CardioVascular and Interventional Radiology最新文献_第8页

One-year Clinical Outcomes and Predictors of Distal Embolization After JETSTREAM™ Atherectomy for Calcified Femoropopliteal Artery Lesions: Results From the JET-FORWARD Study. JETSTREAM™动脉粥样硬化切除术治疗钙化股腘动脉病变后远端栓塞的一年临床结果和预测因素：来自JET-FORWARD研究的结果

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-05-22 DOI: 10.1007/s00270-025-04063-1

Shunsuke Kojima, Takahiro Tokuda, Akiko Tanaka, Naoki Yoshioka, Kohei Yamaguchi, Takashi Yanagiuchi, Kenji Ogata, Tatsuro Takei, Tatsuya Nakama

{"title":"One-year Clinical Outcomes and Predictors of Distal Embolization After JETSTREAM™ Atherectomy for Calcified Femoropopliteal Artery Lesions: Results From the JET-FORWARD Study.","authors":"Shunsuke Kojima, Takahiro Tokuda, Akiko Tanaka, Naoki Yoshioka, Kohei Yamaguchi, Takashi Yanagiuchi, Kenji Ogata, Tatsuro Takei, Tatsuya Nakama","doi":"10.1007/s00270-025-04063-1","DOIUrl":"10.1007/s00270-025-04063-1","url":null,"abstract":"Purpose: This study aimed to identify predictors of distal embolization following JETSTREAM™ atherectomy for calcified femoropopliteal lesions and evaluate 1-year clinical outcomes in a real-world setting.Materials and methods: We analyzed data from 109 patients with 121 calcified femoropopliteal lesions who underwent JETSTREAM™ atherectomy therapy between October 2022 and December 2023 as part of the JET-FORWARD study, a retrospective, single-arm, multicenter study. Distal embolization incidence and risk factors were the primary focus, while 1-year primary patency served as efficacy outcome measures. Safety outcomes also included mortality and major target limb amputation.Results: The mean lesion length was 15.5 ± 9.4 cm, and the technical success rate-defined as residual stenosis less than 30% and absence of grade C or higher dissection post-procedure-was 93.4%. Angiographically significant distal embolization occurred in 35.5% of cases during the index procedure. On multivariate analysis, poor tibial runoff (≤ 1 tibial artery), severe small artery disease, nodular calcification, and debulking lengths > 10 cm were independent predictors of distal embolization. The 1-month mortality and 1-year limb salvage rates were 2.8% and 98.9%, respectively. The 1-year primary patency rate was 88.9%.Conclusion: Angiographically significant distal embolization occurred in 35.5% of cases with JETSTREAM atherectomy, while 1-year outcomes remained favorable in treating femoropopliteal lesions. This study also identified four predictors of distal embolization. Thus, careful risk factor evaluation and patient selection are essential during atherectomy.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"760-768"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126825","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

Embolic Effect of Different Cyanoacrylates: Radiological and Histological Comparison in an In Vivo Rabbit Renal-Artery Model. 不同氰基丙烯酸酯的栓塞作用：兔肾动脉模型的放射学和组织学比较。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-03-10 DOI: 10.1007/s00270-025-03997-w

Pierre-Olivier Comby, Kévin Guillen, Olivier Chevallier, Emilie Couloumy, Anne Dencausse, Philippe Robert, Sarah Catoen, Anne-Virginie Salsac, Serge Ludwig Aho-Glele, Romaric Loffroy

