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Looking for the Ideal Particle: An Experimental Embolization Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study sought to compare the most frequently used embolic particles in an animal model. In 16 New Zealand white rabbits, right renal arteries were embolized using four different embolic particles (polyvinyl alcohol [PVA] particles, 150–250 μm; PVA microspheres [PVAMs], 150–300 μm; Tris-acryl gelatin microspheres [TGMs], 100–300 μm; expanding microspheres [EXMs], 50–100 μm). Quantity of embolic material used, embolization time, and angiographic patterns were documented. Fourteen days later, a control angiography was done to document angiographic recanalization and all animals were sac...
Source: CardioVascular and Interventional Radiology - November 14, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Single-Antenna Microwave Ablation Under Contrast-Enhanced Ultrasound Guidance for Treatment of Small Renal Cell Carcinoma: Preliminary Experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, our preliminary results support the use of MWA for the treatment of small renal tumors. This technology can be applied in select patients who are not candidates for surgery, as an alternative to other ablative techniques. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00270-009-9745-xAuthors Gianpaolo Carrafiello, University of Insubria Department of Radiology Viale Borri 57 Varese 21100 ItalyMonica Mangini, University of Insubria Department of Radiology Viale Borri 57 Varese 21100 ItalyFederico Fontana, University of Insubria Department of Radiology Viale Borri 57 Varese 21100 ItalyC...
Source: CardioVascular and Interventional Radiology - November 14, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

What Does Competence Entail in Interventional Radiology?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Interventional radiology is a relatively new speciality and may be referred to as “image-guided surgery without a scalpel.” Training and accreditation bodies regard interventional radiology training as being “different” from general radiology because of the additional need for dexterity and clinical acumen. Due to the multidimensional role of an interventional radiologist, a practitioner in this discipline must have a number of the competencies of anesthetists, surgeons, and radiologists. The attributes required of an interventional radiologist are akin to those required of a surgeon. This p...
Source: CardioVascular and Interventional Radiology - November 14, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

The AMPLATZER Vascular Plug 4: Preliminary Experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, the AVP 4 seems to be safe and effective for occluding peripheral vessels and vascular abnormalities. Because of its compatibility with 0.038–in. catheters, it can be deployed through a diagnostic catheter following angiography without exchanging a sheath or guiding catheter. Compared with the previous generation of vascular plugs, the AVP 4 allows for faster procedure times and decreased exposure to radiation. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00270-009-9749-6Authors Carlo Ferro, San Martino University Hospital Department of Diagnostic and Interventional Radiology Mon...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Thirty-Day Outcome Following Carotid Artery Stenting: A 10-Year Experience from a Single Centeremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, CAS can be performed safely and effectively, with acceptable mortality, stroke/death, and cardiovascular complication rates. Although technological advances (stent design, cerebral protection devices), perioperative pharmacological management, and increasing experience are all clinically significant factors influencing the short-term results, none appeared to be statistically significant in this patient sample. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9746-9Authors Christos D. Karkos, Aristotle University of Thessaloniki Fifth Department of Surgery, Medical Sc...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

A Comparison of Transjugular and Plugged-Percutaneous Liver Biopsy in Patients with Contraindications to Ordinary Percutaneous Liver Biopsy and an “In-House” Protocol for Selecting the Procedure of Choiceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The purpose of this study was to evaluate the effectiveness and safety of transjugular liver biopsy (TJLB) and plugged-percutaneous liver biopsy (PB) in consecutive patients with severe liver disease associated with impaired coagulation, ascites, or both and to verify the in-house protocol used to select the appropriate procedure. In 2000–2006, 329 patients (208 male [62.8%] and 121 female [37.2%]), aged 1 month to 81 years (mean, 46.8 years), underwent 150 TJLBs (39.1%) or 233 PBs (60.9%) procedures at a major tertiary center, as determined by an in-house protocol. The groups were ...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Recanalization Results After Intracranial Stenting of Atherosclerotic Stenosesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, intracranial stenting with slight underdilation avoided major vessel complication and created reliable luminal gain. Suboptimal recanalization results were frequently detected and may be the source of neurological complications in individual cases. