CardioVascular and Interventional Radiology最新文献

{"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":"<p><strong>Purpose: </strong>To assess the efficacy and safety of transarterial embolization (TAE) for the treatment of temporomandibular joint osteoarthritis (TMJ-OA)-related symptoms.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Purpose: </strong>To identify the anatomical and technical factors associated with unintended nephrostomy catheter dislodgement (NCD).</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Purpose: </strong>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.</p><p><strong>Materials and methods: </strong>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).</p><p><strong>Expected gain of knowledge: </strong>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.</p>","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}

{"title":"Commentary on \"Interwoven Nitinol Stent Versus Laser-Cut-Type Nitinol Stent for Long Femoropopliteal Occlusive Disease: A Propensity-Matched Analysis\".","authors":"Shubham Kumar, Rachana Mehta, Ranjana Sah","doi":"10.1007/s00270-025-04028-4","DOIUrl":"10.1007/s00270-025-04028-4","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"617-618"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779226","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":"An Ex Vivo Animal Organ Model Tailored for Fluoroscopically Guided Percutaneous Jejunostomy.","authors":"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","doi":"10.1007/s00270-025-04022-w","DOIUrl":"https://doi.org/10.1007/s00270-025-04022-w","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":"48 5","pages":"722-724"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990005","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":"Interwoven Nitinol Stent Versus Laser-Cut-Type Nitinol Stent for Long Femoropopliteal Occlusive Disease: A Propensity Matched Analysis.","authors":"Alexander A Gostev, Vladimir B Starodubtsev, Olesia S Osipova, Alexey V Cheban, Shoraan B Saaya, Pavel V Ignatenko, Yann Gouëffic, Andrei A Karpenko","doi":"10.1007/s00270-025-03990-3","DOIUrl":"10.1007/s00270-025-03990-3","url":null,"abstract":"<p><strong>Purpose: </strong>There are still limited data to determine the efficacy of interwoven nitinol stent (INS) compared with laser-cut nitinol stent (CNS) for the endovascular treatment of long femoropopliteal lesions. The aim of this study is to evaluate the short- and mid-term results of the effectiveness of CNS and INS in the revascularization of long femoropopliteal occlusions. We performed analyses of the primary and secondary outcome measures for subgroups of patients with below-the-knee and \"above-the-knee\" lesions.</p><p><strong>Materials and methods: </strong>A retrospective propensity matched analysis was conducted on symptomatic patients (Rutherford category 3-6) with long occlusions of the femoropopliteal segment (> 15 cm) who underwent stenting with either INS or CNS from 2012 to 2020. The primary outcome measure was the primary patency in 2 years. Secondary outcome measures were secondary patency, major adverse cardiovascular events, major adverse limb events, sustained clinical improvement, and mortality.</p><p><strong>Results: </strong>After propensity score matching, 126 and 125 patients remained in the INS and CNS groups, respectively. There were no cases of major cardiovascular events (MACE) or major limb events in both groups during the perioperative period. There were no significant differences in primary and secondary patency during a 2-year follow-up. There were no stent fractures in the INS group, whereas in the CNS group the stent fractures rate reached 37 (29.6%) patients (p < 0.001). In the \"above-the-knee\" subgroup, INS and CNS showed comparable primary patency rates. However, the secondary patency rates were 82.0% and 96.9% in INS and CNS groups, respectively (p < 0.001). The secondary sustained clinical improvement rates were 79.8% and 93.9% in INS and CNS subgroups, respectively (p < 0.001). In the \"below-the-knee subgroup,\" INS showed higher primary patency rate (INS: 64.9% CNS: 37.1%; p = 0.04). In the CNS group, the fractures rate \"below the knee\" was statistically significantly higher compared with stents \"above the knee\" (p = 0.03).</p><p><strong>Conclusion: </strong>After propensity score matching, INS showed comparable results with CNS for the whole cohort. However, INS seems to achieve better outcomes for femoropopliteal lesion extended to the below-the-knee level.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"603-616"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555945","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 Comments on 'Technical Note on Modified Direct Intrahepatic Portocaval Shunt Targeting Different Vessels for Portal Vein Obstruction in Cirrhosis'.","authors":"Tangnuer Maimaitiaishan, Jie Cheng, Xiaobing Wang, Liping Chen","doi":"10.1007/s00270-025-04026-6","DOIUrl":"10.1007/s00270-025-04026-6","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"711-712"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763159","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":"Left Out? Addressing the 'Sinister' Side of IR Training.","authors":"Patrick Cooper, Patrick Williams, Gráinne Allen, Anthony G Ryan","doi":"10.1007/s00270-025-04013-x","DOIUrl":"10.1007/s00270-025-04013-x","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"713-714"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656156","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":"Conventional Approach Still Remains the Best Bet for Portal Vein Recanalisation-Transjugular Intrahepatic Portosystemic Shunt!","authors":"Rajesh Sasidharan, Shubham Suryavanshi, Akhil Baby","doi":"10.1007/s00270-025-03968-1","DOIUrl":"10.1007/s00270-025-03968-1","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"708-710"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540253","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":"Editorial: Reevaluating the Role of Stenting in Symptomatic Intracranial Atherosclerosis: A Step Forward or a Recurrent Debate?","authors":"Sonu M M Bhaskar","doi":"10.1007/s00270-025-04018-6","DOIUrl":"10.1007/s00270-025-04018-6","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"675-677"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669017","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}