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ESTUDIOS


RADIOLOGY. Colorectal Cancer Liver Metastases: Biopsy of the Ablation Zone and Margins Can Be Used to Predict Oncologic Outcome

Vlasios S. Sotirchos, Lydia M. Petrovic, Mithat Gönen, David S. Klimstra, Richard K. G. Do, Elena N. Petre, Alessandra R. Garcia, Afsar Barlas, Joseph P. Erinjeri, Karen T. Brown, Anne M. Covey, William Alago, Lynn A. Brody, Ronald P. DeMatteo, Nancy E. Kemeny, Stephen B. Solomon, Katia O. Manova-Todorova, Constantinos T. Sofocleous

Purpose: To establish the prognostic value of biopsy of the central and marginal ablation zones for time to local tumor progression (LTP) after radiofrequency (RF) ablation of colorectal cancer liver metastasis (CLM).

DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY. Does neoadjuvant doxorubicin drug-eluting bead transarterial chemoembolization improve survival in patients undergoing liver transplant for hepatocellular carcinoma?

Dimitri Dorcaratto, Venkatesha Udupa, Niamh M. Hogan, David P. Brophy, Jeffrey W. McCann, Donal Maguire, Justin Geoghegan, Colin P. Cantwell, Emir Hoti

PURPOSE: We aimed to compare the overall (OS) and disease-free survival (DFS) of patients undergoing orthotopic liver transplant (OLT) for hepatocellular carcinoma who did and did not have neoadjuvant doxorubicin drug-eluting bead transarterial chemoembolization (DEB-TACE).

DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY. Percutaneous transhepatic techniques for retrieving fractured and intrahepatically dislodged percutaneous transhepatic biliary drainage catheters

Liu Hsien-Tzu, Tseng Hsiuo-Shan, Chiu Nai-Chi, Lin Yi-Yang, Chiou Yi-You, Liu Chien-An

Dislodged intrabiliary drainage devices, including catheters, endoprostheses, and stents, may further impair drainage and cause various local reactions, vascular and gastrointestinal tract complications. Endoscopic approaches for management of plastic biliary endoprostheses have been extensively discussed. However, in rare cases of fracture of percutaneous transhepatic biliary drainage (PTBD) catheters, only a percutaneous transhepatic technique for retrieving should be applied to avoid further damage by its rigid fragment. We present the adjusted techniques using either a goose neck snare, over-the-wire balloon catheter, or biopsy forceps with image demonstration and reviews. We encountered two patients with PTBD tube fracture and intrahepatic dislodgment. In both patients, percutaneous approaches were used for successfully retrieving and removing the fractured catheter through transhepatic tract: one with the use of a biopsy forceps, another with an inflatable balloon catheter.

DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY. Mechanical recanalization in ischemic anterior circulation stroke within an 8-hour time window: a real-world experience

Dagmar Krajícková, Antonín Krajina, Roman Herzig, Miroslav Lojík, Vendelín Chovanec, Jan Raupach, Eva Vítková, Jan Waishaupt, Oldrich Vysata, Martin Valis

PURPOSE: We aimed to assess the safety and effectiveness of mechanical recanalization in patients with ischemic stroke in the anterior circulation within 8 h since symptoms onset and with unknown onset time. We compared time intervals <6 h vs. 6–8 h/unknown onset time, as only limited data are available for a time window beyond 6 h.

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Comparison of Ultrasound-Accelerated versus Pigtail Catheter–Directed Thrombolysis for the Treatment of Acute Massive and Submassive Pulmonary Embolism

Assaf Graif, MD, Christopher J. Grilli, DO, George Kimbiris, MD, Demetrios J. Agriantonis, MD, Omar Z. Chohan, DO, Charles R. Fedele, DO, Mandip S. Gakhal, MD, Ansar Z. Vance, MD, Daniel A. Leung, MD

Purpose: To compare the technical and clinical effectiveness of ultrasound-accelerated endovascular thrombolysis (USAT) versus pigtail catheter–directed thrombolysis (PCDT) for the treatment of acute pulmonary embolism (PE).

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Single-Center Comparison of Overall Survival and Toxicities in Patients with Infiltrative Hepatocellular Carcinoma Treated with Yttrium-90 Radioembolization or Drug-Eluting Embolic Transarterial Chemoembolization

Joseph L. McDevitt, MD, MBA, Ali Alian, MD, Baljendra Kapoor, MD, Stacy Bennett, RN, Amanjit Gill, MD, Abraham Levitin, MD, Mark Sands, MD, K.V. Narayanan Menon, MD, Federico N. Aucejo, MD, Bassam Estfan, MD, Anil K. Pillai, MD, Sanjeeva P. Kalva, MD, Gordon McLennan, MD

Purpose: To compare overall survival and toxicities after yttrium-90 (90Y) radioembolization and chemoembolization with drug-eluting embolics (DEE) in patients with infiltrative hepatocellular carcinoma (HCC).

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Proposal of a New Adverse Event Classification by the Society of Interventional Radiology Standards of Practice Committee

Omid Khalilzadeh, MD, MPH, Mark O. Baerlocher, MD, Paul B. Shyn, MD, Bairbre L. Connolly, MB, MCh, FRCPC, FRCSI, A. Michael Devane, MD, Christopher S. Morris, MD, Alan M. Cohen, MD, Mehran Midia, MD, Raymond H. Thornton, MD, Kathleen Gross, MSN, BS, Drew M. Caplin, MD, Gunjan Aeron, MBBS, MD, Sanjay Misra, MD, Nilesh H. Patel, MD, T. Gregory Walker, MD, Gloria Martinez-Salazar, MD, James E. Silberzweig, MD, Boris Nikolic, MD, MBA

Purpose: To develop a new adverse event (AE) classification for the interventional radiology (IR) procedures and evaluate its clinical, research, and educational value compared with the existing Society of Interventional Radiology (SIR) classification via an SIR member survey.

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Endovascular Interventions for Femoropopliteal Peripheral Artery Disease: A Network Meta-Analysis of Current Technologies

Michael R. Jaff, DO, Teresa Nelson, MS, Nicole Ferko, MSc, Melissa Martinson, PhD, Louise H. Anderson, PhD, Sarah Hollmann, MBiotech

Purpose: To use network meta-analysis (NMA) to determine the optimal endovascular strategy for management of femoropopliteal peripheral artery disease (PAD) given the lack of multiple prospective randomized trials to guide treatment decisions.

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Predictors and Outcomes of Postcontrast Acute Kidney Injury after Endovascular Renal Artery Intervention

Edwin A. Takahashi, MD, David F. Kallmes, MD, Chad J. Fleming, MD, Robert J. McDonald, MD, PhD, Michael A. McKusick, MD, Haraldur Bjarnason, MD, William S. Harmsen, MS, Sanjay Misra, MD

Purpose: To determine incidence, predictors, and clinical outcomes of postcontrast acute kidney injury (PC-AKI) following renal artery stent placement for atherosclerotic renal artery stenosis.

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