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9744-yAuthors Stella Blasel, University of Frankfurt Institute of Neuroradiology Schleusenweg 2-16 60528 Frankfurt GermanyZeynep Yükzek, University of Frankfurt Institute of Neuroradiology Schleusenweg 2-16 60528 Frankfurt GermanyWiebke Kurre, University of Frankfurt Institut...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Prospective Randomized Study of Doxorubicin-Eluting-Bead Embolization in the Treatment of Hepatocellular Carcinoma: Results of the PRECISION V Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Transcatheter arterial chemoembolization (TACE) offers a survival benefit to patients with intermediate hepatocellular carcinoma (HCC). A widely accepted TACE regimen includes administration of doxorubicin-oil emulsion followed by gelatine sponge—conventional TACE. Recently, a drug-eluting bead (DC Bead®) has been developed to enhance tumor drug delivery and reduce systemic availability. This randomized trial compares conventional TACE (cTACE) with TACE with DC Bead for the treatment of cirrhotic patients with HCC. Two hundred twelve patients with Child-Pugh A/B cirrhosis and large and/or multino...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Successful Embolization of a Spontaneous Mesocaval Shunt Using the Amplatzer Vascular Plug IIemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  A 48-year-old man with alcoholic liver cirrhosis and hepatic encephalopathy was found to have a large, spontaneous mesocaval shunt. The shunt was successfully occluded with the use of an Amplatzer Vascular Plug. To our knowledge, this is the first report of the use of this device to embolize a mesocaval shunt involving the superior mesenteric vein. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9739-8Authors Helena Boixadera, Hospital Vall d’ Hebron Department of Radiology Passeig de la Vall d’Hebron 119-129 08035 Barcelona SpainAlejandro Tomasello, Hospital Vall d’ ...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

One Year Clinical Outcomes of Renal Artery Stenting: The Results of ODORI Registryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The safety, efficacy and long term clinical benefits of renal artery revascularization by stenting are still a matter of debate. The aim of our study was to define the safety and efficacy of renal artery stenting with the Tsunami peripheral stent (Terumo Corporation, Tokyo, Japan). The ODORI was a prospective, multicentre registry which enrolled 251 consecutive patients, (276 renal arteries) in 36 centres across Europe. The primary endpoint was acute procedural success defined as <30% residual stenosis after stent placement. Secondary endpoints included major adverse events, blood pressure contro...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Controlled Release and Antitumor Effect of Pluronic F127 Mixed with Cisplatin in a Rabbit Modelemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The purpose of this study was to evaluate pluronic F127 for the controlled release of cisplatin in a rabbit model. Pluronic F127 becomes liquid at temperatures <25°C and converts to a gelatinous state at temperatures between 25 and 60°C. Six Japanese white rabbits were injected with pluronic + cisplatin (n = 3, renal group A) or saline + cisplatin (n = 3, renal group B) to measure the platinum concentration in kidneys. Another 25 rabbits with VX2 liver tumors were divided into five equal groups. They were injected with saline, saline + cisplatin,...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

CT-Guided Fiducial Placement for CyberKnife Stereotactic Radiosurgery: An Initial Experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, fiducial implantation under CT guidance appears to be a safe and efficient procedure, as long as it is performed by an experienced interventional radiologist. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00270-009-9748-7Authors Evangelia Sotiropoulou, “Sotiria” General Hospital of Chest Diseases Mesogeion Ave. 152 11527 Athens GreeceΙrene Stathochristopoulou, Iatropolis CyberKnife Center Ethnikis Antistaseos 54-56 15231 Halandri, Athens GreeceKonstantinos Stathopoulos, “Sotiria” General Hospital of Chest Diseases Mesogeion Ave. 152 11527 Athens GreeceKosmas Verigos, Iatropo...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Prostatic Artery Embolization as a Primary Treatment for Benign Prostatic Hyperplasia: Preliminary Results in Two Patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report the preliminary results for two patients with acute urinary retention due to BPH, successfully treated by prostate artery embolization (PAE). The patients were investigated using the International Prostate Symptom Score, by digital rectal examination, urodynamic testing, prostate biopsy, transrectal ultrasound (US), and magnetic resonance imaging (MRI). Uroflowmetry and postvoid residual urine volume complemented the investigation at 30, 90, and 180 days after PAE. The procedure was performed under local anesthesia; embolization of the prostate arteries was performed with a microcatheter and 300- to 500...
