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CIRSE Position Paper on Artificial Intelligence in Interventional Radiology
AbstractArtificial intelligence (AI) has made tremendous advances in recent years and will presumably have a major impact in health care. These advancements are expected to affect different aspects of clinical medicine and lead to improvement of delivered care but also optimization of available resources. As a modern specialty that extensively relies on imaging, interventional radiology (IR) is primed to be on the forefront of this development. This is especially relevant since IR is a highly advanced specialty that heavily relies on technology and thus is naturally susceptible to disruption by new technological developmen...
Source: CardioVascular and Interventional Radiology - September 5, 2023 Category: Radiology Source Type: research

Comparison of Clinical Performance Between Two Types of Symmetric-Tip Haemodialysis Catheters: A Single-Centre, Randomized Trial
(Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - September 1, 2023 Category: Radiology Source Type: research

Percutaneous Creation of Hemodialysis Fistulas
AbstractNon-surgical, percutaneous, or endovascular hemodialysis arteriovenous creation represent an evolution of access creation away from traditional surgical fistulas. These fistulas are additional to surgical alternatives and published studies with the two commercially available devices suggest positive outcomes in terms of technical success, maturation, functionality, and patency. Relevant published studies are presented, and other considerations related to these new devices/procedures are also summarized. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - September 1, 2023 Category: Radiology Source Type: research

A Practical Guide for Left Adrenal Vein Sampling in Patients with Left Renal Vein Variants
ConclusionKnowing the presence and understanding the anatomy of LRV variants can facilitate an efficient AVS.Graphical Abstract (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 28, 2023 Category: Radiology Source Type: research

CT-guided Transgluteal Prostate Fiducial Marker Insertion for Localized Radiation Therapy
ConclusionTransgluteal CT-guided fiducial marker implantation into the prostate is an alternative method to transperineal and transrectal approaches. In this technique, the risk of septic complications is minor, and general anesthesia is not required. Thus, transgluteal CT-guided marker insertion is a feasible and well-tolerated method for image-guided radiation therapy (IGRT) in patients with prostate cancer. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 28, 2023 Category: Radiology Source Type: research

Puzzle Solved! Converting the UnTIPSable to TIPSable by Adding Transmesenteric Access to the Toolbox for Patients with Chronic Portal and Mesenteric Vein Thrombosis
(Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 28, 2023 Category: Radiology Source Type: research

An Update on Patient-Reported Outcomes in Interventional Radiology: The Future Measure of Our Success
AbstractThe field of interventional radiology continues to expand rapidly, offering an increasing range of alternatives to open surgical procedures. This minimally invasive imaging-guided approach promises faster recovery times and a theoretically improved patient experience; however, there is limited evidence documenting that these promises are actually delivered. Patient-reported outcomes are a way of collecting data on the patient experience increasingly used in clinical trials and the provision of surgical services and informing clinical practice across a range of elective procedures. Currently underutilised in interve...
Source: CardioVascular and Interventional Radiology - August 24, 2023 Category: Radiology Source Type: research

Commentary on “TIPS Reduction by Parallel Placement of Amplatzer Vascular Plug and Stent”
(Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 23, 2023 Category: Radiology Source Type: research

Predictors and Clinical Outcomes of Fibroid Expulsion After Uterine Artery Embolization
ConclusionFibroid expulsion after uterine artery embolization was more common than previously reported but mostly asymptomatic or minimally symptomatic. Women with FIGO  ≤ 2 fibroids should be appropriately counseled regarding risk for expulsion.Graphical Abstract (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 21, 2023 Category: Radiology Source Type: research

Endovascular Thrombectomy for Acute Iliofemoral Deep Venous Thrombosis Through a Jugular Approach with a Rotational Device
ConclusionPCDT via the jugular vein using an SRD is an efficient treatment for acute iliofemoral DVT and results in high long-term venous patency and low PTS rates.Level of evidence Level 4, Case series.Graphical Abstract (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 18, 2023 Category: Radiology Source Type: research

Prospective, Multicenter, Observational Study to Evaluate a Cell-Impermeable Endoprosthesis for Treatment of Stenosis or Occlusion within the Dialysis Outflow Circuit of an Arteriovenous (AV) Fistula or AV Graft (The WRAP Registry)
This study was designed to assess real-world evidence of safety and efficacy outcomes following device placement.Materials and MethodsThis is a prospective, multicenter, non-investigational, post-market observational study of 500 patients at up to 50 centers worldwide with a mature AVF/AVG dialysis access ( ≥ 1 hemodialysis session) who experience stenosis/occlusion of the outflow circuit prior to placement of WRAPSODY. Patients will be divided into the following two cohorts: peripheral or central thoracic. Primary outcome measures include target lesion primary patency (TLPP) at 6 months and proce dure and/or device-r...
Source: CardioVascular and Interventional Radiology - August 17, 2023 Category: Radiology Source Type: research

12Fr-Pigtail Versus 14Fr-Balloon Percutaneous Radiologic Gastrostomy (PRG), Retrospective Evaluation of Outcomes and Complications; A Maastricht University Medical Centre Study
Conclusion14Fr-balloon gastrostomy tubes have significantly lower (tube-related) complications rates and longer time to first complication compared to 12Fr-pigtail tubes. No procedure-related mortality was observed in either group. Technical success was very high in both groups.Level of Evidence Level 3, non-controlled retrospective cohort study. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 17, 2023 Category: Radiology Source Type: research

Safety and Feasibility of Gun-Sight Technique for Transjugular Intra-hepatic Portosystemic Shunt (TIPS) Creation
ConclusionGun-sight technique for TIPS creation has a high success rate in this challenging cohort of patients. While complications can occur, most of the adverse events noted were likely associated with TIPS creation itself rather than gun-sight. Early thrombosis only occurred in patients with PVT.Level of Evidence Level 4, Case Series.Graphic Abstract (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 14, 2023 Category: Radiology Source Type: research

Six-Month Outcomes of Mechanical Thrombectomy for Treating Deep Vein Thrombosis: Analysis from the 500-Patient CLOUT Registry
ConclusionOutcomes from the CLOUT study, a large prospective registry for DVT, indicate that mechanical thrombectomy is safe and demonstrates significant improvement in symptoms and health status through 6  months.Level of Evidence 3: Non-randomized controlled cohort/follow-up study. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 14, 2023 Category: Radiology Source Type: research

Cryoablation for Bone and Soft Tissue Lesions in Pediatric Patients: Complications and Preventive Measures
ConclusionCryoablation in pediatric patients is relatively safe, with a major complication rate per ablation of 5%. Thermal protective measures can be considered to mitigate these complications. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 14, 2023 Category: Radiology Source Type: research