CardioVascular and Interventional Radiology最新文献

{"title":"Patient Preferences of Interventional Radiologists' Appearance and Attire.","authors":"Harneet S Sangha, Mina S Makary, Nidhi Banker, David S Shin, Jeffrey Forris Beecham Chick, Grace L Laidlaw, Eric J Monroe, Frederic J Bertino, Matthew Abad-Santos","doi":"10.1007/s00270-026-04635-9","DOIUrl":"https://doi.org/10.1007/s00270-026-04635-9","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126637","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":"Procedural Micro-Costing of Single-Room Transcatheter CT Hepatic Angiography for Microwave Liver Ablation.","authors":"Emma C Dunne, Mengjun Wu, Regina Navato, Jakob Mathiszig-Lee, Nicos Fotiadis, Edward W Johnston","doi":"10.1007/s00270-026-04640-y","DOIUrl":"https://doi.org/10.1007/s00270-026-04640-y","url":null,"abstract":"<p><strong>Purpose: </strong>To quantify the resource use and procedural costs attributable to transcatheter CT hepatic angiography during single-room computed tomography-guided microwave ablation of liver tumours.</p><p><strong>Materials and methods: </strong>A prospective bottom-up micro-costing analysis was conducted from the UK National Health Service perspective. Resource utilisation data were collected from 35 consecutive patients undergoing hepatic angiography-assisted microwave ablation in a single-room equipped with a standard computed tomography scanner and a mobile C-arm. Unit costs were identified using National Health Service reference costs and the Personal Social Services Research Unit databases. Per-procedure costs incorporated staff time, equipment and consumables, and imaging-related capital costs.</p><p><strong>Results: </strong>Median costs were £4,499 (£2,361-8,001) for the ablation component and £1,142 (£929-1,584) for hepatic angiography, with a median combined procedure cost, calculated independently, of £5,689 (£3,533-9,296). The hepatic angiography component was equivalent to 25.4% of the median ablation-component cost. Among the sensitivity scenarios tested, angiography duration had the greatest influence on its incremental cost, producing estimates of £929-1,584.</p><p><strong>Conclusion: </strong>Hepatic angiography adds a measurable incremental cost to computed tomography-guided microwave ablation. These results provide a foundation for prospective studies evaluating whether improved intraprocedural assessment translates into reduced re-intervention and improved cost-effectiveness.</p><p><strong>Level of evidence: </strong>Level 4, case series.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126681","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":"Same-Day Radioembolization for Large Hepatocellular Carcinoma (≥ 5 cm) Using Yttrium-90 Resin Microspheres: Protocol for a Multicenter Prospective Registry Study (ISTAR-01).","authors":"Hyo-Cheol Kim, In Joon Lee, Dongho Hyun, Gyoung Min Kim","doi":"10.1007/s00270-026-04633-x","DOIUrl":"https://doi.org/10.1007/s00270-026-04633-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the technical feasibility of same-day yttrium-90 (Y-90) radioembolization in patients with large hepatocellular carcinoma (HCC) (≥ 5 cm) who are predicted to have a low lung shunt fraction (LSF) based on imaging features.</p><p><strong>Materials and methods: </strong>This prospective, multicenter, open-label, single-arm registry study will enroll patients with large HCC without imaging features suggestive of high LSF. Eligible patients will undergo same-day planning angiography, technetium-99 m macroaggregated albumin (^99mTc-MAA) scintigraphy, and Y-90 radioembolization using resin microspheres. Key eligibility criteria include tumor size ≥ 5 cm, Child-Pugh class A liver function, and absence of imaging findings associated with elevated LSF. Imaging indicators of high LSF include hepatic vein invasion, early hepatic vein enhancement, transjugular intrahepatic portosystemic shunt, and dysmorphic intratumoral vessels ≥ 3 mm. The primary endpoint is the proportion of patients successfully undergoing same-day treatment among those scheduled. Secondary endpoints include objective response rate (ORR), progression-free survival (PFS), overall survival (OS), and treatment-related toxicity.</p><p><strong>Statistics: </strong>A total of 139 patients will be enrolled to estimate feasibility, assuming a success rate of 90% with a 5% margin of error at a 95% confidence level. ORR will be compared using the chi-square test, while PFS and OS will be evaluated using the Kaplan-Meier method and compared using the log-rank test.</p><p><strong>Expected gain of knowledge: </strong>This study will provide prospective evidence regarding the feasibility and clinical outcomes of same-day radioembolization in large HCC.</p><p><strong>Clinicaltrials: </strong></p><p><strong>Gov identifier: </strong>NCT06944483.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126663","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":"A Global Podium for the Gold Medallist: Lessons Learned From my Career.","authors":"Raman Uberoi","doi":"10.1007/s00270-026-04630-0","DOIUrl":"https://doi.org/10.1007/s00270-026-04630-0","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104365","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":"Automated Cryoprobe Planning Using a Large Language Model: A Geometric Approach to Optimize Probe Placement Based on Isotherm Data.","authors":"Francois H Cornelis, Arthur A Cornelis, Joseph P Erinjeri, Stephen B Solomon","doi":"10.1007/s00270-026-04472-w","DOIUrl":"10.1007/s00270-026-04472-w","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"2162-2165"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970653","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":"Acute Kidney Injury, Vascular Complications, and Deaths after Hepatic Malignancy Histotripsy: An Analysis of FDA MAUDE Database Reports.","authors":"Talha Iqbal, Shawal Ayaz, Ayefa Naveed Klair, Dawood Javed","doi":"10.1007/s00270-026-04569-2","DOIUrl":"10.1007/s00270-026-04569-2","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"2166-2171"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148700792","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":"Technique for Detecting Active Bleeding Using Dual-contrast Angiography.","authors":"Ryota Tsushima, Takaaki Maruhashi, Seishiro Akinaga, Yutaro Kurihara, Yasushi Asari","doi":"10.1007/s00270-026-04422-6","DOIUrl":"10.1007/s00270-026-04422-6","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"2195-2198"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490228","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":"Computed Tomography-Proven Active Bleeding with Negative Emergency Angiography: Early Mortality Predictors and Development of the Negative Angiography Bleeding-Lethality Score.","authors":"Louis Russier, Ilies El Boukili, Nory Elhadjene, Nicolas Magand, Noémie Lutz, Claire Boutet, Sylvain Grange, Rémi Grange","doi":"10.1007/s00270-026-04566-5","DOIUrl":"10.1007/s00270-026-04566-5","url":null,"abstract":"<p><strong>Purpose: </strong>To identify predictors of 30-day mortality and derive a bedside risk score in patients with computed tomography (CT)-proven active bleeding and negative emergency angiography.</p><p><strong>Materials and methods: </strong>We retrospectively included consecutive adults with CT-detected active bleeding and negative emergency angiography in a single-center cohort (2012-2026). Univariate analyses (Fisher exact, Mann-Whitney U) were followed by multivariable logistic regression, with a LASSO-penalized model (fivefold cross-validation) performed as sensitivity analysis. A simplified score, Negative Angiography Bleeding-Lethality (NAB-L), was derived from regression coefficients. Discrimination was assessed by area under the receiver operating characteristic curve (AUC) with bootstrap internal validation, calibration by the Hosmer-Lemeshow test, and survival by Kaplan-Meier methods with log-rank comparison.</p><p><strong>Results: </strong>A total of 118 patients were included (median age 67.5 years [IQR 51-78]; 55% male). Thirty-day mortality was 14.4% (17/118) and rebleeding occurred in 33.9% (40/118). Hemoglobin nadir < 8 g/dL (adjusted odds ratio (aOR) 11.44; 95% confidence intervals (CI) 1.45-90.35), arterial lactate > 2 mmol/L (aOR 5.69; 1.27-25.42), and age > 70 years (aOR 3.63; 1.01-13.02) were independently associated with mortality. The NAB-L score (0-5) showed good discrimination (AUC 0.854; 95% CI 0.760-0.941; optimism-corrected 0.816) and adequate calibration (Hosmer-Lemeshow p = 0.946). Mortality rose from 0% (score 0-1) to 56% (score 5). Rebleeding was more frequent in high-risk patients (52% vs. 17%, p = 0.036).</p><p><strong>Conclusion: </strong>CT-positive/angiography-negative bleeding carries substantial early mortality and rebleeding risk. The NAB-L score enables simple early bedside risk stratification but should be considered hypothesis-generating pending external validation.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"2142-2152"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663485","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 \"Transarterial Embolization Alone Versus Drug-Eluting Microspheres Chemoembolization for Hepatocellular Carcinoma (RAD-18-TACE): A Multicenter Randomized Clinical Trial\" Mosconi C, et al. CVIR 2026.","authors":"Yozo Sato, Satoshi Tsuchiya, Haruyuki Takaki, Kiyoshi Matsueda","doi":"10.1007/s00270-026-04535-y","DOIUrl":"10.1007/s00270-026-04535-y","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"2062-2063"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469302","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":"Uterine Artery Embolization Using Gelatin Sponge Particles in Patients with Symptomatic Uterine Fibroids: A Systematic Review and Meta-Analysis.","authors":"Arsalan Nadeem, Ali Husnain, Zain Ali Nadeem, Obaid Ur Rehman, Eeshal Fatima, Eeman Ahmad, Umar Akram, Qian Yu, Wali Badar, Osman Ahmed","doi":"10.1007/s00270-026-04398-3","DOIUrl":"10.1007/s00270-026-04398-3","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the efficacy and safety of uterine artery embolization (UAE) using gelatin sponge (GS) particles through a systematic review and meta-analysis.</p><p><strong>Materials and methods: </strong>PubMed, Embase, Scopus, and Google Scholar were searched from inception to April 2024. Prospective and retrospective nonrandomized studies using GS particles for UAE in leiomyoma patients were included. Outcomes included dominant leiomyoma volume reduction and improvement in menorrhagia, dysmenorrhea, and bulk-related symptoms.</p><p><strong>Results: </strong>Six studies with 429 participants were included. Three out of six studies compared GS to another embolic agent. Mean dominant leiomyoma volume reduction was 42.17% at 3 months (95% CI 33.65-50.68%), 53.37% at 6 months (95% CI 47.89-58.86%), and 58.71% at 12 months (95% CI 47.38-70.04%). Menorrhagia improved in 88% (95% CI 85-91%) at 3 months, 95% at 6 months (95% CI 70-100%), and 98% at 12 months (95% CI 92-100%). Dysmenorrhea improved in 90% at 3 months (95% CI 53-100%), 96% at 6 months (95% CI 66-100%), and 89% at 12 months (95% CI 61-100%). Bulk-related symptoms improved in 90% at 3 months (95% CI 74-99%) and 99% at 6 (95% CI 92-100%) and at 12 months (95% CI 95-100%). Amenorrhea was the most common adverse event. Other adverse events included deep venous thrombosis, groin hematomas, fibroid passage, symptom recurrence, anemia, postembolization syndrome, and elevated liver enzymes.</p><p><strong>Conclusion: </strong>UAE using GS particles is a potentially effective treatment option for managing uterine leiomyoma. It reduces leiomyoma volume and improves menorrhagia, dysmenorrhea, and bulk-related symptoms.</p><p><strong>Level of evidence: </strong>Level 2a, Systematic Review & Meta-Analysis of Cohort Studies.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1989-2001"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430876","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}