Source: CardioVascular and Interventional Radiology - November 12, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Septic Complication After Balloon-Occluded Retrograde Transvenous Obliteration of Duodenal Variceal Bleedingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a 64-year-old woman with duodenal varices who underwent balloon-occluded retrograde transvenous obliteration (B-RTO) complicated by intraprocedural variceal rupture. The patient developed shivering and a fever higher than 40°C 3 days after the B-RTO procedure. A blood culture grew Entereobacter cloacoe. This case represents a rare septic complication of B-RTO for duodenal varices. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9740-2Authors Thai Akasaka, Kyoto University Graduate School of Medicine Department of Radiology 54-Kawaharacho Shogoin, Sakyoku, Kyoto 606-8507 Ja...
Source: CardioVascular and Interventional Radiology - November 10, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

A Case Report of 20 Lung Radiofrequency Ablation Sessions for 50 Lung Metastases from Parathyroid Carcinoma Causing Hyperparathyroidismemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  A 47-year-old man presented with multiple lung metastases from parathyroid carcinoma that caused hyperparathyroidism and refractory hypercalcemia. Lung radiofrequency (RF) ablation was repeated to decrease the serum calcium and parathyroid hormone levels and improve general fatigue. Pulmonary resection was combined for lung hilum metastases. The patient is still alive 4 years after the initial RF session. He has received 20 RF sessions for 50 lung metastases during this period. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9730-4Authors Maki Tochio, Mie University S...
Source: CardioVascular and Interventional Radiology - November 3, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Selective CT Angiography and Embolization of the Inferior Mesenteric Artery for Massive Bladder Hemorrhage Secondary to Locally Advanced Prostate Canceremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00270-009-9742-0Authors Yukihiro Hama, Tokyo Edogawa Cancer Center, Edogawa Hospital Department of Radiology 2-24-18 Higashikoiwa, Edogawaku Tokyo 133-0052 JapanYoshie Iwasaki, National Defense Medical College Department of Radiology 3-2 Namiki Tokorozawa, Saitama 359-8513 JapanTatsumi Kaji, National Defense Medical College Department of Radiology 3-2 Namiki Tokorozawa, Saitama 359-8513 Japan Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - November 3, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Traumatic Splenic Injury Managed with Arterial Embolisation in a Patient with Idiopathic Thrombocytopenic Pupuraemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Letter to the editorDOI 10.1007/s00270-009-9735-zAuthors Sameer Memon, Christchurch Hospital, Canterbury DHB Department of General Surgery Christchurch New ZealandAndrew D. Laing, Christchurch Hospital Department of Radiology Canterbury DHB Christchurch New ZealandJohn N. R. Frye, Christchurch Hospital, Canterbury DHB Department of General Surgery Christchurch New Zealand Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - October 29, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Emergency Endovascular Treatment of Sac Rupture for Type IIIa Endoleak in Thoracic Aortic Aneurysm Previously Excluded with Endovascular Repairemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a successful emergency endovascular management of post-thoracic endovascular repair for thoracic aortic aneurysm rupture due to type IIIa endoleak. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9724-2Authors Gianpaolo Carrafiello, University of Insubria Department of Radiology Viale Borri 21100 Varese ItalyMonica Mangini, University of Insubria Department of Radiology Viale Borri 21100 Varese ItalyElena Bracchi, University of Insubria Department of Radiology Viale Borri 21100 Varese ItalyChiara Recaldini, University of Insubria Department of Radiology Viale Borri 21100 Varese ItalyE...
Source: CardioVascular and Interventional Radiology - October 29, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Announcementsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory AnnouncementsDOI 10.1007/s00270-009-9729-x Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - October 27, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

MDCT Versus MRI Assessment of Tumor Response After Transarterial Chemoembolization for the Treatment of Hepatocellular Carcinomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, MRI is superior to MDCT for detection of viable tumor residuals after Lipiodol-based TACE. Since viable tumor tissue is superimposed by Lipiodol artifacts in MDCT, MRI is mandatory for reliable decision-making during follow-up after Lipiodol-based TACE protocols. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9728-yAuthors Roman Kloeckner, Johannes Gutenberg-University of Mainz Department of Diagnostic and Interventional Radiology Langenbeckstrasse 1 55131 Mainz GermanyGerd Otto, Johannes Gutenberg-University of Mainz Department of Transplantation and Hepatobiliary P...
