CardioVascular and Interventional Radiology最新文献

{"title":"Smartphone-Based Augmented Reality Applications for Percutaneous Procedures: A Pragmatic Step Toward Clinical Use.","authors":"Uli Fehrenbach","doi":"10.1007/s00270-025-04087-7","DOIUrl":"10.1007/s00270-025-04087-7","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1053-1054"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315932","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":"Interventional Radiology Treatments to Address Chronic Pelvic Pain in Females.","authors":"Victoria Risner, Estefania Gonzales, Yuko McColgan, Gloria Salazar","doi":"10.1007/s00270-024-03823-9","DOIUrl":"10.1007/s00270-024-03823-9","url":null,"abstract":"<p><strong>Background: </strong>Chronic pelvic pain (CPP) affects about one in four women globally and has a variety of etiologies, including gynecologic causes. Interventional radiology (IR) offers minimally invasive treatment options for several of these etiologies.</p><p><strong>Purpose: </strong>This review provides an overview of IR interventions for treating gynecologic causes of CPP, including fibroids, adenomyosis, pelvic venous disease (PeVD), endometriosis, and peritoneal inclusion cysts (PICs).</p><p><strong>Methods: </strong>A narrative review was conducted on IR techniques for managing gynecologic causes of CPP, with emphasis on procedural applications, clinical presentation, and diagnostic approaches.</p><p><strong>Results: </strong>Uterine artery embolization (UAE) has shown effectiveness in treating fibroids and is increasingly applied for adenomyosis, while gonadal vein embolization is effective for managing PeVD. Emerging IR techniques show promise for treating endometriosis and PICs. This review discusses patient presentation, diagnostic evaluation, and procedural details unique to each condition.</p><p><strong>Conclusion: </strong>As IR options for CPP expand, a comprehensive understanding of the clinical and procedural nuances can broaden the scope of effective treatment options.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"950-962"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686232","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":"Understanding the Physiopathology of Pain Pathways for a Practical Approach of Cancer Pain Management.","authors":"Y Bohren, M Cachemaille, I D Timbolschi, C Perruchoud","doi":"10.1007/s00270-024-03920-9","DOIUrl":"10.1007/s00270-024-03920-9","url":null,"abstract":"<p><p>Pain associated with cancer is often the first symptom reported with major repercussions on patient's quality of life. Mechanical compression, release of algogenic substances by the tumor or the complications of oncologic treatment represent the major causes. Nociceptive and neuropathic pain are both induced by different mediators that give rise to a neuroinflammation creating a peripheral and central sensitization responsible of chronic pain. Understanding the pain pathway may orientate to the most appropriate treatment. Oral medication should be often reevaluated to consider multimodal analgesia including interventional pain procedures with intrathecal therapy and neuromodulation.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"899-906"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945123","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":"Early Post-Stent Doppler Hemodynamics in Iliocaval Venous Stents: A Step Toward Functional Surveillance.","authors":"Rubens Pierry Ferreira Lopes, Clarissa Campo Dall'Orto","doi":"10.1007/s00270-025-04069-9","DOIUrl":"10.1007/s00270-025-04069-9","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1009-1010"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224400","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 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":"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":"907-918"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","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}

{"title":"Revascularization in Nonagenarians with Chronic Limb-Threatening Ischemia Can Be Effective.","authors":"Maria Chiara Rizzi, Gilles Soenens, Ornella Pancheri, Sebastiano Tasselli, Nathalie Moreels, Isabelle Van Herzeele, Stefano Bonvini","doi":"10.1007/s00270-025-04065-z","DOIUrl":"10.1007/s00270-025-04065-z","url":null,"abstract":"<p><strong>Purpose: </strong>The average age of patients with Chronic Limb-Threatening Ischemia (CLTI) who are being referred to vascular surgery units is increasing. This study aimed to evaluate clinical outcomes of revascularization (wound healing and cessation of rest pain) in nonagenarians with CLTI and the impact on their initial living status.</p><p><strong>Methods: </strong>This retrospective, single centre study included patients aged 90 or more who presented with CLTI. Two groups were compared: \"treated\", who underwent revascularization (open, endovascular or hybrid), versus \"not treated\", who were treated conservatively. The latter included patients unfit for invasive treatment, with overriding active diseases, hip/knee ankylosis or refusing invasive treatment. Both groups were followed by dedicated wound care specialists. The primary outcomes were wound healing or cessation of rest pain and maintenance of initial living status after discharge. Secondary outcomes were overall mortality and major amputations at 1, 3, 6 and 12 months. Demographics, type of invasive treatment, access related complications and postoperative general complications were collected as well. Wound healing and mortality were assessed using cumulative outcome estimates according to Kaplan-Meier and comparisons using the log-rank test.