CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY

Lipiodol ! Are Musculoskeletal Embolizations a Rebirth?
Pellerin O
A Meta-Analysis and Meta-Regression of Embolisation Outcomes of Pulmonary Arteriovenous Malformations
Shahin Y, Vijayakumar C, Gill A, Lejawka A, Bennett S, Willis R, Abbas M and Kusumawidjaja D
Embolisation is a widely utilised therapeutic intervention for pulmonary arteriovenous malformation (PAVM). We conducted a meta-analysis to evaluate outcomes of PAVM embolisation and factors associated with embolisation outcomes.
Endovascular Removal of Pulmonary Artery Foreign Bodies Using the FlowTriever Aspiration System
Summers F, Greenberg C, Shin DS, Abad-Santos M, Hua EW, Monroe EJ and Chick JFB
Interventional Radiology Management of Bone Metastasis Pain: Strategies and Techniques
Gravel G, Nobileau A, Guth A, Mellot F and Roussel A
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.
Early Thrombus Removal for Acute Lower Extremity Deep Vein Thrombosis: Update on Inclusion, Technical Aspects, and Postprocedural Management
Plotnik AN, Haber Z and Kee S
Acute lower extremity deep vein thrombosis (DVT) is a common disorder with significant associated morbidity, including pain and swelling, as well as the risk of pulmonary embolism (PE), recurrent venous thromboembolism (VTE) and chronic debilitating post-thrombotic syndrome (PTS). Anticoagulation is standard of care for DVT treatment. It assists in reducing thrombus progression and the occurrence of PE, but incomplete DVT resolution increases the risk of recurrent VTE, valvular insufficiency, and PTS. Endovascular DVT interventions, such as catheter-directed thrombolysis, pharmacomechanical thrombectomy, and large-bore mechanical thrombectomy offer an alternative therapeutic strategy for DVT management. This paper will discuss technical factors and current issues when performing lower extremity DVT interventions including patient selection, anticoagulation, choice of device for endovascular thrombus removal, adjunctive techniques, and venous stent management.Level of Evidence: No level of evidence for: review articles, basic science, laboratory investigations, and experimental study articles.
Splanchnic Venous Thrombectomy Using the VenaCore Thrombectomy Catheter in a Liver Transplantation Candidate
Shin DS, Abad-Santos M, Monroe EJ and Chick JFB
Commentary on the Article: "Combination of Elastic Nail(s) and Cementoplasty to Treat Pathological Fractures in Long Bones of the Upper Limb"
Amoretti N
A Personal Commentary Regarding Radial and Femoral Arterial Access
Diaz-Lorenzo I and Alonso-Burgos A
Outcomes of Mechanical Thrombectomy for Acute Ischemic Stroke Following Cardiac Interventions: A Systematic Review and Meta-Analysis
Jazayeri SB, Al-Janabi OM, Ghozy S, Rabinstein AA, Kadirvel R and Kallmes DF
The purpose of this study is to pool the evidence on the safety and efficacy of mechanical thrombectomy (MT) in patients who develop acute ischemic stroke (AIS) due to large vessel occlusion (LVO) following recent cardiac interventions.
Radiation Lobectomy in Adjunct to Double Vein Embolization to Reach Sufficient Future Liver Remnant in Patients with Colorectal Cancer Liver Metastases: A Case Series
Andel D, Ramdhani K, Braat AJAT, Bruijnen RCG, Bol G, Keane G, Lam MGEH, Kranenburg OW, Rinkes IHMB, Hagendoorn J and Smits MLJ
To describe the outcome of radiation lobectomy (RL) after double vein embolization (portal vein embolization + hepatic vein embolization) for patients with insufficient future liver remnant growth.
Microvascular Plug Embolization of Anterior Spinal Artery Bearing Segmental Arteries Prior Aortic Stenting: Technique and Safety
Deniz S, Öcal O, Fabritius M, Puhr-Westerheide D, Abaci G, Wildgruber M, Ümütlü MR, Gök M, Stana J, Rantner B, Tsilimparis N, Ricke J and Seidensticker M
This study aims to present our experience with superselective embolization of the anterior spinal artery-bearing segmental artery (ASAbSA) using a microvascular plug (MVP) during the minimally invasive segmental artery coil embolization (MISACE) procedure prior endovascular repair of the thoracoabdominal aortic aneurysms.
Ethanol Chemical Gallbladder Ablation for Cholecystitis in Inoperable Elderly Patients
Le Tat T, Jost R, Hanotin C, Lucas A, Abed A, Hakime A, Proske JM and Kuoch V
Cholecystitis presents significant treatment challenges, especially in elderly patients with high surgical or anesthetic risks. While cholecystectomy remains the standard intervention, its feasibility is sometimes limited, leading to reliance on cholecystostomy, which has a high recurrence rate and does not address the underlying cause. The aim was to evaluate the efficacy and safety of chemical gallbladder ablation as a minimally invasive treatment option for acute cholecystitis in elderly and comorbid patients.
Coronary Artery Air Embolism After CT-Guided Percutaneous Lung Biopsy: How do we Deal with a Life-Threatening Complication?
Lindner C, Strube D, Clemo D, Concha A, Molina E and Zúñiga J
The Delay of Recanalisation of Acutely Thrombosed Dialysis Arteriovenous Access Until the Next Workday has No Negative Impact on Clinical Outcome
Hellwig K, Zicha S, Kopp C, Rother U, Papatheodorou N, Uder M and Schmid A
The necessity of providing endovascular recanalization of acutely thrombosed arteriovenous access (AV access) during weekend is questionable, since hemodialysis can alternatively be achieved by temporarily placed non-tunneled central venous catheters (CVC). Interventional therapy of acutely thrombosed AV access is provided only on weekdays in the study center. This study aimed to compare outcomes in patients admitted on weekdays and on the weekend.
Minimally Invasive Image-Guided Percutaneous Irreversible Electroporation of Adrenal Metastases
Narayanan G, Gentile NT, Gu K, Schiro BJ, Gandhi RT, Peña CS and Dijkstra M
A single-center retrospective study was performed to evaluate the safety and efficacy of minimally invasive irreversible electroporation (IRE) to treat metastatic adrenal tumors.
Transforming IR Training: A European Perspective
Saccenti L, Nadjiri J, Binkert CA and Pereira PL
Current Perspectives on Deep Venous Interventions: Challenges, Evidence, and Future Directions
O'Sullivan G
CIRSE Standards of Practice on Transjugular Intrahepatic Portosystemic Shunts
Lucatelli P, Krajina A, Loffroy R, Miraglia R, Pieper CC, Franchi-Abella S and Rocco B
Proposed in the early 1980s as a solution for managing complications of portal hypertension, the percutaneous creation of transjugular intrahepatic portosystemic shunt has consistently gained a central role. Increasingly lower complication rates have been observed thanks to improvements in both technologies and the skills of interventional radiologists.
Interventional Radiology Treatments to Address Chronic Pelvic Pain in Females
Risner V, Gonzales E, McColgan Y and Salazar G
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.
Percutaneous Gallstone Extraction Through Midbody Access to the Gallbladder Using a Cleaner XT Rotational Thrombectomy Device: A Case Report
Jagannath P, Byun JH and Raja J
Predicting Survival and Recurrence of Lung Ablation Patients Using Deep Learning-Based Automatic Segmentation and Radiomics Analysis
Zaki HA, Oueidat K, Hsieh C, Zhang H, Collins S, Jiao Z and Maxwell AWP
To predict survival and tumor recurrence following image-guided thermal ablation (IGTA) of lung tumors segmented using a deep learning approach.