Source: CardioVascular and Interventional Radiology - October 22, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Liver Hydatid Cyst with Transdiaphragmatic Rupture and Lung Hydatid Cyst Ruptured into Bronchi and Pleural Spaceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The aim of this case study is to present effectiveness of percutaneous drainage as a treatment option of ruptured lung and liver hydatid cysts. A 65-year-old male patient was admitted with complicated liver and lung hydatid cysts. A liver hydatid cyst had ruptured transdiaphragmatically, and a lung hydatid cyst had ruptured both into bronchi and pleural space. The patient could not undergo surgery because of decreased respiratory function. Both cysts were drained percutaneously using oral albendazole. Povidone–iodine was used to treat the liver cyst after closure of the diaphragmatic rupture. The ...
Source: CardioVascular and Interventional Radiology - October 22, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Editors’ Recognition Award for Distinction in Reviewing 2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s00270-009-9726-0Authors Dierk Vorwerk, Klinikum Ingolstadt Department of Radiology Krumenauerstrasse 25 Ingolstadt 85049 GermanyZiv J. Haskal, University of Maryland School of Medicine Division of Interventional Radiology 22 S. Greene St Baltimore MD 21030 USA Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - October 21, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Safety and Efficacy Assessment of Flow Redistribution by Occlusion of Intrahepatic Vessels Prior to Radioembolization in the Treatment of Liver Tumorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  We evaluated the feasibility, safety, and efficacy of radioembolization (administered from one or two vascular points) after the redistribution of arterial blood flow in the liver in patients with hepatic neoplasms and arterial anatomic peculiarities (AAP). Twenty-four patients with liver neoplasms and AAP (graded according to Michel’s classification) were included in the study. During pretreatment angiographic planning, all extrahepatic vessels that could feed the tumor were embolized and the intrahepatic vessels occluded in order to redistribute blood flow. The distribution of microspheres was i...
Source: CardioVascular and Interventional Radiology - October 20, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Use of a Peripherally Inserted Central Catheter as a Conduit for Central Venous Access Across Thrombosed Great Veinsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This report describes a technique of inserting an implantable venous access port (portacath) through a thrombosed and occluded vein employing a pre-existing peripherally inserted central catheter (PICC) as the route of access. The PICC was used as a conduit for venous access in a way that has not been described previously in the literature. This procedure was performed in a young patient with cystic fibrosis in an effort to prevent the use of his virgin contralateral veins, which might be used in the future. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00270-009-9723-3Authors Prasad Guntur Ramku...
Source: CardioVascular and Interventional Radiology - October 20, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Effect of Intravascular Iodinated Contrast Media on Natural Course of End-Stage Renal Disease Progression in Hemodialysis Patients: A Prospective Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  We evaluated the impact of intravascular iodinated contrast medium on residual diuresis in hemodialyzed patients. Two groups of clinically stable hemodialyzed patients with residual diuresis minimally 500 ml of urine per day were studied. The patients from the first group were given iso-osmolal contrast agent iodixanol (Visipaque, GE Healthcare, United Kingdom) in concentration of iodine 320 mg/ml with osmolality 290 mOsm/kg of water during the endovascular procedure. The second control group was followed without contrast medium administered. Residual diuresis and residual renal excre...
Source: CardioVascular and Interventional Radiology - October 15, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

A New Cone-Shaped Aortic Valve Prosthesis for Orthotopic Position: An Experimental Study in Swineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The aim of this experimental study was to evaluate a newly designed cone-shaped aortic valve prosthesis (CAVP) for one-step transcatheter placement in an orthotopic position. The study was conducted in 15 swine using either the transcarotid (11 animals) or the transfemoral (4 animals) artery approach. A 12- or 13-Fr sheath was inserted via arterial cutdown. The CAVP was deployed under fluoroscopic control and its struts, by design, induced significant native valve insufficiency. CAVP function was evaluated by aortography and aortic pressure curve tracing. In 11 of 15 swine the CAVP was properly depl...