{"title":"Embolic Effect of Different Cyanoacrylates: Radiological and Histological Comparison in an In Vivo Rabbit Renal-Artery Model.","authors":"Pierre-Olivier Comby, Kévin Guillen, Olivier Chevallier, Emilie Couloumy, Anne Dencausse, Philippe Robert, Sarah Catoen, Anne-Virginie Salsac, Serge Ludwig Aho-Glele, Romaric Loffroy","doi":"10.1007/s00270-025-03997-w","DOIUrl":"10.1007/s00270-025-03997-w","url":null,"abstract":"Purpose: To compare the radiological and histological effects of three different cyanoacrylate glues used for in vivo renal artery embolization in rabbits.Materials and methods: N-butyl cyanoacrylate (NBCA), NBCA-methacryloxysulfolane (NBCA-MS), and α-hexyl-cyanoacrylate (AHCA) were each used to embolize five renal arteries under free-flow conditions with a 1:3 glue/ethiodized oil ratio. The rabbits were euthanized 30 min after embolization. Micro-computed tomography (CT) was used to assess glue cast distribution (extent of penetration into the vascular tree), fragmentation (presence of discontinuities within the cast), and heterogeneity (variability in cast density). Histological slides were analyzed for lumen dilatation, intimal arteritis, necrosis, and peri-arterial edema. Statistical analyses were performed using the Kruskal-Wallis test.Results: Glue penetration into interlobar and corticomedullary arteries was observed consistently in all three groups. Fragmentation scores showed no significant differences between glue types, but AHCA demonstrated significantly lower heterogeneity in proximal arteries compared to NBCA-MS (P = 0.019). Severe lumen dilatation and intimal necrosis were observed in all samples, whereas intimal arteritis was significantly less severe with AHCA compared to NBCA-MS (P < 0.001). No significant differences in peri-arterial edema were found between groups.Conclusion: Micro-CT features were similar with all three glues. AHCA produced greater cast uniformity and less intimal arteritis, suggesting a role in endovascular embolization.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"823-833"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596235","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

Key Osteoarthritis Biomarkers: What Interventional Radiologists Performing Genicular Artery Embolization Need to Know. 骨关节炎的关键生物标志物：介入放射科医生进行膝动脉栓塞术需要知道的。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-05-21 DOI: 10.1007/s00270-025-04045-3

David-Dimitris Chlorogiannis, Bedros Taslakian, Osman Ahmed, Attur Mukundan, Ali Guermazi, Anish Ghodadra, Venkatesh P Krishnasamy, Wali Badar, Yan Epelboym

引用次数: 0

Early Clinical Histotripsy Treatment of Renal Cell Carcinoma. 肾细胞癌的早期临床组织学治疗。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s00270-025-04023-9

Tze Min Wah, Omar Abdel-Hadi, Jacqueline Brandon, Balbir Bhambra, Hamish Glencross, Jerome Occidental, John Martin Stones, Naveen Vasudev, Selina Bhattarai, Jon Cartledge

引用次数: 0

Treatment of Primary Solid Renal Tumours Using Histotripsy: Study Protocol for the CAIN Feasibility Trial. 使用组织切片法治疗原发性实体肾肿瘤：CAIN可行性试验的研究方案。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s00270-025-04035-5

Tze Min Wah, Joseph F Amaral, Paul F Laeseke

{"title":"Treatment of Primary Solid Renal Tumours Using Histotripsy: Study Protocol for the CAIN Feasibility Trial.","authors":"Tze Min Wah, Joseph F Amaral, Paul F Laeseke","doi":"10.1007/s00270-025-04035-5","DOIUrl":"10.1007/s00270-025-04035-5","url":null,"abstract":"Purpose: The purpose of this prospective, multi-centre, single-arm feasibility trial is to evaluate the technical success and safety profile of the HistoSonics System for the treatment of primary solid renal tumours using histotripsy.Methods/design: The CAIN trial will enrol up to 20 patients with a non-metastatic solid renal tumour ≤ 3 cm treated with histotripsy. Histotripsy is a non-thermal and non-ionizing mechanical process of tissue destruction resulting from the targeted delivery of focused ultrasound pulses. The primary endpoints are technical success and freedom from index procedure related major complications. Technical success is defined as complete coverage of the tumour as determined ≤ 36 h post-index procedure by contrast-enhanced magnetic resonance imaging (MRI) or computerized tomography (CT). An index procedure related major complication is defined as Clavien-Dindo Classification Grade 3 or higher up to 30 days after the last histotripsy procedure. Treated patients will have a follow-up visit performed at 14 days, 30 days, 90 days, and 180 days post-procedure.Trial registration: Clinicaltrials.gov identifier NCT05432232 & NIHR CRN CPMS 53429.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"857-865"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984373","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

Correction to: Pacemaker Lead Displacement After Mechanical Thrombectomy for Acute Pulmonary Embolism. 纠正：急性肺栓塞机械取栓后起搏器导联移位。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 DOI: 10.1007/s00270-025-04037-3

