CardioVascular and Interventional Radiology最新文献

{"title":"Commentary on: \"Baseline Portal Vein Thrombosis does not Worsen Long-term Outcomes After Technically Successful TIPS in Cirrhotic Variceal Bleeding: A Single-center Retrospective Cohort Study\".","authors":"Cristian Lindner, Miguel Naranjo, Fatima Prada","doi":"10.1007/s00270-026-04624-y","DOIUrl":"https://doi.org/10.1007/s00270-026-04624-y","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966344","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":"Peripheral Nerve Block for Carbon Dioxide Angiography in Below-the-Knee Interventions: Impact on Pain Control, Image Quality, and Procedural Efficiency.","authors":"Gurkan Danisan, Onur Taydas, Mustafa Ozdemir, Ismail Taskent, Ali Kupeli","doi":"10.1007/s00270-026-04612-2","DOIUrl":"https://doi.org/10.1007/s00270-026-04612-2","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy and safety of combined popliteal sciatic and femoral nerve blocks and their impact on image quality during carbon dioxide (CO₂) angiography.</p><p><strong>Materials and methods: </strong>This retrospective study evaluated patients undergoing CO₂ angiography who received either moderate sedoanalgesia or combined popliteal sciatic and femoral nerve block. Intra-procedural pain was assessed using the visual analog scale (VAS), and image quality, procedural parameters, and patient and operator satisfaction were compared between groups. A 1:1 propensity score matching (PSM) analysis was performed to reduce baseline confounding.</p><p><strong>Results: </strong>Among 103 patients (nerve block, n=45; sedoanalgesia, n=58), VAS scores were lower in the nerve block group (0 [0-2] vs. 5 [3-8], p <0.001). Procedure duration (89.7±47.3 vs. 124.2±44.5 min), fluoroscopy time (28.6±19.9 vs. 42.0±16.8 min), fluoroscopy exposures (12.8±5.1 vs. 19.4±8.1), radiation dose (342.9 [100-1733] vs. 448.4 [130-3199] mGy), and iodinated contrast volume (4 [3-8] vs. 19 [8-40] mL) were lower in the nerve block group (all p <0.001). Patient and operator satisfaction and image quality were also improved (all p <0.001). After PSM, 29 matched pairs were analyzed; differences in VAS scores, image quality, contrast use, procedure duration, fluoroscopy time, and exposures remained significant, whereas radiation dose was comparable between groups.</p><p><strong>Conclusion: </strong>Combined popliteal sciatic and femoral nerve blocks appear to be a safe and effective analgesic strategy for CO₂ angiography and may improve both image quality and procedural efficiency compared with moderate sedoanalgesia.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929033","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":"A Scoping Review of Interventional Radiology Curricula for Medical Students and Correlation with Kern's Six-Step Framework for Curriculum Development.","authors":"Jillian O'Carroll, Hugo C Temperley, Jack M Bell, Avinash Deshwal, Niall McEniff, Kevin P Sheahan, Michael J Lee","doi":"10.1007/s00270-026-04614-0","DOIUrl":"https://doi.org/10.1007/s00270-026-04614-0","url":null,"abstract":"<p><p>Interventional radiology (IR) plays an increasingly important role in modern healthcare; however, its integration into undergraduate medical education remains inconsistent. This scoping review evaluated IR teaching for medical students against Kern's six-step framework. A search of PubMed, EMBASE, Web of Science, and the Cochrane Library databases, through July 2026, identified 36 studies examining IR exposure, teaching strategies, and educational outcomes. IR teaching is consistently underrepresented. Educational interventions included didactic teaching, case-based learning, and digital platforms, but were typically implemented as isolated initiatives. Mapping to Kern's framework demonstrated predominant focus on problem identification and educational strategies, with limited attention to needs assessment, implementation, and evaluation. No study addressed all six steps. These findings highlight poor framework alignment and support the development of structured, systematically designed curricula.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918270","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":"Magnetic Resonance Imaging-Guided Transurethral Ultrasound Ablation for Localized Prostate Cancer: A GRADE-Assessed Systematic Review and Meta-Analysis.","authors":"Arsalan Nadeem, Dawood Javed, Talha Iqbal, Ayefa Naveed Klair, Farhan Nadeem, Muntaha Nadeem, Muhammad Bilal Sardar","doi":"10.1007/s00270-026-04561-w","DOIUrl":"https://doi.org/10.1007/s00270-026-04561-w","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate technical, oncologic, safety, and functional outcomes following magnetic resonance imaging-guided transurethral ultrasound ablation (TULSA) for localized prostate cancer (PCa).</p><p><strong>Materials and methods: </strong>A systematic search across PubMed, Embase, Scopus, Cochrane (CENTRAL), and ClinicalTrials.gov through February 2026 identified studies reporting TULSA outcomes for localized PCa in treatment-naive or salvage settings. Random-effects meta-analysis was performed. Subgroup analyses stratified outcomes by treatment intent and sensitivity analyses excluded the largest retrospective study. Heterogeneity (I² and τ²) and evidence certainty (GRADE) were assessed.