Source: CardioVascular and Interventional Radiology - October 15, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Long-Term Outcomes of Patients with Lumbar Disc Herniation Treated with Percutaneous Discectomy: Comparative Study with Microendoscopic Discectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  We assessed the long-term outcomes of patients with lumbar disc herniation treated with percutaneous lumbar discectomy (PLD) or microendoscopic discectomy (MED). A retrospective study was performed in consecutive patients with lumbar disc herniation treated with PLD (n = 129) or MED (n = 101) in a single hospital from January 2000 to March 2002. All patients were followed up with MacNab criteria and self-evaluation questionnaires comprising the Oswestry Disability Index and Medical Outcomes Study 36-Item Short-Form Health Survey. Several statistical methods were used for analyses...
Source: CardioVascular and Interventional Radiology - October 15, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Reply to the Queries Regarding Our Article Entitled “Endovascular Repair of a Traumatic Axillary Artery Pseudoaneurysm”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00270-009-9713-5Authors Sreenivas Reddy, PGIMER Department of Cardiology Chandigarh 160 012 India Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - October 15, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Response to the Article Entitled “Endovascular Repair of a Traumatic Axillary Artery Pseudoaneurysm,” by R. M. Kumar et al.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00270-009-9712-6Authors Anil Grover, Apollo Hospitals Departments of Cardiology and Intervention Chandigarh 160 017 India Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - October 8, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Erratum to: Transcatheter Arterial Chemoembolization for Advanced Hepatocellular Carcinoma with Inferior Vena Cava and Right Atrial Tumorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory ErratumDOI 10.1007/s00270-009-9714-4Authors M. C. Chern, Koo Foundation Sun Yat-Sen Cancer Center Department of Radiology 125 Lih-der Road, Pei-tou District Taipei TaiwanV. P. Chuang, Koo Foundation Sun Yat-Sen Cancer Center Department of Radiology 125 Lih-der Road, Pei-tou District Taipei TaiwanT. Cheng, Koo Foundation Sun Yat-Sen Cancer Center Department of Radiology 125 Lih-der Road, Pei-tou District Taipei TaiwanZ. H. Lin, Koo Foundation Sun Yat-Sen Cancer Center Department of Radiology 125 Lih-der Road, Pei-tou District Taipei TaiwanY. M. Lin, Koo Foundation Sun Yat-Sen Cancer ...
Source: CardioVascular and Interventional Radiology - October 6, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Screw Placement and Osteoplasty Under Computed Tomographic–Fluoroscopic Guidance in a Case of Advanced Metastatic Destruction of the Iliosacral Jointemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of combined surgical screw placement and osteoplasty guided by computed tomography–fluoroscopy (CTF) in a 68-year-old man with unilateral osteolytic destruction and a pathological fracture of the iliosacral joint due to a metastasis from renal cell carcinoma. The patient experienced intractable lower back pain that was refractory to analgesia. After transarterial particle and coil embolization of the tumor-feeding vessels in the angiography unit, the procedure was performed under general anesthesia by an interdisciplinary team of interventional radiologists and trauma surgeons. Under intermittent si...
Source: CardioVascular and Interventional Radiology - October 1, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Glove Perforations During Interventional Radiological Proceduresemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In this study, a total of 758 gloves used in 94 interventional radiological procedures were examined for perforations. Eleven perforations were encountered, only one of which was of occult type. No significant difference in the frequency of glove perforation was found between the categories with varying time duration. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00270-009-9719-zAuthors R. V. Leena, Christian Medial College Department of Radiodiagnosis Vellore Tamil Nadu 632004 IndiaN. K. Shyamkumar, Christian Medial College Department of Radiodiagnosis Vellore Tamil Nadu 632004 India Jour...
Source: CardioVascular and Interventional Radiology - October 1, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Adrenal Venous Sampling: Where Is the Aldosterone Disappearing to?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Adrenal venous sampling (AVS) is generally considered to be the gold standard in distinguishing unilateral and bilateral aldosterone hypersecretion in primary hyperaldosteronism. However, during AVS, we noticed a considerable variability in aldosterone concentrations among samples thought to have come from the right adrenal glands. Some aldosterone concentrations in these samples were even lower than in samples from the inferior vena cava. We hypothesized that the samples with low aldosterone levels were unintentionally taken not from the right adrenal gland, but from hepatic veins. Therefore, we so...