</p><p><strong>Results: </strong>Between 1st January 2018 and 31st July 2023, 123 patients with 131 chronic limb-threatening ischemic limbs were included. The \"treated\" group included 101 limbs with Rutherford 4 (n = 8,7.9%), 5 (n = 78, 77.2%) and 6 (n = 15, 14.9%) Peripheral Arterial Disease (PAD),. The \"not treated\" group included 30 limbs with Rutherford 5 (n = 22, 73.3%) and 6 (n = 8, 26.7%) PAD. Treatment consisted of eight open, 86 endovascular and seven hybrid procedures. No primary amputations were conducted. At 1 year, 64.6% (31/48) of the wounds in the \"treated\" group healed, while non healed in the \"not treated\" group (p < .001). Eighty-nine (94%) of the treated patients lived at home, and 72/89 (81%) were able to return home after discharge. One-year mortality rates for treated and not treated patients were 31.7% and 63.3%, respectively (p < .001). Access related complications were noted in 6.9% of the nonagenarians and 33.7% had a general adverse event.</p><p><strong>Conclusions: </strong>Revascularization in nonagenarians with CLTI can be effective despite the advanced age. Wound healing is feasible without compromising the initial patient living autonomy and maintaining a low risk of major amputation and an acceptable mortality rate.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"976-983"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246578","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":"Outcomes of Post-transplant Percutaneous Portal Vein Interventions: A Single Pediatric Liver Transplantation Center Experience.","authors":"Gaia Messana, Roberto Miraglia, Luigi Maruzzelli, Davide Coppolino, Mariapina Milazzo, Roberta Gerasia, Diletta Donà, Keid Bici, Davide Cintorino, Jean de Ville de Goyet","doi":"10.1007/s00270-025-04104-9","DOIUrl":"10.1007/s00270-025-04104-9","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the long-term results of transhepatic treatment of portal vein complications (PVCs) after pediatric liver transplantation (PLTx) at a single center.</p><p><strong>Materials and methods: </strong>All interventional procedures for PVCs after PLTx performed between 2005 and 2023 were retrospectively analyzed. Clinical signs of portal hypertension and portal vein (PV) flow velocity on Doppler ultrasound were routinely assessed during follow-up. Primary patency, assisted primary patency, and survival rates were evaluated.</p><p><strong>Results: </strong>Out of 275 consecutive PLTs, 26 children (median age 19.8 months, range: 8.5-154.1) underwent 39 endovascular procedures for PVCs. Technical success was achieved in 97% of procedures. The median time interval between PLTx and the procedure was 5.4 months (range: 0.27-57.1). Percutaneous transluminal angioplasty (PTA) was performed in 81%, stenting in 15%, and thrombolysis in 4% of cases as the primary intervention. A significant decrease in the median trans-stenotic pressure gradient from 9 mmHg (range 4-22) to 1 mmHg (range 0-10) (p < 0.001) was observed. Recurrent stenosis was observed in 31% of patients. Two procedural complications occurred, both managed conservatively. Primary patency rates at 6 months, 1, 3, 5, and 10 years were 74%, 68%, 65%, 54%, 54%, respectively. Assisted primary patency remained 100%. The patient survival rate was 96% at all intervals. The median follow-up time was 60.47 months (range 2.2-174.3).</p><p><strong>Conclusion: </strong>PTA should be the preferred first-line treatment for PV stenosis in PLTx recipients, with stenting reserved for refractory cases. PTA is applicable for selected cases of PV thrombosis. Regular surveillance and timely interventions ensure favorable long-term outcomes.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1030-1041"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309579","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":"Reply to \"Prioritize Portal Vein Recanalization Without Transjugular Intrahepatic Portosystemic Shunt in Non-cirrhotic Extrahepatic Portal Vein Obstruction\".","authors":"Fabiane Barbosa, Chiara Becchetti, Aldo Airoldi, Francisco Cesar Carnevale, Antonio Rampoldi, Marco Solcia","doi":"10.1007/s00270-025-04073-z","DOIUrl":"10.1007/s00270-025-04073-z","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"1070-1071"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233300","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 Reporting Standards and Checklist for Artificial Intelligence Research Evaluation (iCARE).","authors":"James T Anibal, Hannah B Huth, Tom Boeken, Dania Daye, Judy Gichoya, Fernando Gómez Muñoz, Julius Chapiro, Bradford J Wood, Daniel Y Sze, Klaus Hausegger","doi":"10.1007/s00270-024-03956-x","DOIUrl":"10.1007/s00270-024-03956-x","url":null,"abstract":"<p><p>As artificial intelligence (AI) becomes increasingly prevalent within interventional radiology (IR) research and clinical practice, steps must be taken to ensure the robustness of novel technological systems presented in peer-reviewed journals. This report introduces comprehensive standards and an evaluation checklist (iCARE) that covers the application of modern AI methods in IR-specific contexts. The iCARE checklist encompasses the full \"code-to-clinic\" pipeline of AI development, including dataset curation, pre-training, task-specific training, explainability, privacy protection, bias mitigation, reproducibility, and model deployment. The iCARE checklist aims to support the development of safe, generalizable technologies for enhancing IR workflows, the delivery of care, and patient outcomes.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483231","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":"Proposed Standards for the Use of CO₂ in Dialysis Access Interventions.","authors":"Richard Tippett, Robert Morgan","doi":"10.1007/s00270-025-04099-3","DOIUrl":"https://doi.org/10.1007/s00270-025-04099-3","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483232","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}