CardioVascular and Interventional Radiology最新文献_第5页

Long-Term Durability of Tunneled Hemodialysis Catheters: Outcomes from a Single Institution 22-Year Experience. 隧道式血液透析导管的长期耐久性：一家医疗机构 22 年的经验成果。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-02-04 DOI: 10.1007/s00270-024-03941-4

Austin Zhang, Timothy Wi Clark, Scott O Trerotola

{"title":"Long-Term Durability of Tunneled Hemodialysis Catheters: Outcomes from a Single Institution 22-Year Experience.","authors":"Austin Zhang, Timothy Wi Clark, Scott O Trerotola","doi":"10.1007/s00270-024-03941-4","DOIUrl":"10.1007/s00270-024-03941-4","url":null,"abstract":"Purpose: To describe long-term physical durability of tunneled hemodialysis catheters, highlighted in the 2019 Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines as a specific area for future research.Materials and methods: Tunneled hemodialysis catheters with known outcomes and dwell times > 1 year were entered into this retrospective study. Data includes demographics, complications, catheter type, dwell time, reason for removal, access site, and placement via exchange or de novo. Catheter durability < 1 year dwell was analyzed as a secondary aim.Results: 272 catheters in 229 patients were included. Dwell times ranged from 366 to 3,802 days (median 504), totaling 162,439 catheter days. 17 (6%) catheters > 1 year dwell had broken external components. For these, dwell times until breaking ranged from 377 to 1,436 days (median 489), totaling 10,434 catheter days. 5 had a broken hub, 11 had a broken clamp, and 1 had broken hub and clamp. 12 were Ash Split Cath (n = 240) and 5 were Arrow-Clark VectorFlow (n = 32). In the durability < 1 year sub-analysis, 6,515 catheters with dwell times < 1 year in 3,693 patients were included, totaling 425,018 catheter days. 48 were damaged, with 24 broken hubs, 17 broken clamps, and 7 holes. Median time to breakage was 110 days. 38 were Ash Split Cath (n = 5,636) and 10 Arrow-Clark VectorFlow (n = 812). In both analyses, breakage was limited to hubs, clamps, and extensions.Conclusions: Tunneled hemodialysis catheters are exceptionally durable, rarely requiring removal for hub-related issues after one year. Breakdown was not observed as a long-term durability issue. Further, broken external components can be replaced using external repair kits.Level of evidence: Level 2b, Retrospective Study.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"619-625"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188300","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}

引用次数: 0

Pregnancy and Uterine Artery Embolisation: Myth Busted. 怀孕和子宫动脉栓塞：流言被打破。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2024-12-23 DOI: 10.1007/s00270-024-03949-w

Warren Clements, Gerard S Goh, Matthew W Lukies

引用次数: 0

Cryoneedle Artifacts During MRI-Guided Cryoablation: Sources and Potential Mitigation Strategies. mri引导下冷冻消融过程中的冷冻针伪影：来源和潜在的缓解策略。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-04-07 DOI: 10.1007/s00270-025-04021-x

Kevin J Treb, David A Woodrum, Scott M Thompson, Daniel A Adamo, Krzysztof R Gorny, Aiming Lu

{"title":"Cryoneedle Artifacts During MRI-Guided Cryoablation: Sources and Potential Mitigation Strategies.","authors":"Kevin J Treb, David A Woodrum, Scott M Thompson, Daniel A Adamo, Krzysztof R Gorny, Aiming Lu","doi":"10.1007/s00270-025-04021-x","DOIUrl":"10.1007/s00270-025-04021-x","url":null,"abstract":"Purpose: Cryoneedle artifacts are frequently observed in MRI-guided cryoablations, and may obscure visualization of critical anatomy and compromise needle placement accuracy. This work experimentally investigated the contributing factors of these artifacts to identify effective mitigation strategies.Materials and methods: Ex vivo porcine tissue with inserted cryoneedles was imaged on a 1.5-Tesla MRI. Fast spin echo (FSE) and spoiled gradient echo (GRE) sequences with echo times from 1.04 to 60 ms and specific absorption rates (SARs) from 0.01 to 2.1 W/kg were used. During MRI, cryoneedle temperatures were monitored using fiber-optic sensors. Configurations with one to three cryoneedles oriented at 0-degree or 45-degree angles to the patient table were investigated. The body coil was used for transmit/receive, both with and without an additional receive-only surface loop coil. Artifact width and intensity were measured for analysis.Results: Cryoneedle artifact widths were unrelated to echo time for both FSE (p = 0.6) and GRE (p = 0.3) and were smaller in GRE than in FSE images (p << 0.05). Artifact widths correlated with cryoneedle temperature elevations (r2 = 0.969, p << 0.05) but were not correlated with SAR (GRE: p = 0.3; FSE: p = 0.5). The artifact intensity with the cryoneedle oriented at 0 degrees increased with a greater number of cryoneedles in the tissue (p = 0.006), and when the surface loop coil was used (p = 0.008).Conclusion: Clinically observed cryoneedle artifacts compromising treatment efficacy can be indicative of tissue radiofrequency heating risk, and effectively mitigated by either using GRE-based sequences or adjusting coil/cryoneedle configurations.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"678-686"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802560","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}