Source: CardioVascular and Interventional Radiology - October 1, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Radial Arterial Approach with Adjunctive Urokinase for Treating Occluded Autogenous Radial-Cephalic Fistulasemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, the radial approach with adjunctive urokinase is an effective and safe approach to treat occluded autogenous radial-cephalic fistulas. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9709-1Authors Li-Chuan Hsieh, China Medical University Hospital Department of Internal Medicine, Division of Cardiology No. 2, Yuh-Der Road Taichung 404 TaiwanHuang-Joe Wang, China Medical University Hospital Department of Internal Medicine, Division of Cardiology No. 2, Yuh-Der Road Taichung 404 TaiwanYeh-Peng Chen, China Medical University Hospital Department of Internal Medicine, Divisi...
Source: CardioVascular and Interventional Radiology - September 29, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Thoracic Discitis as a Complication of Self-Expanding Metallic Stents in Esophageal Carcinomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of thoracic discitis occurring in a patient with advanced esophageal malignancy, treated with SEMSs. We propose that the likely etiology in this patient was esophageal perforation by a metallic stent. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9710-8Authors A. S. McQueen, University Hospital of North Tees Department of Radiology Stockton-on-Tees TS19 8PE UKW. Eljabu, University Hospital of North Tees Department of Radiology Stockton-on-Tees TS19 8PE UKJ. Latimer, University Hospital of North Tees Department of Radiology Stockton-on-Tees TS19 8PE UKP. P. J. Raju, Universit...
Source: CardioVascular and Interventional Radiology - September 29, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Double-Layered PTFE-Covered Nitinol Stents: Experience in 32 Patients with Malignant Esophageal Stricturesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  We evaluated the effectiveness of a double-layered polytetrafluoroethylene (PTFE)-covered nitinol stent in the palliative treatment of malignant esophageal strictures. A double-layered PTFE-covered nitinol stent was designed to reduce the propensity to migration of conventional covered stent. The stent consists of an inner PTFE-covered stent and an outer uncovered nitinol stent tube. With fluoroscopic guidance, the stent was placed in 32 consecutive patients with malignant esophageal strictures. During the follow-up period, the technical and clinical success rates, complications, and cumulative pati...
Source: CardioVascular and Interventional Radiology - September 29, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Combined Endovascular Repair of a Celiac Trunk Aneurysm Using Celiac–Splenic Stent Graft and Hepatic Artery Embolizationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of a 70-year-old man who sought care for a celiac trunk aneurysm close to the hepatosplenic bifurcation managed endovascularly by using a combined treatment of celiac–splenic stent-graft implantation and hepatic artery embolization. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00270-009-9721-5Authors Giampaolo Carrafiello, University of Insubria Department of Radiology, Interventional Radiology, Varese University Hospital Varese ItalyNicola Rivolta, University of Insubria Department of Surgical Sciences, Vascular Surgery, Varese University Hospital Via Guicciardini 9 21100 Varese...
Source: CardioVascular and Interventional Radiology - September 29, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Percutaneous Intraluminal Recanalization of Long, Chronic Superficial Femoral and Popliteal Occlusions Using the Frontrunner XP CTO Device: A Single-Center Experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, recanalization with the Frontrunner CTO catheter is a simple and safe method with a high technical success rate in the endovascular treatment of long superficial femoral artery occlusions and should be an alternative method after guidewire failure. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9700-xAuthors Nikolas Charalambous, University Hospital of Schleswig-Holstein Department of Diagnostic Radiology Campus Kiel, Arnold- Heller Strasse 9 24105 Kiel GermanyPhilipp J. Schäfer, University Hospital of Schleswig-Holstein Department of Diagnostic Radiology Campus Kie...
Source: CardioVascular and Interventional Radiology - September 24, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Ultrasound-Guided Radiofrequency Thermal Ablation of Uterine Fibroids: Medium-Term Follow-Upemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, US-guided percutaneous RFA is a safe and effective treatment even for fibroids up to 8 cm. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9707-3Authors Gianpaolo Carrafiello, Ospedale di Circolo e Fondazione Macchi, University of Insubria Department of Radiology Viale Borri 57 Varese 21100 ItalyChiara Recaldini, Ospedale di Circolo e Fondazione Macchi, University of Insubria Department of Radiology Viale Borri 57 Varese 21100 ItalyFederico Fontana, Ospedale di Circolo e Fondazione Macchi, University of Insubria Department of Radiology Viale Borri 57 Varese 21100 ...
