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ABSTRACT


01 octubre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Percutaneous Septectomy in Chronic Dissection with Abdominal Aortic Aneurysm Creates Uniluminal Neck for EVAR

Mark Colin Gissler, Yukihisa Ogawa, Jason T. Lee, Venita Chandra, Michael D. Dake

Purpose: The intent of this report is to describe the technical details and rationale of endovascular septectomy using a wire saw maneuver in cases of chronic aortic dissection and associated infra-renal aortic aneurysm to allow standard endovascular abdominal aortic graft placement; preliminary clinical experience is also retrospectively reviewed.

01 octubre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Multicenter European Registry for Patients with AAA Undergoing EVAR Evaluating the Performance of the 36-mm-Diameter Endurant Stent-Graft

Andrés Reyes Valdivia, Georgios Pitoulias, Frank J. Criado, Giovanni Torsello, Claudio Gandarias, Martin Austermann, Apostolos G. Pitoulias, Konstantinos Donas

Introduction: The use of and results with the Endurant stent-graft have been reported extensively. However, there has been little if any focus placed on performance and outcomes when a 36-mm-diameter device is used.

01 octubre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. A Review of Adverse Events Related to Prostatic Artery Embolization for Treatment of Bladder Outlet Obstruction Due to BPH

Airton Mota Moreira, André Moreira de Assis, Francisco Cesar Carnevale, Alberto Azoubel Antunes, Miguel Srougi, Giovanni Guido Cerri

Introduction: Minimally invasive procedures have gained great importance among the treatments for benign prostate hyperplasia (BPH) due to their low morbidity. Prostate artery embolization has emerged as a safe and effective alternative for patients with large volume BPH, not suited for surgery.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Endovascular Treatment of Wide-Necked Visceral Artery Aneurysms Using the Neurovascular Comaneci Neck-Bridging Device: A Technical Report

Julian Maingard, Hong Kuan Kok, Emma Phelan, Caitriona Logan, Dinesh Ranatunga, Duncan Mark Brooks, Ronil V. Chandra, Michael J. Lee, Hamed Asadi

Introduction: Visceral and renal artery aneurysms (VRAAs) are an uncommon clinical entity but carry a risk of rupture with associated morbidity and mortality. The rupture risk is particularly high when the aneurysms are large, of unfavourable morphology or in the setting of pregnancy and perioperative period. Endovascular approaches are now first line in the treatment of VRAA, but conventional techniques may be ineffective in excluding aneurysms with unfavourable anatomy such as those with wide necks or at arterial bifurcation points. The neurovascular Comaneci neck-bridging device is used to temporarily cover the neck of intracranial aneurysms without occluding forward arterial flow during endovascular coiling. We report the novel use of the Comaneci neck-bridging device for the treatment of complex peripheral VRAAs.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Fluoroscopic Targeting of Wallstents and Amplatzer Vascular Plugs in Sharp Recanalization of Chronic Venous Occlusions

Minhaj S. Khaja, Jeffrey Forris Beecham Chick, Ari D. Schuman, Kyle J. Cooper, Bill S. Majdalany, Wael E. Saad, David M. Williams

Purpose: Sharp recanalization of chronic venous occlusions is usually performed with targeting of wire-capture devices like loop snares or balloons. We describe sharp recanalization of chronic venous occlusions using self-expanding stents and vascular plugs.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Transarterial Chemoembolization Monotherapy Versus Combined Transarterial Chemoembolization–Microwave Ablation Therapy for Hepatocellular Carcinoma Tumors <=5 cm: A Propensity Analysis at a Single Center

Qi-Feng Chen, Zhen-Yu Jia, Zheng-Qiang Yang, Wen-Long Fan, Hai-Bin Shi

Purpose To compare effectiveness of transarterial chemoembolization (TACE) combined with microwave ablation (MWA; TACE–MWA) with TACE alone for treating hepatocellular carcinoma (HCC) tumors <=5 cm.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Evaluation of Visualization Using a 50/50 (Contrast Media/Glucose 5% Solution) Technique for Radioembolization as an Alternative to a Standard Sandwich Technique

Karolin J. Paprottka, Andrei Todica, Harun Ilhan, Johannes Rübenthaler, Franziska Schoeppe, Marlies Michl, Volker Heinemann, Peter Bartenstein, Maximilian F. Reiser, Philipp M. Paprottka

Background: Radioembolization (RE) with 90yttrium (90Y) resin microspheres generally employs a sandwich technique with separate sequential administration of contrast medium (CM), followed by vehicle (e.g., glucose 5% [G5] solution), then 90Y resin microspheres (in G5), then G5, and then CM again to avoid contact of CM and microspheres under fluoroscopic guidance. This study evaluates the visualization quality and safety of a modified sandwich technique with a 50/50-mixture of CM (Imeron 300) and G5 for administration of 90Y resin microspheres.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Three-dimensional Image Fusion Guidance for Transjugular Intrahepatic Portosystemic Shunt Placement

Vania Tacher, Arthur Petit, Haytham Derbel, Luigi Novelli, Manuel Vitellius, Fourat Ridouani, Alain Luciani, Alain Rahmouni, Christophe Duvoux, Chady Salloum, Mélanie Chiaradia, Hicham Kobeiter

Introduction: To assess the safety, feasibility and effectiveness of image fusion guidance with pre-procedural portal phase computed tomography with intraprocedural fluoroscopy for transjugular intrahepatic portosystemic shunt (TIPS) placement.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Added Value of Covered Stents in Transjugular Intrahepatic Portosystemic Shunt: A Large Single-Center Experience

Amar C. Gupta, Weiping Wang, Chintan Shah, Mark J. Sands, Jennifer Bullen, Erick M. Remer, Pilar M. Bayona, William Carey, Baljendra Kapoor

Purpose: Transjugular intrahepatic portosystemic shunts (TIPS) were historically placed using uncovered bare-metal stents. Current practice has now shifted toward the use of polytetrafluoroethylene (PTFE)-covered stents, given the improved primary patency seen with these stents. The aim of this study was to determine whether there is any added value, such as overall survival or stent patency, when using covered stents versus uncovered stents in TIPS placement in a large cohort.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Cost Analysis of Prostate Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) in the Treatment of Benign Prostatic Hyperplasia

Sandeep Bagla, John Smirniotopoulos, Julie Orlando, Rachel Piechowiak

Purpose: Prostatic arterial embolization (PAE) has emerged as a minimally invasive alternative to TURP; however, there are limited cost comparisons reported. The purpose of this study was to compare in-hospital direct costs of elective PAE and TURP in a hospital setting.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Implantation of Unibody Single-Branched Stent Graft for Patients with Type B Aortic Dissections Involving the Left Subclavian Artery: 1-Year Follow-Up Outcomes

He Huang, Yuanyong Jiao, Yepeng Zhang, Yuelin Zhu, Zhao Liu, Tong Qiao, Changjian Liu, Xiwei Zhang, Min Zhou

Objective: To report the early results of castor device, a kind of unibody single-branched stent graft, in the treatment of type B aortic dissection (TBAD) involving the LSA.

01 noviembre 2017

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Repetitive Blunt Trauma and Arterial Injury in the Hand

Geoffrey A. Gardiner Jr., Allison Tan

Purpose: Arterial injury in the hand is most often due to repetitive blunt trauma. Although not always associated with significant impairment, it may cause serious ischemic damage or considerable disability. As a cause of digital ischemia, the frequency of this disorder is widely under appreciated. This study reviews the clinical and angiographic features of this condition.

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