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Journal of Vascular and Interventional Radiology: JVIR

Qi Zhang, Jin-He Guo, Hai-Dong Zhu, Ye-Ming Zhong, Tao Pan, Hua-Qing Yin, Yong-Hua Dong, Gao-Jun Teng
PURPOSE: To evaluate the effects of endovascular denervation (EDN) on abdominal cancer pain relief. MATERIALS AND METHODS: From April 2017 to February 2018, 7 cancer patients (2 males and 5 females) were enrolled in this study. The diagnoses of the patients included 3 pancreatic cancer, 2 cervical carcinoma, 1 cholangiocarcinoma, and 1 esophageal cancer with retroperitoneum lymph nodes invasion. Denervation was carried out at the abdominal aorta close to the origin of celiac artery and superior mesenteric artery with the use of a multielectrode radiofrequency ablation catheter with settings of time 120 seconds and temperature 60°C...
November 7, 2018: Journal of Vascular and Interventional Radiology: JVIR
William M Sherk, Minhaj S Khaja, Bill S Majdalany, Wael E Saad, Aaron M Udager, Kyle J Cooper, David M Williams
Between September 2008 and August 2017, 36 patients (mean age 56 y; range, 30-89 y) underwent transvenous biopsy of suspected tumor thrombus or perivascular tumor. Intravascular biopsy was pursued because of inaccessible percutaneous access in 9 patients (25%) and as part of a planned revascularization procedure in 27 patients (75%). Histopathologic results showed malignancy in 26 patients (72%) and benign etiologies in 10 patients (28%). No patients required repeat biopsy. There were no complications related to the biopsy procedure...
November 5, 2018: Journal of Vascular and Interventional Radiology: JVIR
Mustafa M Haddad, Scott M Thompson, Ian R McPhail, Emily C Bendel, Manju Kalra, Andrew H Stockland, Newton B Neidert, James C Andrews, Sanjay Misra, Haraldur Bjarnason, Melissa J Neisen
PURPOSE: To identify whether symptom relief and stent patency vary with use of long-term anticoagulation after stent placement for benign superior vena cava (SVC) syndrome. MATERIALS AND METHODS: Patients with benign SVC syndrome treated with stent placement between January 1999 and July 2017 were retrospectively identified (n = 58). Average age was 49 years (range, 24-80 y); 34 (58%) were women, and 24 (42%) were men. Average follow-up was 2.4 years (range, 0...
November 2, 2018: Journal of Vascular and Interventional Radiology: JVIR
Adrian Kobe, Celina Andreotti, Gilbert Puippe, Zoran Rancic, Reinhard Kopp, Mario Lachat, Thomas Pfammatter
PURPOSE: To evaluate outcome of endovascular elective repair and repair of ruptured isolated iliac artery aneurysms (IIAAs) as a primary treatment strategy. MATERIALS AND METHODS: All patients with an IIAA undergoing endovascular treatment were included. Aneurysms were classified according to an anatomic classification and treated with coiling of the internal iliac artery, stent graft placement in the common to external iliac artery, or placement of a bifurcated aortoiliac stent graft...
November 2, 2018: Journal of Vascular and Interventional Radiology: JVIR
Joseph W Owen, Nael E Saad, Glenn Foster, Kathryn J Fowler
PURPOSE: To demonstrate the feasibility of detecting patency, stenosis, or occlusion of transjugular intrahepatic portosystemic shunt (TIPS) with four-dimensional (4D) flow MR imaging. MATERIALS AND METHODS: Sequential adult patients with TIPS were eligible for enrollment. Volumetric phase-contrast sequence was used to image TIPS. Particle tracing cine images were used for qualitative assessment of stenosis. TIPS was segmented to generate quantitative data sets of peak velocity...
November 2, 2018: Journal of Vascular and Interventional Radiology: JVIR
Ying-Qiang Zhang, Li-Juan Jiang, Jia Wen, Di-Min Liu, Gui-Hua Huang, Yu Wang, Wen-Zhe Fan, Jia-Ping Li
PURPOSE: To evaluate the value of α-fetoprotein (AFP) classification criteria in predicting tumor response and patient survival and to discuss the agreement between AFP criteria and modified Response Evaluation Criteria In Solid Tumors (mRECIST). MATERIALS AND METHODS: Between January 2011 and December 2014, 147 patients with unresectable hepatocellular carcinoma (HCC) with baseline AFP levels ≥ 400 ng/mL who underwent transarterial chemoembolization as initial treatment were retrospectively enrolled for AFP/imaging correlation analysis...
November 2, 2018: Journal of Vascular and Interventional Radiology: JVIR
Sharon W Kwan, Stephen K Allison, Laura S Gold, David S Shin
PURPOSE: To compare relative cost-effectiveness of serial large-volume paracentesis (LVP) and transjugular intrahepatic portosystemic shunt (TIPS) creation for treatment of refractory ascites. MATERIALS AND METHODS: A decisional Markov model was developed to estimate payer cost and quality-adjusted life-ears (QALYs) associated with LVP and TIPS treatment strategies for cirrhotic patients with refractory ascites. Survival estimates were derived from an individual patient-level meta-analysis of prospective randomized clinical trials...