引用次数: 0

Acceptability of Genicular Artery Embolization for the Treatment of Painful Knee Osteoarthritis: A Single-Center Experience. 膝动脉栓塞治疗疼痛性膝骨关节炎的可接受性：单中心经验。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-03-10 DOI: 10.1007/s00270-025-03978-z

Amaya K Smole, Dongmei Sun, Alison H Zhao, Benjamin J Swett, Yvonne M Shea, Sarah P Gottesman, Geoffrey Westrich, Michael Alexiades, Alejandro Gonzalez Della Valle, Sirish Kishore, Laura Yee, Caroline Reilly, Elizabeth TenBarge, Lisa A Mandl

引用次数: 0

Letter to the Editor on ''Novel Application of A Shear-Thinning Conformable Embolic Gel for Occlusion of A Bronchobiliary Fistula''. 致编辑关于“剪薄适形栓塞凝胶在支气管胆管瘘封堵中的新应用”的信。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-03-13 DOI: 10.1007/s00270-025-04015-9

Ahmet Tanyeri

引用次数: 0

Transcatheter Arterial Embolization as a Treatment for Chronic Pain due to Osteoarthritis. 经导管动脉栓塞治疗骨关节炎引起的慢性疼痛。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-03-24 DOI: 10.1007/s00270-025-04008-8

Florian Nima Fleckenstein, Jan Voss, Christian Doll, Tazio Maleitzke, Tobias Winkler, Eberhard Siebert, Federico Collettini

{"title":"Transcatheter Arterial Embolization as a Treatment for Chronic Pain due to Osteoarthritis.","authors":"Florian Nima Fleckenstein, Jan Voss, Christian Doll, Tazio Maleitzke, Tobias Winkler, Eberhard Siebert, Federico Collettini","doi":"10.1007/s00270-025-04008-8","DOIUrl":"10.1007/s00270-025-04008-8","url":null,"abstract":"Purpose: To assess the efficacy and safety of transarterial embolization (TAE) for the treatment of temporomandibular joint osteoarthritis (TMJ-OA)-related symptoms.Materials and methods: Three female patients were referred to our center for TAE after conservative and surgical TMJ treatments failed. Six TAE procedures were performed with bilateral treatments spaced four weeks apart. Following CBCT with maximal magnification and narrow collimation to confirm correct positioning of the microcatheter, superselective TAE was performed using Imipenem/Cilastatin mixed with contrast medium. Technical success was defined by successful embolization of the target vessel. Outcome measures included Oral Health Impact Profile-Temporomandibular Joint (OHIP-TMD) and Numeric Rating Scale (NRS) at baseline, 4 weeks and at 3 months intervals.Results: TAE was technically successful in all six procedures. No adverse events were recorded. Clinical follow-up data after 3 months are available for all three patients, one patient reached the 6-months follow-up. OHIP-TMD scores decreased from 38 to 31, 45 to 39, and 45 to 28, respectively. NRS pain scores improved from 9 to 6, 10 to 7, and 9 to 5, respectively.Conclusion: TAE appears to be a feasible and safe minimally-invasive option for selected TMJ-OA patients with symptoms refractory to standard treatments. Further studies with larger cohorts and extended follow-up are warranted to confirm these preliminary findings.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"687-693"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699620","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}

引用次数: 0

Predictors of Nephrostomy Catheter Dislodgement: Insights from a Retrospective Analysis. 肾造瘘导管移位的预测因素：来自回顾性分析的见解。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-04-09 DOI: 10.1007/s00270-025-04020-y

Ali Dablan, Zöhre Okur, Mehmet Cingöz, Çağrı Erdim, Mustafa Fatih Arslan, Oğuzhan Türksayar, Hamit Özgül, Tevfik Güzelbey, İlhan Nahit Mutlu

