CardioVascular and Interventional Radiology最新文献

{"title":"Correction to: Transcatheter Arterial Embolization as a Treatment for Chronic Pain due to Temporomandibular Joint Osteoarthritis.","authors":"Florian Nima Fleckenstein, Jan Voss, Christian Doll, Tazio Maleitzke, Tobias Winkler, Eberhard Siebert, Federico Collettini","doi":"10.1007/s00270-025-04053-3","DOIUrl":"10.1007/s00270-025-04053-3","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1073"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076246","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":"Pain Management in Pediatrics: What the IR has to Offer.","authors":"F M Gómez, J J Martínez, M Lloret-Larrea, R García-Marcos, L Martí-Bonmatí","doi":"10.1007/s00270-024-03918-3","DOIUrl":"10.1007/s00270-024-03918-3","url":null,"abstract":"<p><p>Pediatric pain management presents unique challenges due to the intrinsic characteristics of children such as their developmental stages, communication barriers, and varying pain perceptions. Life-limiting conditions affecting children are a growing medical concern, requiring a comprehensive, multidisciplinary approach to improve quality of life or ensure a dignified end of life. Interventional radiology (IR) plays a critical role in this strategy, similar to its role in adult care. Not only life-limiting conditions pose a challenge in pediatric chronic pain management, but also other benign chronic diseases (e.g., cystic fibrosis, muscular dystrophy, neurodegenerative disorders, metabolic disorders). This review focuses on specific IR strategies for pediatric pain management, including ablation, embolization/chemoembolization, and nerve blocks. It emphasizes the importance of tailored approaches for pediatric patients, considering genetic disorders and oncological diseases, which may require a diverse range of IR treatments. The aim is to provide a summary of these interventional techniques and highlight the unique considerations necessary for effective pediatric pain management.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"963-969"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000583","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":"Comparison of Adrenal Vein Sampling Methods for Subtyping of Primary Aldosteronism: A Retrospective Observational Study.","authors":"Minfu Bai, Qiuping Zhao, Jiajia Dong, Xiaomo Yang, Xiaohui Wang, Chuanyu Gao","doi":"10.1007/s00270-025-04005-x","DOIUrl":"10.1007/s00270-025-04005-x","url":null,"abstract":"<p><strong>Purpose: </strong>Although adrenal vein sampling (AVS) is the standard method for subtype diagnosis in patients with primary aldosteronism (PA), the methods used to sample the adrenal vein are not standardized. The aim of this study was to establish the optimal method for sampling the adrenal vein based on the pathological findings after surgery for PA.</p><p><strong>Methods: </strong>We enrolled 168 consecutive patients who were diagnosed to have PA and underwent AVS at our institution between 2019 and 2023. The impact of sampling by gentle negative pressure (GNP) on the accuracy of diagnosis of the PA subtype was compared with that of sampling by gravity, whereby blood flows out naturally.</p><p><strong>Results: </strong>AVS was performed successfully on both sides in 139 patients using the two sampling methods. Subtype diagnosis using the two sampling methods was concordant in 128 (92.1%) of the 139 patients and discordant in 11 (7.9%). Among the 11 patients with a discordant subtype diagnosis, unilateral adrenalectomy was performed in three with the right unilateral subtype by gravity and the bilateral subtype by GNP, one with the bilateral subtype by gravity and the right unilateral subtype by GNP, and one with the left unilateral subtype by gravity and the bilateral subtype by GNP. The pathological findings after surgery showed that the false-negative rate was 20% (1/5) with data obtained by the gravity method and 80% (4/5) with data obtained by the GNP method. Bilateral AVS took significantly longer when sampling was performed by the gravity method than when it was performed by GNP (p < 0.01).</p><p><strong>Conclusions: </strong>The gravity method may be preferable to GNP for AVS in patients with PA.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"984-989"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771440","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 of Thyroid Arterial Embolization on Clinical and Biochemical Outcomes and Quality of Life in Patients with Nodular and Multinodular Goiter.","authors":"Resham Singh, Niraj Nirmal Pandey, Sanjeev Kumar, Om Prakash Prajapati, Kapil Sikka, Priya Jagia","doi":"10.1007/s00270-025-04055-1","DOIUrl":"10.1007/s00270-025-04055-1","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the safety and efficacy of thyroid arterial embolization (TAE) and its impact on clinical outcomes and quality of life (QoL) in patients with nodular and multinodular goiter (NG/ MNG).