November 1, 2018: Journal of Vascular and Interventional Radiology: JVIR
Barbara Geeroms, Gert De Hertogh, Ragna Vanslembrouck, Hans Wildiers, Frederik Nevens, Geert Maleux
Three patients with a medical history of breast carcinoma and metastatic carcinomatous liver disease associated with severe portal hypertension and refractory ascites are presented. Transjugular intrahepatic portosystemic shunt creation was considered as a palliative treatment option and a valuable alternative to regular paracenteses in these patients. In 2 of the 3 patients, the refractory ascites was controlled for several months without need for paracentesis, and subsequently transjugular intrahepatic portosystemic shunt may provide valuable palliation and ascites control in patients with refractory ascites due to breast cancer-induced pseudocirrhosis...
November 1, 2018: Journal of Vascular and Interventional Radiology: JVIR
Jian Shen, Wan-Sheng Wang, Xiao-Li Zhu, Cai-Fang Ni
PURPOSE: To assess the role of epithelial cell adhesion molecule (EpCAM)-positive circulating tumor cell (CTC) count in predicting survival outcomes of transcatheter arterial chemoembolization in patients with unresectable hepatocellular carcinoma (HCC). MATERIALS AND METHODS: EpCAM-positive CTC counts were prospectively determined via CellSearch in peripheral blood of 97 patients with unresectable HCC treated with chemoembolization. The impact of each CTC cutoff point on overall survival (OS) was evaluated by univariate Cox regression analysis...
November 1, 2018: Journal of Vascular and Interventional Radiology: JVIR
David Sacks, Hans van Overhagen, Wim H van Zwam, Martin G Radvany, M Victoria Marx, Robert A Morgan, John Ioannis Vrazas, Gerard S Goh
No abstract text is available yet for this article.
October 25, 2018: Journal of Vascular and Interventional Radiology: JVIR
Arash Fereydooni, Brian Letzen, Mansur A Ghani, Milena A Miszczuk, Steffen Huber, Julius Chapiro, Todd Schlachter, Jean-Francois Geschwind, Christos Georgiades
PURPOSE: The primary end point of this trial was to determine the feasibility and safety of transarterial chemoembolization with the use of 75-150-μm drug-eluting embolics loaded with irinotecan (DEE-IRI) for the treatment of metastatic colorectal cancer (CRC) refractory to systemic chemotherapy. MATERIALS AND METHODS: Fourteen patients (mean age 57.9 years) with liver-dominant metastatic disease (14.3% unilobar, 85.7% bilobar), who had failed at least 1 line of chemotherapy, were enrolled and received up to 4 (mean 2...
October 15, 2018: Journal of Vascular and Interventional Radiology: JVIR
Sarah B White, Zhouli Zhang, Jeane Chen, Venkateswara R Gogineni, Andrew C Larson
PURPOSE: To investigate the differences in immune responses between cryoablation and irreversible electroporation (IRE) in a preclinical mouse model. MATERIAL AND METHODS: A mouse pancreatic cancer cell line (PANC-2) was implanted in the bilateral flanks of mice, and tumor-bearing mice were divided into 6 groups. One of the tumors was ablated either with contact cryoablation using an argon-cooled cryoablation probe for 1 minute at 5% power or by IRE for a total of 64 100-μs-duration, 1250-V/cm2 pulses with 100-ms spacing...
October 10, 2018: Journal of Vascular and Interventional Radiology: JVIR
DaeHee Kim, Christopher Bolus, Shams I Iqbal, Brian D Davison, Heideh K Ahari, Sebastian Flacke, Christopher P Molgaard
PURPOSE: To determine success and complication rates of percutaneous transjejunal biliary access (PTJBA) in patients with bilioenteric anastomoses. MATERIALS AND METHODS: In a single-center, retrospective study, 169 PTJBA procedures were performed over a 13.8-y period in 60 subjects (47 male; mean age, 54.5 y). Indications for biliary interventions were cholangitis (137 cases, 45 subjects) or hyperbilirubinemia (32 cases, 18 subjects). All patients had antecolic bilioenteric anastomoses without surgical fixation to the peritoneum (liver transplantation with hepaticojejunostomy, n = 37; hepatectomy with hepaticojejunostomy, n = 8; hepaticojejunostomy only, n = 12; pancreaticoduodenectomy, n = 3)...
October 10, 2018: Journal of Vascular and Interventional Radiology: JVIR
Nam S Hoang, Mohamed H Khalaf, Jarrett K Rosenberg, John Kwofie, Aaron L Reposar, David S Wang, John D Louie, Daniel Y Sze
PURPOSE: To measure the decay activity loss and delivery system residual activity loss of yttrium-90 (Y90 ) radioembolization treatments across resin and glass microsphere activities. MATERIALS AND METHODS: For Y90 administrations between December 2009 and June 2017 at the study institution, the prescribed activity, prepared activity, and delivered activity were recorded. Six hundred sixty-two administrations were reviewed-345 glass (0.21-8.52 GBq) and 317 resin (0...