Lohith Karigowda, Simon Wong, Jimmy Chien, Peter Emerson, Kush Deshpande, Luke Baker

引用次数: 0

Management of Gastric Varices with Portopulmonary Venous Anastomosis: A Combined Approach Using Percutaneous Transhepatic Coil Embolization and Balloon-Occluded Retrograde Transvenous Obliteration. 经皮肝圈栓塞和球囊闭塞逆行经静脉闭塞术联合治疗胃静脉曲张。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-04-24 DOI: 10.1007/s00270-025-04031-9

Hiroki Satomura, Hiroshi Yukimoto, Naoko Hayata, Atsushi Hosui, Junping Wang, Kazuya Ogawa, Ken Ueda, Yasuhiro Nakaya, Naoki Hiramatsu, Hiroki Higashihara, Noriyuki Tomiyama

引用次数: 0

Radiation Use in Image-Guided Interventions: Think Differently-Image Utility Over Image Quality. 辐射在图像引导干预中的应用：不同的思考——图像效用高于图像质量。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s00270-025-04027-5

James R Duncan, M Allan Thomas, Alex M Barnacle

引用次数: 0

Association Between Geriatric Nutritional Risk Index and Discharge Outcome after Elective Thoracic Endovascular Aortic Repair. 择期胸腔血管内主动脉修复术后老年人营养风险指数与出院预后的关系。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.1007/s00270-025-04066-y

Takafumi Ouchi, Noriyuki Kato, Hiroaki Kato, Takatoshi Higashigawa, Hisato Ito, Ken Nakajima, Shuji Chino, Toshiya Tokui, Kensuke Oue, Toru Mizumoto, Yasutaka Ichikawa, Hajime Sakuma

{"title":"Association Between Geriatric Nutritional Risk Index and Discharge Outcome after Elective Thoracic Endovascular Aortic Repair.","authors":"Takafumi Ouchi, Noriyuki Kato, Hiroaki Kato, Takatoshi Higashigawa, Hisato Ito, Ken Nakajima, Shuji Chino, Toshiya Tokui, Kensuke Oue, Toru Mizumoto, Yasutaka Ichikawa, Hajime Sakuma","doi":"10.1007/s00270-025-04066-y","DOIUrl":"10.1007/s00270-025-04066-y","url":null,"abstract":"Purpose: To evaluate the utility of the Geriatric Nutritional Risk Index (GNRI) in predicting nonhome discharge (NHD) and delayed discharge after elective thoracic endovascular aortic repair (TEVAR).Methods: The study population included patients undergoing elective simple TEVAR for intact thoracic aortic aneurysm or subacute or chronic aortic dissection between January 2009 and December 2022 and not experiencing neurological complications or re-interventions during hospitalization. The primary outcome measure was NHD and significantly delayed discharge. GNRI was calculated using the following equation: GNRI = 14.89 × serum albumin (g/dL) + 41.7 × (body mass index [kg/m2] / 22). A univariable logistic regression model was used to determine the odds ratio for GNRI. The predictive performance of GNRI was evaluated using the area under the receiver operating characteristic curve (AUC).Results: A total of 229 patients were analyzed and the overall rate of the primary outcome was 5.7% (NHD, n = 6; delayed discharge, n = 10; both, n = 3). Patients with the primary outcome were more likely to have a lower GNRI (98 vs 103; P = .01) than those without. The logistic regression model showed that a high GNRI was protective against NHD (odds ratio, 0.38; 95% confidence interval, 0.18-0.76; P = .008). The AUC for GNRI was 0.710 (95% confidence interval, 0.602-0.821). The sensitivity, specificity, positive predictive value, and negative predictive value of GNRI < 92 were 23%, 89%, 11%, and 95%, respectively.Conclusions: Preoperative evaluation of GNRI may be useful in predicting NHD and delayed discharge.","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"807-814"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109916","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

Invited Commentary on the Embolic Effect of Different Cyanoacrylates: Radiological and Histological Comparison in an in vivo Rabbit Renal-Artery Model. 不同氰基丙烯酸酯的栓塞作用：兔肾动脉模型的放射学和组织学比较。

IF 2.8 3区医学

CardioVascular and Interventional Radiology Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.1007/s00270-025-04047-1

Atsushi Saiga

引用次数: 0