Source: CardioVascular and Interventional Radiology - September 24, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

One-Stage Percutaneous Treatment in a Patient with Pelvic and Vertebral Compression Fracturesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  An active 38-year-old patient presenting a vertebral compression fracture associated with a pelvic fracture was treated in one stage with CT-guided fixation of the sacrum and kyphoplasty. This treatment decreased the pain, restored the vertebral height, and enabled the patient to be ambulatory. The main advantage of this double approach was to shorten the hospital stay and the nonworking period. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9704-6Authors Jacques Sedat, Unité de Neurointerventionnelle Hôpital St. Roch, CHU, 5 rue Pierre Devoluy Nice 06000 FranceYves Cha...
Source: CardioVascular and Interventional Radiology - September 23, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Central Vein Dilatation Prior to Concomitant Port Implantationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a technique for recanalization of central venous occlusion and angioplasty combined with port placement in a single intervention which we performed in two patients. Surgical port placement was impossible owing to occlusion of the superior vena cava following placement of a cardiac pacemaker and occlusion of multiple central veins due to paraneoplastic coagulopathy, respectively. In both cases the affected vessel segments were dilated with balloon catheters and the port systems were placed thereafter. After successful dilatation, the venous access was secured with a 25-cm-long, 8-Fr introducer sheath, a subc...
Source: CardioVascular and Interventional Radiology - September 22, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Quantification of Left Ventricular Parameters Obtained by Automated Software for 64-Slice Multidetector Computed Tomography and Comparison with Magnetic Resonance Imagingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, EF, ESV, and EDV obtained by MDCT using simple, automated software correlated very well with CMR; SV and MM showed good correlation. Automated analysis of volumetric parameters by MDCT can be reliably utilized for clinical purposes. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9706-4Authors Kamran Akram, Atlanta Medical Center Department of Internal Medicine Atlanta GA USAHunt D. Anderson, Piedmont Hospital Fuqua Heart Center of Atlanta 1968 Peachtree Rd NW Atlanta GA 30309 USASzilard Voros, Piedmont Hospital Fuqua Heart Center of Atlanta 1968 Peachtree Rd NW Atlan...
Source: CardioVascular and Interventional Radiology - September 22, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Chordoma of the Lumbar Spine Presenting as Sciatica and Treated with Vertebroplastyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The lumbar spine is a less common location for chordoma. Here we describe a 44-year-old woman presenting with pain due to a L4 vertebral expansile lesion that caused significant canal stenosis and neural foraminal compromise. Vertebroplasty was performed and resulted in immediate pain relief. For patients with painful lumbar chordoma who are unwilling to undergo surgery, vertebroplasty can play a palliative role as in patients with other vertebral lesions. Treating pain and stabilizing vertebra by way of vertebroplasty in a case of chordoma has not yet been reported. Content Type Journal ArticleC...
Source: CardioVascular and Interventional Radiology - September 19, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

A Retrospective Comparative Study of Tunneled Haemodialysis Catheters Inserted Through Occluded or Collateral Veins Versus Conventional Methodsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Tunneled hemodialysis catheters become essential in dialysis access when there is no possibility of using a functioning arteriovenous fistula. Collateral or occluded veins visible on ultrasound are used for puncture and passage of catheters into the central venous system. Chronically occluded veins are crossed with guidewires to allow dilatation and subsequent passage of hemodialysis catheters. We performed a retrospective analysis of patient demographics, comorbidities, procedural complications, functional survival, performance, and history of previous vascular access. The study group was compared ...
Source: CardioVascular and Interventional Radiology - September 19, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Diagnosis of Popliteal Venous Entrapment Syndrome by Magnetic Resonance Imaging Using Blood-Pool Contrast Agentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present imaging findings in a case of symptomatic popliteal vein entrapment diagnosed by the use of blood pool contrast-enhanced MRI. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9702-8Authors Dietrich Beitzke, Medical University of Vienna Section of Cardiovascular and Interventional Radiology, Department of Radiology A-1090 Vienna AustriaFlorian Wolf, Medical University of Vienna Section of Cardiovascular and Interventional Radiology, Department of Radiology A-1090 Vienna AustriaGregor Juelg, Medical University of Vienna Section of Cardiovascular and Interventional Radiology, Department ...