</p><p><strong>Results: </strong>Thirteen studies comprising 650 patients were included. TULSA demonstrated universal technical success (100%, I² = 0%). Major complications (grade ≥ 3) occurred in 2% (95% CI: 0-5%, I² = 24.9%). Continence was preserved in 97% of treatment-naive patients (95% CI: 91-100%, I² = 52.6%) versus 47% in the salvage setting (95% CI: 26-68%) (p < 0.0001). PSA decreased by a mean of 5.02 ng/mL (95% CI: - 5.76 to - 4.27, p < 0.0001, I² = 60.4%), representing an 85% reduction from baseline. Biochemical recurrence occurred in 13% (95% CI: 4-35%, I² = 87.4%), clinically significant cancer on biopsy in 22% (95% CI: 11-38%, I² = 86.0%), and salvage treatment progression in 14% (95% CI: 6-28%, I² = 84.4%). IPSS change (- 1.64, p = 0.25) and erectile function (SMD: - 0.23, p = 0.09) were non-significant and below minimum clinically important differences.</p><p><strong>Conclusion: </strong>TULSA demonstrated excellent technical feasibility and minimal major morbidity (moderate certainty). Continence preservation was substantially better in treatment-naive than salvage patients. Oncologic and erectile function outcomes remain very low certainty due to high heterogeneity and 36-month maximum follow-up. Current evidence supports TULSA for carefully selected treatment-naive patients, pending long-term comparative data.</p><p><strong>Level of evidence: </strong>Level 2a, Systematic Review and Meta-Analysis including Observational Studies.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918305","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":"A Phalangeal Bone Lesion Managed as a Vascular Malformation: Digit-Preserving Bleomycin Electrosclerotherapy.","authors":"Gianmarco Falcone, Federica Lazzarotto, Michele Citone, Elisabetta Neri, Domenico Andrea Campanacci, Fabrizio Fanelli","doi":"10.1007/s00270-026-04611-3","DOIUrl":"https://doi.org/10.1007/s00270-026-04611-3","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918340","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":"Simulation and Virtual Reality as Training Modalities in Interventional Radiology: A Systematic Review.","authors":"Abhinav Deshwal, Hugo C Temperley, Avinash Deshwal, Benjamin M Mac Curtain, Niall J O'Sullivan, Tom O Cuddihy, Jack M Bell, Cormac Mulhall, Ian Brennan, Julian Soares, Kevin P Sheahan, Michael J Lee","doi":"10.1007/s00270-026-04592-3","DOIUrl":"https://doi.org/10.1007/s00270-026-04592-3","url":null,"abstract":"<p><strong>Purpose: </strong>To synthesise and appraise the certainty of evidence on simulation- and virtual-reality-based training in interventional radiology.</p><p><strong>Materials and methods: </strong>MEDLINE, EMBASE, Web of Science, and Scopus were searched to April 2026 following PRISMA 2020, under an a priori protocol registered with PROSPERO (CRD420261358144). Eligible studies evaluated simulation or virtual-reality training with objective outcomes. Risk of bias was assessed using design-specific tools (RoB 2, ROBINS-I, the NIH before-after tool) and certainty with GRADE. Heterogeneity precluded meta-analysis; findings were synthesised narratively (SWiM), without pooling.</p><p><strong>Results: </strong>Eighteen studies (495 learners; seven randomised trials) were included; all reported improvement on at least one metric. Pre-post-reductions ranged from 50 to 72% (fluoroscopy time), 27 to 53% (procedure time), 28 to 76% (contrast volume), and 31 to 71% (radiation dose) (p < 0.001 to 0.05). In controlled trials, simulation improved technique (for example fewer catheters advanced without a guiding wire, 25% versus 82%, p = 0.01) and reduced contrast volume (28.0 versus 40.0 mL, p < 0.01), whereas procedure time was rarely significant. Transfer studies reported real-patient gains, including superior first-attempt cannulation (16 versus 12 of 16, p < 0.05) and a 30% radiation-dose reduction during real CT-guided procedures (p < 0.001). No randomised trial was at low risk of bias; GRADE certainty was low for radiation- and contrast-related outcomes and very low for procedure time and clinical transfer.</p><p><strong>Conclusion: </strong>Simulation probably improves interventional-radiology technical performance, most clearly for radiation- and contrast-related outcomes, with low-certainty evidence of clinical transfer. Small samples, heterogeneity and probable publication bias limit the evidence; adequately powered multicentre trials reporting patient-level outcomes are needed.</p><p><strong>Level of evidence: </strong>Level 2a (Oxford Centre for Evidence-Based Medicine).