CardioVascular and Interventional Radiology最新文献

{"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}

{"title":"Comment on \"Association Between Geriatric Nutritional Risk Index and Discharge Outcome After Elective Thoracic Endovascular Aortic Repair\".","authors":"Shubham Kumar, Ranjana Sah","doi":"10.1007/s00270-025-04094-8","DOIUrl":"10.1007/s00270-025-04094-8","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1066-1067"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233295","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, \"Predictors of Nephrostomy Catheter Dislodgement: Insights from a Retrospective Analysis\".","authors":"Siva Dharshini Rajathirajan","doi":"10.1007/s00270-025-04090-y","DOIUrl":"10.1007/s00270-025-04090-y","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1072"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233296","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":"Safety and Efficacy of Primary Stent Placement for Hepatic Artery Kinks in Liver Transplant Recipients.","authors":"Vijay Ramalingam, Ammar Sarwar, Sheikh Muhammad Usman Shami, Jeffrey Weinstein, David Lee, Michael Curry, Devin Eckhoff, Muneeb Ahmed","doi":"10.1007/s00270-025-04089-5","DOIUrl":"10.1007/s00270-025-04089-5","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the long-term outcomes of primary stent placement for hepatic artery kinks in liver transplant recipients.</p><p><strong>Methods: </strong>After institutional review board approval, all patients undergoing liver transplantation between February 2001 and February 2024 at a single institution who underwent primary stent placement were reviewed. Patients who had hepatic artery thrombosis or underwent balloon angioplasty alone were excluded. Patients who underwent stent placement for hepatic artery kink were included. Hepatic artery kinks were defined by an acute arterial bend with coaptation of the arterial wall which is typically due to redundancy of the transplant hepatic artery. Hepatic arterial patency was evaluated at 1, 3, and 5 years. Kaplan-Meier analysis was performed for primary patency.</p><p><strong>Results: </strong>Fifty-six patients underwent hepatic artery stent placement. Further stratification resulted in 15/56 patients undergoing stent placement for hepatic artery kink. Primary patency rates for hepatic artery kink patients (n = 15) at 1, 3, and 5 years were 92%, 92%, and 92%, respectively. Primary-assisted patency for stent placement for hepatic artery kink was 100% at 1, 3, and 5 years. One patient had mid-stent kinking which was categorized as a technical failure and required re-intervention (n = 1/15). No patients had kink propagation or arterial rupture.</p><p><strong>Conclusion: </strong>In conclusion, primary stent placement for hepatic artery kink has excellent long-term patency.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1055-1062"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309580","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":"Improving Pre- and Post-IR Procedure Experience: What the Anesthesiologists Can Offer.","authors":"Eugénie Bravo, Déborah Tempesta, Nicolas Viault","doi":"10.1007/s00270-025-03960-9","DOIUrl":"10.1007/s00270-025-03960-9","url":null,"abstract":"<p><p>Anesthesia in interventional radiology (IR) is a dynamic and constantly evolving medical field, shaped by technological advances and clinical challenges specific to this discipline. IR has experienced significant expansion, becoming an essential modality for the treatment of various pathologies, ranging from vascular diseases to oncological interventions. This development has paved the way for an expanded range of procedures, sometimes involving fragile patients or those with comorbidities, presenting anesthesiologists with new patient management strategies. Technological advancements in interventional imaging demand increased precision in the planning and administration of anesthesia. Optimization of intubation techniques, airway management, and adjustment of pharmacological protocols become imperative to ensure patient safety and comfort. Individualization of anesthesia protocols becomes a necessity, requiring close collaboration between interventional radiologists and anesthesiologists to define optimal, case-specific strategies. These protocols must consider the duration of procedures, patient positioning, the potentially painful nature of the intervention, as well as the patient's physiological status and ability to tolerate general anesthesia. Anesthesia conditions should be discussed between interventional radiologists and anesthesiologist-intensivists, addressing the need for muscle relaxation, the possibility of performing the procedure under sedation/hypnosis, and the prediction of postoperative pain, aiming to provide the patient with the best possible care. This article aims to contribute to the enhancement of knowledge in IR anesthesia by providing a solid foundation for innovative and secure anesthetic practices in the specific context of interventional radiology.