Source: CardioVascular and Interventional Radiology - September 19, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Vertebral Arteriovenous Fistula Presenting as Cervical Myelopathy: A Rapid Recovery with Balloon Embolizationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  A 24-year-old male presented with progressive cervical myelopathy of 2 months’ duration. Magnetic resonance imaging of the cervical spine and angiography revealed a large arteriovenous fistula arising from the left vertebral artery. The present case highlights the clinical features and dramatic recovery following endovascular balloon occlusion of a giant cervical arteriovenous fistula. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00270-009-9708-2Authors Manish Modi, PGIMER Department of Neurology Chandigarh 160 012 IndiaJ. Rajiv Bapuraj, University Hospital Department of N...
Source: CardioVascular and Interventional Radiology - September 19, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

A Right Common Iliac Artery Pseudoaneurysm with an Iliac-Caval Arteriovenous Fistula: A Rare Complication of the Recovery Vena Cava Filteremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00270-009-9705-5Authors Sergio Savastano, Ospedale San Bortolo Department of Radiology v. le F. Rodolfi 37 I-36100 Vicenza ItalyBeghetto Mario, Ospedale San Bortolo Department of Radiology v. le F. Rodolfi 37 I-36100 Vicenza ItalyJacopo Dall’Acqua, Ospedale San Bortolo Department of Radiology v. le F. Rodolfi 37 I-36100 Vicenza ItalyGiuseppe Mansi, Ospedale San Bortolo Department of Radiology v. le F. Rodolfi 37 I-36100 Vicenza Italy Journal CardioVascular and Interventional RadiologyOnline ISSN 1432-086XPrint ISSN 0174-1551 (Source: CardioV...
Source: CardioVascular and Interventional Radiology - September 19, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Technique, Complication, and Long-Term Outcome for Endovascular Treatment of Iliac Artery Occlusionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, endovascular treatment of iliac artery occlusion has a high technical success rate with favorable long-term patency rate. Success of recanalization increases with use of the antegrade approach and with the presence of a stump of artery before the occlusion. Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9691-7Authors Ugur Ozkan, Baskent University Department of Radiology, Faculty of Medicine Dadaloglu Mahallesi, Sokak. 39, No. 6 01250 Adana TurkeyLevent Oguzkurt, Baskent University Department of Radiology, Faculty of Medicine Dadaloglu Mahallesi, Sokak. 39, No. 6 01...
Source: CardioVascular and Interventional Radiology - September 19, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Venous Thromboembolism After Removal of Retrievable Inferior Vena Cava Filtersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, new or recurrent VTE was rare after retrieval of IVC filters but was most likely to occur in patients who had severe DVT during filter implantation and/or in patients with a DVT that remained at the time of filter retrieval. We must point out that the fatality rate from PE after filter removal was high (2.6%). Content Type Journal ArticleCategory Clinical InvestigationDOI 10.1007/s00270-009-9682-8Authors Takuji Yamagami, Graduate School of Medical Science, Kyoto Prefectural University of Medicine Department of Radiology 465 Kajii-chyo, Kawaramachi-Hirokoji, Kamigyo Kyoto 602-8566 JapanOsamu Tanaka, Gr...
Source: CardioVascular and Interventional Radiology - September 19, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Clinical Factors Associated with Dense and Wedge-Shaped Nephrograms Detected 24 h After Chemoembolizationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  This investigation aimed to evaluate patient characteristics and procedural factors associated with abnormal nephrograms encountered on noncontrast computed axial tomography (CAT) obtained 24-h after transarterial chemoembolization (TACE) for primary and metastatic hepatic malignancies. Sixty hepatic chemoembolization procedures were performed in 29 patients who had a median age of 63 years (range 42–79). The male-to-female ratio was 16:13. Noncontrast CAT scans were obtained approximately 24 h after TACE as part of our institutional protocol and were examined for persistent renal nephro...
Source: CardioVascular and Interventional Radiology - September 17, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals