","DOIUrl":"10.1007/s00270-025-03982-3","url":null,"abstract":"<p><strong>Purpose: </strong>To present the midterm follow-up of a cohort of 31 patients with great trochanteric pain syndrome (GTPS) refractory to conservative management or physical therapy and no indication for surgery treated with embolization of the lateral femoral circumflex artery (LFCA).</p><p><strong>Material and methods: </strong>Single-center prospective cohort from June 2019 to July 2023. This paper is an update of the initial experience with embolization of LFCA, previously published. Visual analog scale (VAS) was used to compare the symptoms before and after midterm follow-up. Technical success was considered when at least one artery responsible for the hyperemic synovium was embolized. Complications and adverse events were noted.</p><p><strong>Results: </strong>Thirty-one patients (38 joints) were included; mean age was 68.89 (+ 11.22) years. Thirty-six joints were treated with imipenem/cilastatin (I/C) alone, one with 100-300 μm BeadBlock and one using Microsphere 100-300 μm and I/C combined. 64.5% of the joints showed an association of GTPS with hip osteoarthritis on MRI pre-procedure. On the last FU 21 joints presented VAS 0 to 3, seven joints VAS 4 to 6 and nine did not feel any improvement, with VAS 7 to 10. One patient was lost to follow-up. Two patients present a minor complication (posterior tight numbness), spontaneously improved within 30 days.</p><p><strong>Conclusion: </strong>Lateral femoral circumflex artery embolization is feasible, and it is an alternative in pain reduction in patients with hip GTPS refractory to clinical treatment and no indication for surgery, in midterm follow-up.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"538-542"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456954","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}
Lohith Karigowda, Simon Wong, Jimmy Chien, Peter Emerson, Kush Deshpande, Luke Baker
{"title":"Pacemaker Lead Displacement After Mechanical Thrombectomy for Acute Pulmonary Embolism.","authors":"Lohith Karigowda, Simon Wong, Jimmy Chien, Peter Emerson, Kush Deshpande, Luke Baker","doi":"10.1007/s00270-025-04025-7","DOIUrl":"10.1007/s00270-025-04025-7","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718025","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}
Gerard O'Sullivan, Stefan Müller-Hülsbeck, Patrick Haage, Florian Wolf, Mohamad Hamady, Birgit Slijepčević, Romaric Loffroy, Fabrizio Fanelli, Hicham Kobeiter, Robert A Morgan
{"title":"The Central Role of the Interventional Radiologist in Advanced Therapies for Pulmonary Embolism: Results from An Online Member Survey by the Cardiovascular and Interventional Radiological Society of Europe.","authors":"Gerard O'Sullivan, Stefan Müller-Hülsbeck, Patrick Haage, Florian Wolf, Mohamad Hamady, Birgit Slijepčević, Romaric Loffroy, Fabrizio Fanelli, Hicham Kobeiter, Robert A Morgan","doi":"10.1007/s00270-025-03998-9","DOIUrl":"https://doi.org/10.1007/s00270-025-03998-9","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the outcomes of a survey on the provision of interventional radiology procedures for the treatment of acute pulmonary embolism (PE) in Europe and beyond.</p><p><strong>Methods: </strong>An online survey with 14 structured items was designed by the authors and was sent to 7116 CIRSE members via email. The anonymous online survey collected data for eight weeks; only complete responses were statistically analysed.</p><p><strong>Results: </strong>The survey was completed by 373 members (5.24%). Among these, 75.1% worked at centres offering catheter-directed thrombolysis or thrombectomy, in which 89.3% (250) personally perform endovascular treatment techniques for pulmonary embolism and the IR department is primarily responsible for the endovascular treatment techniques of PE in 83.2% of cases. The most frequently used endovascular techniques were (large bore) aspiration thrombectomy (85%) and catheter-directed thrombolysis (58.9%). The most common indications for intervention were sub-massive and massive PE (69.9%) and massive PE only (28%). In 70% of centres offering catheter-directed thrombolysis or thrombectomy, three or more Interventional Radiologists (IRs) are involved in PE treatment. Multidisciplinary rapid response teams for PE were available in 40.8% of centres, and included IRs in 91.4%.</p><p><strong>Conclusion: </strong>IRs are heavily involved in the management of patients with massive and sub-massive pulmonary embolism; further research is mandated to address clinical questions including patient selection and the timing for transcatheter therapies of PE provided by IR.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623580","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}
Pierre-Olivier Comby, Kévin Guillen, Olivier Chevallier, Emilie Couloumy, Anne Dencausse, Philippe Robert, Sarah Catoen, Anne-Virginie Salsac, Serge Ludwig Aho-Glele, Romaric Loffroy
{"title":"Embolic Effect of Different Cyanoacrylates: Radiological and Histological Comparison in an In Vivo Rabbit Renal-Artery Model.","authors":"Pierre-Olivier Comby, Kévin Guillen, Olivier Chevallier, Emilie Couloumy, Anne Dencausse, Philippe Robert, Sarah Catoen, Anne-Virginie Salsac, Serge Ludwig Aho-Glele, Romaric Loffroy","doi":"10.1007/s00270-025-03997-w","DOIUrl":"https://doi.org/10.1007/s00270-025-03997-w","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the radiological and histological effects of three different cyanoacrylate glues used for in vivo renal artery embolization in rabbits.</p><p><strong>Materials and methods: </strong>N-butyl cyanoacrylate (NBCA), NBCA-methacryloxysulfolane (NBCA-MS), and α-hexyl-cyanoacrylate (AHCA) were each used to embolize five renal arteries under free-flow conditions with a 1:3 glue/ethiodized oil ratio. The rabbits were euthanized 30 min after embolization. Micro-computed tomography (CT) was used to assess glue cast distribution (extent of penetration into the vascular tree), fragmentation (presence of discontinuities within the cast), and heterogeneity (variability in cast density). Histological slides were analyzed for lumen dilatation, intimal arteritis, necrosis, and peri-arterial edema. Statistical analyses were performed using the Kruskal-Wallis test.</p><p><strong>Results: </strong>Glue penetration into interlobar and corticomedullary arteries was observed consistently in all three groups. Fragmentation scores showed no significant differences between glue types, but AHCA demonstrated significantly lower heterogeneity in proximal arteries compared to NBCA-MS (P = 0.019). Severe lumen dilatation and intimal necrosis were observed in all samples, whereas intimal arteritis was significantly less severe with AHCA compared to NBCA-MS (P < 0.001). No significant differences in peri-arterial edema were found between groups.</p><p><strong>Conclusion: </strong>Micro-CT features were similar with all three glues. AHCA produced greater cast uniformity and less intimal arteritis, suggesting a role in endovascular embolization.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596235","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}