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"970-975"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448380","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 CT-Assessed Liver Steatosis in Hepatic Regeneration and Surgical Outcome After Liver Venous Deprivation.","authors":"D Santangelo, F Ratti, D Palumbo, A Campisi, E Di Gaeta, S Gusmini, L Augello, F Prato, S Steidler, C Canevari, P Marra, V Burgio, A Casadei-Gardini, M Imbriaco, F Pedica, A Chiti, L Aldrighetti, F De Cobelli","doi":"10.1007/s00270-025-04092-w","DOIUrl":"10.1007/s00270-025-04092-w","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of CT-assessed liver steatosis (LS) on functional and volumetric hypertrophy in patients undergoing liver venous deprivation (LVD) prior major hepatectomy and surgical outcome.</p><p><strong>Materials and methods: </strong>A single-center retrospective analysis was conducted on patients undergoing LVD between June 2019 and September 2024. LS was defined as mean liver density < 45HU on pre-LVD unenhanced CT-scan. Volumetric data, including future liver remnant (FLR), degree of hypertrophy (DH), kinetic growth rate (KGR = DH/week), and FLR increase, were collected at three different timepoints: i) pre-LVD, ii) at 0-15 days post-LVD (T1) and iii) at 15-30 days post-LVD (T2). Pre/post-procedural scintigraphy data and surgical outcome were collected.</p><p><strong>Results: </strong>Fifty-four patients (n = 16 LS; n = 38 non-LS) were included. LVD technical success was achieved in all procedures, without any major complications. The LS group showed significantly lower DH, KGR, and FLR volume increase at T1 and T2, respectively, 4.8 vs 7.7%, (p = 0.034), (3.89 vs 5%/week (p = 0.02), and 16.7% vs 25.4% (p = 0.048) at T1; 6.9% vs 11.9% (p = 0.022), 1.7%/week vs 3.5%/week (p = 0.001), and 26.4% vs 34.2% (p = 0.035) at T2. LS group demonstrated lower FLR function (%/min/m2) than non-LS both before (1.81 vs 2.03, p = 0.06) and after LVD (2.19 vs 3.2, p = 0.006), without difference in FLR function hypertrophy. LS patients needed longer time to undergo surgery (55 vs 38 days, p = 0.002), with fewer patients reaching planned surgery (9 vs 32, p = 0.028) and had more major complications.</p><p><strong>Conclusion: </strong>In this retrospective study, volumetric FLR increase was lower in LS than non-LS patients, with similar functional increase. CT-assessed LS may help identify low-responder patients prior to LVD.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1011-1020"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324493","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 Sarcopenia on Outcomes Following Endovascular Treatment of Patients with Pelvic Venous Insufficiency.","authors":"Sinan Sozutok, Ferhat Can Piskin, Omer Kaya, Hasan Bilen Onan, Huseyin Tugsan Balli, Erol Huseyin Aksungur","doi":"10.1007/s00270-025-04051-5","DOIUrl":"10.1007/s00270-025-04051-5","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the influence of sarcopenia on the outcomes of endovascular treatment in patients with pelvic venous insufficiency (PVI).</p><p><strong>Material and methods: </strong>A retrospective analysis was conducted on 62 female patients who underwent endovascular treatment for PVI between January 2012 and July 2020. The patients were evaluated using the Visual Analog Scale (VAS) for chronic pelvic pain, both before treatment and three months post-treatment. A successful treatment outcome was defined as a reduction in pelvic pain by 50% or more. Sarcopenia was diagnosed based on the skeletal muscle mass index (SMI) of the patients.</p><p><strong>Results: </strong>Sarcopenia was present in 20 (32.3%) patients. There was no significant difference in preprocedural VAS scores between sarcopenic and non-sarcopenic patients (36.2 ± 16.9 vs. 34.9 ± 16.1, p = 0.781). However, non-sarcopenic patients achieved a significantly greater reduction in VAS scores post-treatment (67.6 ± 22.4% vs. 53.1 ± 24.4%, p = 0.025). A moderate negative correlation was observed between sarcopenia and successful treatment outcomes (r = -0.365, p = 0.004).</p><p><strong>Conclusion: </strong>Sarcopenia negatively impacts the effectiveness of endovascular treatment in patients with PVI.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"992-999"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132218","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}