</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918318","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":"Coil-Assisted Transvenous Interventions for Uncommon Spontaneous Portosystemic Shunts.","authors":"Eric D Cyphers, John Do, Bo Liu, Peter Hu","doi":"10.1007/s00270-026-04609-x","DOIUrl":"https://doi.org/10.1007/s00270-026-04609-x","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900105","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":"Iatrogenic Deep Cervical Artery Pseudoaneurysm Following Central Venous Catheterization: Salvage Treatment with Ultrasound-Guided Percutaneous Thrombin Injection.","authors":"Mahmut Demirci, Kadir Han Alver, Şilan Tansu Yılmaz","doi":"10.1007/s00270-026-04606-0","DOIUrl":"https://doi.org/10.1007/s00270-026-04606-0","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900169","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":"Investigator Gender Influence on Female Enrollment in Multicenter Vascular Trials: A Site-Level Analysis.","authors":"Nicole Keefe, Estefania Gonzales, Maureen P Kohi, Gloria M Salazar","doi":"10.1007/s00270-026-04598-x","DOIUrl":"https://doi.org/10.1007/s00270-026-04598-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine whether the proportion of female patients enrolled at individual clinical trial sites differed according to site principal investigator (PI) gender in industry-sponsored multicenter vascular trials.</p><p><strong>Materials and methods: </strong>A retrospective, secondary, site-level analysis of seven completed Penumbra, Inc. (Alameda, CA, USA)-sponsored trials across neurovascular, peripheral, and coronary interventions was conducted. Sites were categorized as led by a female PI, a male PI with ≥1 female sub-investigator, or a male PI with no female investigators. Nonparametric tests, linear regression with trial-level fixed effects, and resampling-based sensitivity analyses were used to assess the association between PI gender and female enrollment. Given the small number of female-led sites, all findings were treated as exploratory.</p><p><strong>Results: </strong>Across 230 sites (N = 3114 patients), trial-level female enrollment ranged from 23.8% to 72.5%. Female site PIs were rare, representing approximately 3% of all site PIs. Female-led sites (n = 7) enrolled a higher proportion of female patients than male-led sites (median 73.9% [interquartile range (IQR) 64.1-77.5] versus 51.2% [IQR 33.3-69.0], p = 0.03). In adjusted regression analysis, female PI sites enrolled an average of +15.7 percentage points more women (95% bootstrap CI, +7.1 to +23.4; permutation p = 0.074). The presence of female sub-investigators alone was not associated with higher female enrollment (50.0% versus 52.2%, p = 0.606).</p><p><strong>Conclusion: </strong>Sites led by female PIs enrolled a higher proportion of female patients in vascular clinical trials than sites led by male PIs. Although causality cannot be inferred, these exploratory findings suggest that increasing female representation in site PI leadership may be one actionable strategy to improve enrollment representativeness in vascular clinical trials.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900132","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":"Mapping Paediatric Interventional Radiology Provision: Results of a CIRSE Member Survey.","authors":"A M Barnacle, P A Patel, A Dabadie, S Franchi-Abella, F Gomez Munoz, W Uller, M Wildgruber, R Gnannt","doi":"10.1007/s00270-026-04608-y","DOIUrl":"https://doi.org/10.1007/s00270-026-04608-y","url":null,"abstract":"<p><strong>Purpose: </strong>Interventional radiology (IR) services for children lag behind IR provision for adults. Meanwhile, visibility of the paediatric IR (PIR) services that are currently available is limited. The Cardiovascular and Interventional Radiological Society of Europe (CIRSE) Paediatric Taskforce mandate included the mapping of current PIR services via a member survey.</p><p><strong>Materials and methods: </strong>A survey questionnaire comprising 17 questions was created by the CIRSE Paediatric Taskforce. All CIRSE members were invited by email to participate. Responses were collected over a three-month period, and results were analysed in a descriptive manner.</p><p><strong>Results: </strong>In total, 293 responses were received from a total of 8111 CIRSE members who were contacted. The 293 respondents were employed in 235 medical institutions across 59 countries. A large majority of institutions reported performing less than 50 PIR procedures per month, most of which were image-guided biopsies, sclerotherapy and vascular access procedures. Procedures were performed by a variety of medical specialists including paediatric interventional radiologists, adult interventional radiologists, and non-radiologists. A lack of structured PIR training was reported by most respondents, together with a request to increase PIR training and network options across Europe.</p><p><strong>Conclusion: </strong>The survey results provide a structured mapping of PIR provision within a multinational IR organisation. The lack of structured training programmes and resources demonstrate a clear mission to expand PIR training and service development in order to widen access to minimal-invasive care for children.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900113","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}