{"title":"Predictors of Nephrostomy Catheter Dislodgement: Insights from a Retrospective Analysis.","authors":"Ali Dablan, Zöhre Okur, Mehmet Cingöz, Çağrı Erdim, Mustafa Fatih Arslan, Oğuzhan Türksayar, Hamit Özgül, Tevfik Güzelbey, İlhan Nahit Mutlu","doi":"10.1007/s00270-025-04020-y","DOIUrl":"https://doi.org/10.1007/s00270-025-04020-y","url":null,"abstract":"Purpose: To identify the anatomical and technical factors associated with unintended nephrostomy catheter dislodgement (NCD).Materials and methods: A retrospective review of 742 percutaneous nephrostomy (PCN) procedures carried out between June 2020 and June 2024 was conducted. Thirty-eight patients with spontaneous NCD were assigned to the dislodgement group, and 38 matched controls were selected using propensity score matching.. Key measurements included cortex-to-skin distance, paravertebral muscle area, psoas muscle area, subcutaneous fat thickness, and renal parenchymal thickness.Results: Patients with NCD were similar in age and sex. No significant differences were observed in subcutaneous fat thickness, muscle thickness, or renal parenchymal thickness between the groups. However, cortex-to-skin distance was significantly shorter in the NCD group (p = 0.001). ROC analysis identified an optimal threshold of 46.65 mm for cortex-to-skin distance, with a sensitivity of 92.1%, specificity of 39.5%, and a positive predictive value of 60.3% (AUC = 0.67).Conclusion: Shorter cortex-to-skin distance is a key predictor of NCD. Patients with shorter cortex-to-skin distances, may benefit from closer monitoring and targeted preventive measures to reduce the risk of dislodgement.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":"48 5","pages":"633-642"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143954699","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}

引用次数: 0

Study Protocol DEDICATE: Italian Multicenter Study on the Treatment of Visceral Aneurysms with the Derivo Peripher and Derivo 2 Flow Diverter Stent. 研究方案：意大利多中心研究衍生体外周支架和衍生体2分流支架治疗内脏动脉瘤。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-03-13 DOI: 10.1007/s00270-025-04016-8

Andrea Discalzi, Floriana Nardelli, Bruno Ficara, Simone Comelli, Gianmarco de Donato, Fabrizio Fanelli, Pietro Quaretti, Claudio Sallemi, Vittorio Semeraro, Roberta Sirovich, Marco Calandri

{"title":"Study Protocol DEDICATE: Italian Multicenter Study on the Treatment of Visceral Aneurysms with the Derivo Peripher and Derivo 2 Flow Diverter Stent.","authors":"Andrea Discalzi, Floriana Nardelli, Bruno Ficara, Simone Comelli, Gianmarco de Donato, Fabrizio Fanelli, Pietro Quaretti, Claudio Sallemi, Vittorio Semeraro, Roberta Sirovich, Marco Calandri","doi":"10.1007/s00270-025-04016-8","DOIUrl":"10.1007/s00270-025-04016-8","url":null,"abstract":"Purpose: This study aims to evaluate the safety and efficacy of the Derivo peripher and Derivo 2 Embolization Device Flow Diverter Stents (DEDs, Acandis GmbH) in treating visceral aneurysms.Materials and methods: This multicentric registry with core-lab evaluation involves 29 Italian Interventional Radiology and Vascular Surgery units, targeting 100 patients. Inclusion criteria include visceral artery aneurysms without signs of rupture and adherence to correct DED stent sizing and anticoagulant and antiplatelet protocols. Patients will undergo physical examination and computed tomography angiography (CTA) within 6-month and at 1-year post-procedure. A core laboratory will evaluate all pre- and post-procedure CTA and procedural angiographic images for procedural correctness (adherence to correct DED sizing, deployment accuracy, and technical issues), stent morphology during follow-up (patency and geometrical changes), and VAA morphological changes (volume variation, thrombosis grade, and number of patent branches). The primary objective is to evaluate the technical efficacy and safety of DEDs at 1-year follow-up. Efficacy will be assessed by patency of DEDs and side branches, aneurysm thrombosis (< 50%, > 50% or total volume of the aneurysm), and non-increase in aneurysm volume (percentage change relative to initial volume). Safety will be assessed by morbidity (adverse events during follow-up), mortality (any cause of death), and technical issues (adverse events during stent placement, based on CIRSE classification of complications).Expected gain of knowledge: The DEDICATE registry will provide further information on the effectiveness of flow-diverting stents in treating visceral aneurysmal pathology. Trial Registration ClinicalTrials.gov identifier: NCT06325371.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"694-701"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623569","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}

引用次数: 0

Commentary on "Interwoven Nitinol Stent Versus Laser-Cut-Type Nitinol Stent for Long Femoropopliteal Occlusive Disease: A Propensity-Matched Analysis". “交织镍钛诺支架与激光切割型镍钛诺支架治疗长股腘动脉闭塞疾病：倾向匹配分析”评论。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1007/s00270-025-04028-4

Shubham Kumar, Rachana Mehta, Ranjana Sah

引用次数: 0

An Ex Vivo Animal Organ Model Tailored for Fluoroscopically Guided Percutaneous Jejunostomy. 为透视引导下经皮空肠造口术量身定制的离体动物器官模型。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-05-01 Epub Date: 2025-04-15 DOI: 10.1007/s00270-025-04022-w

Xiang Geng, Rui-Can Nie, Yang Zhao, Hai-Liang Li, Hang Yuan, Hong-Tao Cheng, Shi-Jun Xu, Ya-Na Ma, Dong-Yang Zhang, Yao Chen, Hong-Tao Hu, Ho-Young Song

引用次数: 0