October 10, 2018: Journal of Vascular and Interventional Radiology: JVIR
Kenji Kajiwara, Takuji Yamagami, Naoyuki Toyota, Hideaki Kakizawa, Masaki Urashima, Masashi Hieda, Yasutaka Baba, Tomoyuki Akita, Junko Tanaka, Kazuo Awai
PURPOSE: To explore optimal diagnostic criteria for localizing insulinomas with the selective arterial calcium injection (SACI) test using decision tree analysis. MATERIALS AND METHODS: A retrospective study included 86 vessels of 18 patients (5 men, 13 women; mean age 67 y; range, 49-73 y) with insulinomas who underwent SACI test between June 2007 and May 2016. Of 27 insulinomas, 7 were found in the head, 13 in the body, and 7 in the tail of the pancreas. Two patients had multiple tumors...
October 8, 2018: Journal of Vascular and Interventional Radiology: JVIR
Mao Qiang Wang, Jin Long Zhang, Hai Nan Xin, Kai Yuan, Jieyu Yan, Yan Wang, Guo Dong Zhang, Jin Xin Fu
PURPOSE: To evaluate the safety and efficacy of prostatic artery embolization (PAE) using the combination of 50-μm and 100-μm polyvinyl alcohol (PVA) particles versus 100-μm PVA particles alone in the treatment of patients with symptomatic benign prostatic hyperplasia (BPH). MATERIALS AND METHODS: Over a 5-year period, 120 patients treated with PAE for lower urinary tract symptoms (LUTS) secondary to BPH were randomized to undergo embolization with 50-μm plus 100-μm PVA particles (group A) or 100-μm PVA particles alone (group B)...
October 5, 2018: Journal of Vascular and Interventional Radiology: JVIR
Yoni Grossman, Daniel Siverberg, Anat Berkovitch, Fernando Chernomordik, Arwa Younis, Elad Asher, Israel Barbash, Moshe Halak, Victor Guetta, Amit Segev, Paul Fefer
PURPOSE: To report long-term results of iliofemoral stent placement after transcatheter aortic valve replacement (TAVR). MATERIALS AND METHODS: TAVR access-related complications treated with iliofemoral stent placement were recorded in 56 patients (mean age, 81 years; range; 53-93 years; 48% male) of 648 patients who underwent TAVR at a single center. Fifty-six patients treated with stent placement (40 patients with stent grafts and 16 patients with bare metal stents) underwent clinical and ultrasonographic follow-up after a mean of 676 days (range, 60-1840 days)...
October 5, 2018: Journal of Vascular and Interventional Radiology: JVIR
Wenhui Zhou, Sanna E Herwald, Raul N Uppot, Ronald S Arellano
PURPOSE: To assess safety and renal-function outcomes after microwave (MW) ablation of localized stage T1 renal cell carcinoma (RCC). MATERIALS AND METHODS: A retrospective review was conducted of 38 patients (28 men; mean age, 69 y; range, 51-88 y) who underwent computed tomography (CT)-guided MW ablation for stage T1N0M0 RCC. Baseline and follow-up renal function surrogates including creatinine level and estimated glomerular filtration rate (eGFR) were statistically compared...
October 5, 2018: Journal of Vascular and Interventional Radiology: JVIR
Su Ho Kim, Jung Suk Oh, Ho Jong Chun, Byung Gil Choi, Hae Giu Lee
PURPOSE: To compare the feasibility and safety of mono-port catheter system and dual-port catheter system for advanced hepatocellular carcinoma (HCC) in patients with anatomic hepatic artery variation and portal vein tumor thrombosis. MATERIALS AND METHODS: This retrospective study consisted of 22 patients with infiltrative or multiple HCC with unilateral or bilateral portal vein thrombosis who had hepatic artery variation. A mono-port or dual-port catheter system was determined according to the degree of blood supply to the entire tumor through the common hepatic and variant hepatic arteries...
October 5, 2018: Journal of Vascular and Interventional Radiology: JVIR
Hyo-Cheol Kim, Yoon Jun Kim, Jeong-Hoon Lee, Kyung-Suk Suh, Jin Wook Chung
PURPOSE: To address the feasibility of yttrium-90 (90 Y) glass microspheres administered at a boosted dose in large hepatocellular carcinomas (HCCs). MATERIALS AND METHODS: From July 2016 to August 2017, 20 patients who underwent 90 Y radioembolization for treatment-naïve HCC met the following inclusion criteria: (i) nodular tumor, (ii) tumor size > 5 cm, (iii) Barcelona Clinic Liver Cancer stage A/B disease, (iv) target perfused tissue dose > 150 Gy, and (v) all tumors treated in 1 session of radioembolization...
October 4, 2018: Journal of Vascular and Interventional Radiology: JVIR
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