CardioVascular and Interventional Radiology
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Looking for the Ideal Particle: An Experimental Embolization Study
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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 Experience
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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?
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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 Experience
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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 Center
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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 Choice
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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 Stenoses
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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 Study
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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 II
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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 Registry
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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 Model
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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 Experience
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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 Patients
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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 Bleeding
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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 Hyperparathyroidism
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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 Cancer
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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 Pupura
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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 Repair
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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
Announcements
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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 Carcinoma
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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 Space
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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 2009
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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 Tumors
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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 Veins
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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 Study
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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 Swine
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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 Discectomy
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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”
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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.
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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 Tumors
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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 Joint
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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 Procedures
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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?
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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 Fistulas
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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 Carcinoma
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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 Strictures
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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 Embolization
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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 Experience
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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-Up
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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 Fractures
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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 Implantation
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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 Imaging
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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 Vertebroplasty
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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 Methods
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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 Agents
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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 Embolization
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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 Filter
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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 Occlusion
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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 Filters
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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 Chemoembolization
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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