</p><p><strong>Materials and methods: </strong>The study included 20 patients with NG/ MNG (16 women, 4 men; mean age, 37 years) who underwent TAE using polyvinyl alcohol (PVA) particles (350-500 μm) between January 2022 and December 2023. Clinical, radiological and quality of life (QoL) assessment (thyPRO-39 questionnaire) were performed at baseline and 6 months post-procedure. Biochemical evaluation with thyroid function tests were done at 1 week, 1 month, 3 months and 6 months post-procedure.</p><p><strong>Results: </strong>Of 20 patients, 16 had solitary thyroid nodules (STN), while 4 had multinodular goiter (MNG). Three patients had non-Graves hyperthyroidism, while the remainder were euthyroid. Technical success was achieved in all patients. 35 out of 82 interrogated thyroid arteries were seen supplying the nodules and were successfully embolized using PVA particles. At 6 months follow-up, no major complications were reported. Minor complications, including neck pain (60%), fever (20%), toothache (5%) and arm pain (5%) were seen and responded well to conservative management. The median volume of STN/dominant nodule decreased by 63.7%, from 27.5 ml (13.7-59) to 10 ml (7-17.0) (p < 0.001). Goiter score decreased from 40 (34-78.5) to 17.5 (12.5-31.5), hyperthyroid score from 15.5 (10.5-38.5) to 8 (2-13), cosmetic/ appearance score from 43 (28-51) to 1 (1-21), composite score from 26.1 (21.5-40.9) to 17.6 (14.7-26.1), and QoL score from 25 (25-50) to 0 (0-25); all changes were statistically significant (p < 0.001).</p><p><strong>Conclusion: </strong>TAE is a safe and effective treatment option in the non-surgical management of benign NG/ MNG, significantly improving these patients' clinical outcome and having a favourable impact on quality of life.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1021-1029"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246577","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":"Electrochemotherapy in the Treatment of Bone Metastases: A Narrative Review.","authors":"Adlane Feddal, Frédéric Deschamps, Paul Beunon, Thierry De Baère, Lambros Tselikas, Baptiste Bonnet","doi":"10.1007/s00270-025-04077-9","DOIUrl":"10.1007/s00270-025-04077-9","url":null,"abstract":"<p><p>Bone is the third most common site for metastases, frequently leading to skeletal-related events (SREs) such as pain, metastatic epidural spinal cord compression (MESCC), and pathological fractures all of which significantly impact patients' quality of life. In recent years, minimally invasive image-guided therapies have been developed to achieve local tumor control, alleviate pain, and improve functionality, often in conjunction with long-established treatments (chemotherapy, radiation, surgery) and analgesics. Cementoplasty and thermal ablation have demonstrated proven efficacy and safety; however, certain challenging cases remain due to anatomical or tumor-related factors. Innovative techniques such as electrochemotherapy (ECT) are emerging to address these clinical challenges. This review provides an overview of ECT, its role in treatment protocols, and recent data regarding its efficacy in managing bone metastases, with a focus on local control, pain relief, and safety.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"919-927"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246634","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":"Benign Soft Tissue Lesions Responsible for Pain: When and How Should the IR Intervene.","authors":"Dimitrios Filippiadis, Evangelos Petsatodis, Georgios Charalampopoulos, Athanasios Giannakis, David Dimitrios Chlorogiannis, Georgios Velonakis, Francois Cornelis","doi":"10.1007/s00270-024-03940-5","DOIUrl":"10.1007/s00270-024-03940-5","url":null,"abstract":"<p><p>In most of the cases Interventional Radiology techniques and therapies are proposed for the management of symptomatic soft tissue benign tumors responsible for pain and/or compression symptoms aiming to offer a curative intent by means of tumor necrosis with subsequent symptoms' management and improvement of life quality. The ablative therapies include chemical, thermal and non-thermal approaches while, trans-arterial (chemo)embolization also has a distinct role. Adjunct ancillary techniques should be performed whenever necessary to increase efficacy and safety and avoid or reduce complications. The purpose of the current review is to identify the basis for treating soft tissue benign tumors with Interventional Radiology therapies, to offer a detailed review of them, to explain the expected outcomes and describe techniques for avoiding complications. Furthermore, a reflection upon future directions will be suggested.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"940-949"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945221","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":"Interventional Radiology Meets Pain Management: Cutting-Edge Techniques for Lasting Relief.","authors":"Georgia Tsoumakidou, Frédéric Deschamps","doi":"10.1007/s00270-025-04014-w","DOIUrl":"10.1007/s00270-025-04014-w","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"897-898"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647285","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":"Low Post-Stent Placement Iliofemoral Vein Peak Velocity by Doppler Ultrasound: Prognostic Implication for Re-Intervention in Thrombotic Iliac Vein Lesions.","authors":"Yadong Shi, Leonardo Campos, Kentaro Yamada, Kenkichi Michimoto, Atsushi Saiga, Khashayar Farsad","doi":"10.1007/s00270-025-04033-7","DOIUrl":"10.1007/s00270-025-04033-7","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association between post-stent placement peak velocity in the iliofemoral vein and re-intervention in patients with thrombotic iliac vein lesions.</p><p><strong>Methods: </strong>This was a single-center retrospective cohort study. Between January 2014 and February 2024, consecutive patients who received primary stent placement for thrombotic iliac vein lesions with eligible post-procedure duplex ultrasound were included. Twenty random limbs with normal duplex ultrasound findings were selected to investigate the venous peak velocities in normal limbs. Cox regression models were used to determine predictive factors for re-intervention with a hazard ratio (HR).</p><p><strong>Results: </strong>Fifty-one patients (54 limbs) were included. The mean age was 41.9 ± 18.2 years, and 78.4% were female. During a median follow-up of 32.7 months, 27.7% (15/54) of limbs encountered symptom recurrence with stent malfunction and received re-intervention. There was no significant difference in CIV peak velocity between patent stented limbs and normal limbs (30.3 vs 32.0 cm/s, p = .29). However, the limbs that required re-intervention had a significantly lower CIV peak velocity (25.3 vs 32.0 cm/s, p < .001). Post-stent placement peak velocities in the iliofemoral veins were significantly associated with re-intervention. ROC analysis suggested common iliac vein (CIV) peak velocity had the highest predictive performance (area under curve = 0.76). A CIV peak velocity < 26.6 cm/s (adjusted HR 6.66; p = .016) was significantly associated with an increased re-intervention risk.</p><p><strong>Conclusion: </strong>Low post-stent placement peak velocities in the iliofemoral veins were significantly associated with future re-intervention in patients with thrombotic iliac vein lesions.</p><p><strong>Level of evidence: </strong>Level 4, Case Series.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1000-1008"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966622","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":"Indication and Technical Consideration for Nerve Blocks and Neurolysis for Pain Control.","authors":"Sinan Orkut, Roberto Luigi Cazzato, Julien Garnon, Guillaume Koch, Pierre Alexis Autrusseau, Pierre de Marini, Gregory Bertucci, Behnam Shaygi, Julia Weiss, Afshin Gangi","doi":"10.1007/s00270-024-03934-3","DOIUrl":"10.1007/s00270-024-03934-3","url":null,"abstract":"<p><p>Pain management in interventional radiology (IR) encompasses a variety of advanced image-guided techniques to deliver minimally invasive treatments for various pain conditions. Key procedures include nerve blocks and neurolysis, which target specific nerves to provide substantial pain relief. Effective pain management in IR relies on a thorough understanding of regional anatomy, precise technique, and careful administration of local anesthetics, neurolytic agents, and corticosteroids. Complications are minimized through strict adherence to dosage guidelines and meticulous procedural protocols. These interventions significantly improve patient outcomes, reduce recovery times, and minimize the risk of chronic pain, underscoring the pivotal role of IR in contemporary pain management. In the present review, we will report the most common nerve blocks and neurolytic interventions performed in the IR field, by focusing on anatomy, imaging guidance, major procedural points, and expected complications.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"928-939"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871578","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":"The Gravity of Technique: Considerations Regarding Adrenal Vein Sample Collection.","authors":"Daniel M DePietro, Scott O Trerotola","doi":"10.1007/s00270-025-04071-1","DOIUrl":"10.1007/s00270-025-04071-1","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"990-991"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157105","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}